HomeMy WebLinkAbout224678 09/25/2013 \,f CITY OF CARMEL, INDIANA VENDOR: 364992 Page 1 of 1
ONE CIVIC SQUARE UNITED STATES GEOLOGICAL SURVEY
CHECK INDIANA 46032 BOX 71362 CHECK AMOUNT: $3,400.00
PHILADELPHIA PA 19176-1362
CHECK NUMBER: 224678
CHECK DATE: 9/2512013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 90183234 3 , 400 . 00 OTHER EXPENSES
DI-1040 UNITED STATES DEPARTMENT OF THE INTERIOR Pagel
DOWN PAYMENT (BILL) REQUEST
Bill #: 90183234
Make Remittance Payable To: U.S. Geological Survey Customer: 6000001344
Billing Contact: Tonja R. Clark, Budget Analyst Phone: (317) 600-2723 Date: 07/12/2013
Due Date: 09/10/2013
Remit Payment To: United States Geological Survey
P.O. Box 71362
Philadelphia, PA 19176-1362
Payer: CARMEL UTILITIES
ATTN: JOHN DUFFY Additional forms of payment may be accepted. Please
760 THRID AVENUE SW email gdatta @usgs.gov or call 703-648-7605 for
CARMEL IN 46032 additional information.
To a through Pa ov o to htt s://www. a ov. Checks must be made payable to
pay g y'g g p p y g U.S. Geological Survey. Please detach the top portion
or include bill number on all remittances.
Amount of Payment: $
.....................................................................................................................................................................................
Date Description Qty Unit Price Amount
Cost Per
07/12/2013 Expenses incurred for the bi-annual water-level 1 3,400.00 1 3,400.00
measurements form a network observation wells
and operation of one continous recarding
water-level well in Carmel Indiana for the period of
January 15, 2013 to September 30, 2013.
13EMN0000023
Amount Due this Bill: 3,400.00
Accounting Classification:
Sales Order: 29076
Sales Office: GENF
Customer: 6000001344
Bill #: 90183234
TIN: 356000972
VOUCHER # 132830 WARRANT # ALLOWED
74580 IN SUM OF $
USGS -
vvv r LGI\cJluc U7"VCT 0 7[3
I
p � P4 -(, t'74. Z�
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
90183234 07-1052-01 $3,400.00
Voucher Total $3,400.00
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 9/18/2013
Indianapolis, IN 46278
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/18/2013 90183234 $3,400.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Office