HomeMy WebLinkAbout227671 1/8/2014 CITY OF CARMEL, INDIANA VENDOR: 359016 Page 1 of 1
ONE CIVIC SQUARE KAREN BREEDLOVE CHECK AMOUNT: $250.00
CARMEL, INDIANA 46032 520 SUPER STAR CT
CARMEL IN 46032
CHECK NUMBER: 227671
CHECK DATE: 1/8/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 250 . 00 CLEANING FEES
Cleaning Invoice
Week Date Fee Place
12/23/2014 125.00 Water Dist Office
12/30/2013 125.00 Water Dist Office
Please Remit to:
Michelle Breedlove
Backflow Prevention -Cross-Connection Control
Carmel Water Dist Office
3450 W 13151 Street
Carmel, IN 46074
(317) 733-2845
Total Due: 250.00
Michelle Breedlove
520 Super Star Ct
Carmel, IN 46032
317-374-1542
VOUCHER # 133694 WARRANT # ALLOWED Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
T5962 IN SUM OF $ CITY OF CARMEL
BREEDLOVE, MICHELLE
CARMEL WATER DISTRIBUTION An invoice or bill to be properly itemized must show, kind of service, where
j performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Carmel Water Utility T5962 Payee
ON ACCOUNT OF APPROPRIATION FOR BREEDLOVE, MICHELLE Purchase Order No.
CARMEL WATER DISTRIBUTION Terms
Due Date 12/30/2013
Board members
Invoice Invoice Description
PO# INV# ACCT# AMOUNT Audit Trail Code Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201; 123013 $250.00
123013 01-6360-06 $250.00
i
Voucher Total $250.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and
Cost distribution ledger classification if correct and I have audited same in accordance with IC 5-11-10-1.6
claim paid under vehicle highway fund X14/,y
,2 013 Date Officer
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