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226842 12/03/2013 (9) CITY OF CARMEL, INDIANA VENDOR: 307600 Page 1 of 1 ONE CIVIC SQUARE TREASURER OF STATE/STATE BOARD of CARMEL, INDIANA 46032 ACCOUNTS CHECK AMOUNT: $8,637.00 302 W WASHINGTON ROOM E418 CHECK NUMBER: 226842 INDIANAPOLIS IN 46204 CHECK DATE: 1213/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 35567 4, 308 . 00 AUDIT 651 5023990 35568 4 , 329 . 00 AUDIT INDIANA STATE BOARD OF ACCOUNTS INVOICE CARMEL-WATER UTILITY ONE CIVIC SQUARE CARMEL IN 46032 Invoice Number: 35567 DISBURSING OFFICER COUNTY BILLING DATE CARMEL-WATER UTILITY Hamilton 10/24/2013 I .D. Number: 29 002 01 BILLING TRANSACTIONS FOR 09/21/2013 TO 10/24/2013 29 002 01 CARMEL-WATER UTILITY 59633 ANNUAL 2012 BILLING $4 , 308 . 00 BALANCE DUE AS OF 10/24/2013 $4 , 308 . 00 I hereby certify that the foregoing is a true and correct state nt of the costs of examination and the above designated offici is heauthorized to issue his warrant without appropriation therefo pa ,. //////to he Treasurer of State of Indiana in payment of the above clai State Examiner For amounts due from taxing units, county auditor will obtain reimbursement by deduction from the next semi-annual settlement of taxes . PLEASE REMIT PAYMENT WITH THE COPY OF THE INVOICE. ISSUE WARRANT PAYABLE TO TREASURER OF STATE AND MAIL TO: State Board of Accounts, 302 West Washington Street, Room E418 , Indianapolis, IN 46204 IGNORE ANY PREVIOUS BALANCE, IF PAID. If you have a question regarding this invoice, contact Michael Bozymski at 317-232-2507 . VOUCHER # 133464 WARRANT # ALLOWED 307600 IN SUM OF $ TREASURER OF STATE STATE BOARD OF ACCOUNTS 302 W WASHINGTON, RM E418 INDIANAPOLIS, IN 46204 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 35567 01-6670-08 $4,308.00 Voucher Total $4,308.00 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 307600 TREASURER OF STATE Purchase Order No. STATE BOARD OF ACCOUNTS Terms 302 W WASHINGTON, RM E418 Due Date 11/25/2013 INDIANAPOLIS, IN 46204 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/25/201: 35567 $4,308.00 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 Officer INDIANA STATE BOARD OF ACCOUNTS INVOICE CARMEL-WASTEWATER UTILITY ONE CIVIC SQUARE CARMEL IN 46032-1739 Invoice Number: 35568 DISBURSING OFFICER COUNTY BILLING DATE CARMEL-WASTEWATER UTILITY Hamilton 10/24/2013 I .D. Number: 29 002 02 BILLING TRANSACTIONS FOR 09/21/2013 TO 10/24/2013 29 002 02 CARMEL-WASTEWATER UTILITY 59634 ANNUAL 2012 BILLING $4 , 329 . 00 BALANCE DUE AS OF 10/24/2013 $4 , 329 . 00 I hereby certify that the foregoing is a true and correct statement of the costs of examination and the above designated official is by authorized to issue his warrant without appropriation therefo / ppa k�i3 to the Treasurer of State of Indiana in payment of the above cla ' State Examiner For amounts due from taxing units, county auditor will obtain reimbursement by deduction from the next semi-annual settlement of taxes . PLEASE REMIT PAYMENT WITH THE COPY OF THE INVOICE. ISSUE WARRANT PAYABLE TO TREASURER OF STATE AND MAIL TO: State Board of Accounts, 302 West Washington Street, Room E418, Indianapolis, IN 46204 IGNORE ANY PREVIOUS BALANCE, IF PAID. If you have a question regarding this invoice, contact Michael Bozymski at 317-232-2507 . VOUCHER # 136925 WARRANT # ALLOWED 307600 IN SUM OF $ TREASURER OF STATE STATE BOARD OF ACCOUNTS 302 W WASHINGTON, RM E418 INDIANAPOLIS, IN 46204 Carmel Wastewater Utility j ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 35568 01-7670-08 $4,329.00 i Voucher Total $4,329.00 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 307600 TREASURER OF STATE Purchase Order No. STATE BOARD OF ACCOUNTS Terms 302 W WASHINGTON, RM E418 Due Date 11/25/2013 INDIANAPOLIS, IN 46204 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/25/201: 35568 $4,329.00 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 Date Officer