223254 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 364992 Page 1 of 1
1� ONE CIVIC SQUARE UNITED STATES GEOLOGICAL SURVEYCHECK AMOUNT: $18,238.00
ti ,o CARMEL, INDIANA 46032 BOX 71362
PHILADELPHIA PA 19176-1362 CHECK NUMBER: 223254
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
609 5023990 90011091 7, 762 . 00 OTHER EXPENSES
601 5023990 90012076 5, 238 . 00 OTHER EXPENSES
609 5023990 90042466 5, 238 . 00 OTHER EXPENSES
DI-1040 UNITED STATES DEPARTMENT OF THE INTERIOR Pagel
Make Remittance Payable To: United States Geological Survey Bill#: 90011091
Billing Contact: Tonja R. Clark Budget Analyst Phone: 317-290-3333 X123 Date: 11/08/2010
Due Date: 01/07/2011
Remit Payment To: United States Geological Survey
P.O. Box 71362
Philadelphia, PA 19176-1362
Payer: Carmel Utilities
760 :Third Avenue S .W. Additional forms of payment may be accepted. Please
Attn: John: Duffy emailgdatta @usgs.govor call 703-648-7605 for
Carmel, IN 46.032 additional information.
To pay through Pay.gov go to https://www.pay.gov. Checks must be made payable to
U.S. Geological Survey. Please detach the top portion
or include bill number on all remittances.
Amount of Payment: $ � �4),00
.....................................................................................................................................................................................
Date Description Qty Unit Price Amount
Cost Per
11/08/2010 Expenses incurred in cooperation of an 1 7,762.00 1 7,762.00
investigation of water resources to measure
ground-water flow directions during an aquifer test
in a network of observations wells in Carmel,
Indiana for the period of peformance
Jan J , _ 2010 To Mar 31 , 2010
09E4IN2412032
Amount Due this Bill: 7,762.00
Accounting Classification:
Sales Order: 2694
Sales Office: GENF
Customer Number: 6000001344
TIN: 356000972
DI-1040 UNITED STATES DEPARTMENT OF THE INTERIOR Page:1
Make Remittance Payable To: United States Geological Survey Bill#: 90042466
Billing Contact: Tonja R. Clark Budget Analyst Phone: 317-290-3333 Date: 08/22/2011
X123 Due Date: 10/21/2011
Remit Payment To: United States Geological Survey
P.O. Box 71362
Philadelphia, PA 19176-1362
Payer:
Y4ty3oof C y Additional forms of payment may be accepted. Please
Carmel Utilities email gdatta @usgs.gov or call 703-648-7605 for
. 760 3rd Avenue SW additional information.
Carmel, IN 46033'
Remarks To pay by CC/ACH use Pay.gov @ Checks must be made payable to
https://www.pay.gov U.S. Geological Survey. Please detach the top portion
or include bill number on all remittances.
Amount of Payment: $ S ,_ 3 y'od
.....................................................................................................................................................................................
Date Description Qty Unit Price Amount
Cost Per
08/22/2011 Expenses incurred in cooperation of an 1 5,238.00 1 5,238.00
investigation of water resources to measure
ground-water flow directions during an aquifer test
in a network of observations wells in Carmel,
Indiana for the period of peformance July 1, 2010 to
September 30, 2010
09E41N2412032
Amount Due this Bill: 5,238.00
Accounting Classification:
Sales Order: 2694
Sales Office: GENF
Customer Number: 6000001344
TIN: 356000972
r
27 ; z�
D1-1040 UNITED STATES DEPARTMENT OF THE INTERIOR Pagel
Make Remittance Payable To: United States Geological Survey Bill#: 90012076
Billing Contact: Tonja R. Clark Budget Analyst Phone: 317-290-3333 X123 Date: 11/09/2010
Due Date: 01/08/2011
Remit Payment To: United States Geological Survey
P.O. Box 71362
Philadelphia, PA 19176-1362
Payer: Carmel Utilities
760 Third Avenue S .W. Additional forms of payment may be accepted. Please
Attn: John Duffy email gdatta @usgs.gov or call 703-648-7605 for
Caramel, IN 46032 additional information.
To pay through Pay.gov go to https://www.pay.gov. Checks must be made payable to
U.S. Geological Survey. Please detach the top portion
or include bill number on all remittances.
Amount of Payment: $ SZ 3 ,00
.....................................................................................................................................................................................
Date Description Qty Unit Price Amount
Cost Per
11/09/2010 Expenses incurred in cooperation of an 1 5,238.00 1 5,238.00
investigation of water resources to measure
ground-water flow directions during an aquifer test
in a network of observations wells in Carmel,
Indiana for the period of peformance
Apr 1 , 2010 To Jun 30, 2010
09E4IN2412032
Amount Due this Bill: 5,238.00
Accounting Classification:
Sales Order: 2694
Sales Office: GENF
Customer Number: 6000001344
TIN: 356000972
VOUCHER # 131738 WARRANT # ALLOWED
74580 IN SUM OF $
USGS - DEPT OF THE INTERIOR
Water Resoorcus--��
a esi a IvcfP0&Oy5 7t 362
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
90012076 07-1052-01 $5,238.00
Uovq&4 5137.0b
°t o0((Ogi 11
COAVC�
`cO- %ao
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
74580
USGS - DEPT OF THE INTERIOR Purchase Order No.
Water Resources Division Terms
5957 Lakeside Blvd Due Date 5/29/2013
Indianapolis, IN 46278
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/29/2013 90012076 $5,238.00
1 hereby certify that the attached invoice(s), or bill(s) is (are)true and
correct and I have audited same in accordance with IC 5-11-10-1.6
Date 0 �E