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223766 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 061152 Page 1 of 1 ONE CIVIC SQUARE CLAY TWP RWD CHECK AMOUNT: $15.76 CARMEL, INDIANA 46032 Po BOX 4os3a INDIANAPOLIS IN 46240-0638 CHECK NUMBER: 223766 CHECK DATE: 9/10/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4239099 15 . 76 4533755318816 Clay Township Regional Waste District The Mission of the District-to provide high quality, CTRWD P.O.Box 40638 cost-effective sanitary service to our community. Indianapolis, IN 46240-0638 AE}IXIN WP'�O' Monthly Statement Service Address:107 111TH ST W Customer CARMEL ENGINEERING I CARMEL ENGINEERING DEPARTMEN Account Number 4533755318816 ONE CIVIC SQUARE Billing Date 08/06/2013 CARMEL IN 46032 Customer Message °�� PAST Q�r Period From 07/06/2013 Previous Balance $22.52 Period To 07/24/2013 Payments $-22.552 Adjustments $0.00 Total Past Due $0.00 Service Description Meter Number Cons. 100,0 I°ons Amount Non-Metered Res Primary S6) $15.76 89 c RECEIVED N 2013 w s CI CARMEL � ER ,q PAST DUE " ENG'NE Important Information I Please Pay This Amount $ 15.76 Due Date 08/20/2013 Billing reflects new District Wide Rates for all Amount Due customers effective July 6, 2013. Residential After Due Date $ 15.76 Balanced Billing has been updated based on your winter-average.-New balanced villira rat2S_diZ effective July 6, 2013 -June 6, 2014. Please refer to our web page if you have questions regarding how your bill is calculated at www.ctrwd.org. Final dill Retain this portion for your records ———— ——— Please return this portion with pavman+whP� � 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Clay Twnshp Reg Waste District Purchase Order No. POB 40638 Terms Indianapolis, IN 46240 Date Due Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s) Amount 8/6/2013 0 107 111th Utilities $ 15.76 Total $ 15.76 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. ,20 Clerk-Treasurer VOUCHER NC WARRANT NO. Clay Twnshp Reg Waste District ALLOWED 20 POB 40638 IN SUM OF $ Indianapolis, IN 46240 $ 15.76 ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITL AMOUNT DEPT# I hereby certify that the attached invoice(s), 0 0 2200-4239099 $ 15.76 or bill(s) is (are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 9/9/2013 ignature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund