HomeMy WebLinkAbout226929 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 359016 Page 1 of 1
ONE CIVIC SQUARE KAREN BREEDLOVE
CARMEL, INDIANA 46032 520 SUPER STAR CT CHECK AMOUNT: $250.00
CARMEL IN 46032
CHECK NUMBER: 226929
CHECK DATE: 12/11/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 250 . 00 OTHER EXPENSES
Cleaning Invoice
Week Date Fee Place
12/02/2013 125.00 Water Dist Office
12/09/2013 125.00 Water Dist Office
Please Remit to:
Michelle Breedlove
Backflow Prevention -Cross-Connection Control
Carmel Water Dist Office
3450 W 131St Street
Carmel, IN 46074
(317) 733-2945
Total Due: 250.00
Michelle Breedlove
520 Super Star Ct
Carmel, IN 46032
317-374-1 542
VOUCHER # 133509 WARRANT # i ALLOWED
T5962 IN SUM OF $
BREEDLOVE, MICHELLE
CARMEL WATER DISTRIBUTION
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
i
i
Board members
i
PO# INV# ACCT# AMOUNT Audit Trail Code
12913 01-6360-06 $250.00 I
i
Voucher Total $250.00
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
T5962
BREEDLOVE, MICHELLE Purchase Order No.
CARMEL WATER DISTRIBUTION Terms
Due Date 12/5/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/5/2013 12913 $250.00
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
!G./ Xj 1.21
Date Officer