240916 01/13/15 �,q� CITY OF CARMEL, INDIANA VENDOR: 355241
ONE CIVIC SQUARE A-1 CONCRETE LEVELING
=\, CHECK AMOUNT: $*******240.00*
?q CARMEL, INDIANA 46032 10816 DEANDRA DRIVE CHECK NUMBER: 240916
.� ® �
,,,�'ON� ZIONSVILLE IN 46077 CHECK DATE: 01/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 8442 240.00 OTHER CONT SERVICES
A-1 Concrete Leveling Invoice
10816 Deandra Drive
Zionsville, IN 46077 Date Invoice#
12/2/2014 8442
Bill To
City of Carmel .
Attn:Street Department
3400 W. 131st St.
Westfield,In.
46074
P.O. Number Terms Due Date Rep
Net 30 1/1/2015 RB
Item Code Description Amount
Pump East The perimeter walk outside of entrance was lifted and stabilized to it's near original 240.00
position.This work was done at Twin Lakes on Grand Blvd*Carmel,IN.and was
ordered by Jim Hobbs.
Total $240.00
Phone# Fax#
—317=733 6339—--317=733=8701— -- - — - ---
VOUCHER NO. WARRANT NO.
ALLOWED 20
A-1 Concrete Leveling
IN SUM OF$
1.0816 Deandra Drive
Zionsville, IN 46077 1
$240.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 8442 43-509.00 $240.00 1 hereby certify that the attached invoice(s), 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
ua" nuary 9, 2015
Street Cnmmiccinnar
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom,rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/02/14 8442 $240.00
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