241208 1 /22/2015i
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t CITY OF CARMEL, INDIANA VENDOR: 355241
ONE CIVIC SQUARE A-1 CONCRETE LEVELING CHECK AMOUNT: $*****1,950.00*
?� CARMEL, INDIANA 46032 10816 DEANDRA DRIVE CHECK NUMBER: 241 208
°M,i�N Via. ZIONSVILLE IN 46077 CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 8465 1,950.00 OTHER CONT SERVICES
i
A-1 Concrete Leveling Invoice
10816 Deandra Drive
Zionsville, IN 46077 Date Invoice#
8/27/2014 8465
Bill To
City of Carmel
Atm:Street Department
3400 W. 131st St.
Westfield,fn.
46074
P.O. Number Terms Due Date Rep
Net 30 9/26/2014 RB
Item Code Description Amount
I
Pump East The walkways at 116th&Keystone bridge were lifted and stabilized to their near 1,150.00
original position.
Pump East The walkways at 136th&Keystone bridge were lifted and stabilized to their near 800.00
original position.
I
I
Total $1,950.00
Phone# Fax#
317-733-6339 317-733-8701
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))
08/27/14 8465 $1,950.00
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 NO. WARRANT NO.
ALLOWED 20
_A-1 Concrete Leveling
IN SUM OF $
10816 Deandra Drive
Zionsville, IN 46077
$1,950.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 8465 I 43-509.00 j $1,950.00 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
X-t
Frill", January 16, 2015
Street Commissioner
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund