241262 01/22/15 o
CITY OF CARMEL, INDIANA VENDOR: 00353052
ONE CIVIC SQUARE CONCRETE SURGEONS INC CHECKAMOUNT: $*******250.00*
CARMEL, INDIANA 46032 4761 INDUSTRIAL PARKWAY CHECK NUMBER: 241262
INDIANAPOLIS IN 46226 CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 33426 250.00 OTHER EXPENSES
z THE CONCRETE SURGEONS,INC.
4761 INDUSTRIAL PARKWAY
' INDIANAPOLIS,IN 46226
(317)897-0600
6 (800)922-3844 FAX(317)897-0606 0 0
AW/N6 8 DRI LINC SPEGiALi T$ www,concretesurgeons.com
12!1612014 33426
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ATTENTION: PAUL ARONE
CARMEL UTILITES
0000 HAZEL DELL PARKWAY
INDIANAPOLIS, IN 46260
' 514660 Net 30
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_3080,VVINE)I lG'WAY,"CARMEL
CORE DRILLED 8"DIA.HOLE THRU 6"WALL 350,00 250,00
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Thank you for your business
no Ilabililty wriatso-aver for
layout of walllfloor-openings,
troles or llnas,or Tor cutting any
burled electrical,gas or
TOTAL
+.n+star-sIvifer lines. l� $250.00
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
00353052
CONCRETE SURGEONS Purchase Order No.
4761 INDUSTRIAL PARKWAY Terms
INDIANAPOLIS, IN 46226 Due Date 12/30/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201, 33426 $250.00
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
VOUCHER # 146465 WARRANT # I ALLOWED
00353052 IN SUM OF $
CONCRETE SURGEONS
4761 INDUSTRIAL PARKWAY
INDIANAPOLIS, IN 46226
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
33426 01-7360-02 $250.00
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Voucher Total $250.00
Cost distribution ledger classification if
claim paid under vehicle highway fund