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244684 04/29/15 0sY CITY OF CARMEL, INDIANA VENDOR: 364088 ii ONE CIVIC SQUARE CONCRETE TAILORS LLC CHECK AMOUNT: S""'3,075.00` ,�4 CARMEL, INDIANA 46032 PO Box 3 CHECK NUMBER: 244684 9M�TON�0� NOBLESVILLE IN 46061 CHECK DATE: 04/29/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350900 32547 3,075.00 REPAIR 121ST SHELBORN d gm 2 Co nc r e t e Ro ®o°o°©HaiIors., Concrete Custom Flt for Your Lifestyle P.O. Box 3 Noblesville, IN 46061 Voice: 317-773-1504 Fax: 317-221-7764 Invoice City of Carmel Eric Russel Invoice Number: 13375 3450 W. 131st. St. Invoice Date: 4116/15 Westfield, IN 46074 Page: 1 Customer Project Payment;Terrns Due,Date . 32547 Net 15 Days 5/1/15 'Description .... Amount. Replace 14' of curb in round-a-bout 121st & Shelboum 3,075.00 Subtotal 3,075.00 Total Invoice Amount 3,075.00 ChecWCredit Memo No- Payment/Credit Applied TOTAL 3,075.00 Interest rate is LS%annually. Cbstomer is reponsible for any collection,court costs and attorney fees for collection of past due invoices. VOUCHER NO. WARRANT NO. Concrete Tailors ' ALLOWED 20 IN SUM OF$ P.O. Box 3 Noblesville, IN 46061 I $3,075.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 32547 13375 43-509.00 $3,075.00 1 I I hereby certify that the attached inv olce(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 UWT r X15 er Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund I 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)) 04/16/15 13375 $3,075.00 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