226498 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 354905 Page 1 of 1
ONE CIVIC SQUARE UPPER WHITE RIVER WATERSHED CHECK AMOUNT: $10,000.00
CARMEL, INDIANA 46032 PO BOX 2065
INDIANAPOLIS IN 46206 CHECK NUMBER: 226498
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4462838 UW2013053 10, 000 . 00 STORM WATER PHASE II
UPPER WHITE RIVER INVOICE
WATERSHED ALLIANCE
PO BOX 2065 Date Invoice#
UWRWAIndianapolis,IN 46206 11/15/2013 UW2013053
(317)891.5820
tipper white 8ivet Watershed AllianCe www:UWRWA.brQ _
Terms Due Date
Upon Receipt
Bill To:
John Thomas
City of Carmel
One Civic Square
Carmel, IN 46032
T—otal Billed to
Description Value Date Due
2014 Upper White Membership Dues $1,000.00
2014 Regional MS4 Program Dues $9,000.00
CURRENT TOTAL $10,000.00
PREVIOUS BALANCE
TOTAL BALANCE DUE $10,000.00 TKANG YOK
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
Upper White River Watershed Alliance Purchase Order No.
POB 2065 Terms
Indianapolis, IN 46206 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
11/15/2013 UW2013053 Upper White; MS4 Dues $ 10,000.00
Total $ 10,000.00
I 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.
Upper White River Watershed Alliance ALLOWED 20
POB 2065 IN SUM OF $
Indianapolis, IN 46206
$ 10,000.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 UW2013053 211-4462838 $ 10.000.00 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
11/18/2013
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund