HomeMy WebLinkAbout227129 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 367796 Page 1 of 1
ONE CIVIC SQUARE TIPPECANOE COUNTY TREASURER
CARMEL, INDIANA 46032 20 NORTH 3RD ST CHECK AMOUNT: $500.00
t�P• LAFAYETTE IN 47901
CHECK NUMBER: 227129
CHECK DATE: 12111/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4462838 SURN112613 500 . 00 STORM WATER PHASE II
TIPPECANOE COUNTY OFFICE BUILDING
TIPPECANOE COUNTY DRAINAGE BOARD
20 NORTH 3RD STREET
LAFAYETTE, INDIANA 47901
Phone 765-423-9228 Fax 765-423-9241
INVOICE NUMBER: SURV 11261304
Billing Date: November 26, 2013
NAME: Katie Neville
City of Carmel Engineering Dept
One Civic Square
Carmellndiaria46032-- --__— --
DESCRIPTION TOTAL DUE
Stormwater Quality Program Concrete Washout Video/Contribution to Cost $500.00
MS4 Program:
Tippecanoe County Partnership for Water Quality (TCPWQ)
CHECKS SHO BE MA OUT T®THE TIPPECAN,OE =OLJR0E1ASLTRER'
ULD DE so T
* Please Note the Invoice Number upon Remittance
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
Tippecanoe County Treasurer Purchase Order No.
20 North 3rd Street Terms
Lafayette, IN Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
11/26/2013 SURV11261304 SQP Concrete Washout Video $ 500.00
Total ' $ 500.00
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.
,20
Clerk-Treasurer
VOUCHER NC WARRANT NO.
Tippecanoe County Treasurer ALLOWED 20
20 North 3rd Street IN SUM OF $
Lafayette, IN
$ 500.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 SURV112613 211-4462838 $ 500.00 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
,OF r�
/9/2013
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund