241273 1 /22/2015 (9,
CITY OF CARMEL, INDIANA VENDOR: T362738
ONE CIVIC SQUARE F.E. GATES CO CHECK AMOUNT: $*****1,300.00*
CARMEL, INDIANA 46032 8060 E 88TH ST CHECK NUMBER: 241273
INDIANAPOLIS IN 46256 CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 59570 1,300.00 OTHER EXPENSES
F. E. Gates Division/Blakley Corporation
8060 E. 88th Street
Indianapolis, IN 46256
(317) 576-8290
Equal Opportunity Employer
IN !/ OICE
INVOICE NO. 59570
DATE 12/22/2014
Carmel Wastewater Utilities
9609 Hazel Dell Parkway PROJECT Carmel WWTP
LadlaaaRo11s- IN 462$0 _P_Q 5-1.4596
Attn: Jeff Cooper
FOR OFFICE USE ONLY
Contract No. 925290
Terms: Net 30 days 00-0744
DESCRIPTION
Carmel Waste Water Treatment Plant
PO S14596
Headwork Ceiling Crack
chemical grout injection
Total Amount Due $ 1,300.00
A service charge of 1.5%will be added to any balance 30 days old.
This is an annual rate of 18%.
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Please return this remittance with payment to:
The Blakley Corporation/F.E.Gates Company
8060 East 88th Street
Indianapolis, IN 46256
arr�e
Amount paid $ .
Billing questions or to pay by credit card,please call(317)576-8335
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VOUCHER # 146450 WARRANT# ALLOWED
T2082 IN SUM OF $
F. E. GATES CO
8060 E 88TH STREET
INDIANAPOLIS, IN 46256
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Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
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Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
59570 01-7362-06 $1,300.00
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Voucher Total $1,300.00
Cost distribution ledger classification if ;f
claim paid under vehicle highway fund
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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
T2082
F. E. GATES CO Purchase Order No.
8060 E 88TH STREET Terms
INDIANAPOLIS, IN 46256 Due Date 12/30/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201, 59570 $1,300.00
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
Date Officer