245174 05/13/15 �"�c�qM
,. CITY OF CARMEL, INDIANA VENDOR: 367400
® i�• ONE CIVIC SQUARE INDIANAPOLIS CONCRETE CHECK AMOUNT: $*****3,382.00*
��; CARMEL, INDIANA 46032 86TH ST
N aszss CHECK NUMBER: 245174
'''�PON�O CHECK DATE: 05/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 11037 3,382.00 OTHER EXPENSES
Indianapolis Concrete Incorporated INVOICE
5363 WEST 86TH STREET
INDIANAPOLIS, IN 46268 Date Invoice#
4/20/2015 11037
Bill To
Carniel Water Distribution
Mike Luper
Project
Net Terms
Due on receipt-
Quantity Description Rate Amount
SIDEWALKS-CITY WALK (7 PROPERTIES)
PREP WORK 0.00
364 Sod,Dirt,Asphalt,Paver Removal-Includes all non concrete site 2.75 1,001.00
preparation
2 Dump Fee Minimum-includes the removal&disposal of spoils 175.00 350.00
from project.
CONCRETE WORK 0.00
364 4"Regular Concrete-includes 25%spray-on clear sealer-broomed 4.00 1,456.00
finish
MISCELLANEOUS 0.00
2 Fuel Charge 75.00 150.00
2 Env.Charge 65.00 130.00
JOB SIZE 0:00
1 0-120sf add$250 250.00 250.00
Subtotal 3,337.00
-- Subtotal 3,337.00
1 30-45 day pay additional 45.00 45.00
If you have any questions please call Phil at 317-667-3459.Thanks for considering IC!
Total $3,382:00
TERMS:DUE UPON RECEIPT.UNPAID PAST DUE BALANCES WILL BE SUBJECT TO A LATE
CHARGE OF ONE AND ONE HALF PERCENT PER MONTH(18%APR)ON THE
OUTSTANDING BALANCE.ALL DELINQUENCY AND COLLECTION CHARGES,INCLUDING Payments/Credits $0.00
REASONABLE ATTORNEY FEES AND COURT COSTS,WILL BE PAID BY THE CUSTOMER,
ALL WITHOUT RELIEF VALUATION AND APPRAISEMENT LAWS.ALL WORK COMPLETED Balance Due
IN ACCORDANCE WITH BAGI,NAHB AND ACI STANDARD PRACTICES. $3,382.00
Phone# Fax# E-mail Web Site
317-733-4200 317-733-4245 info@indianapolisconcrete.com www.indianapolisconcrete.com \
VOUCHER# 151801 WARRANT# ALLOWED
367400 IN SUM OF $
INDIANAPOLIS CONCRETE INC
5363 W 86TH ST
INDIANAPOLIS, IN 46268
Carmel Water Utility I
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT " Audit Trail Code
1�
11037 01-6360-06 $3,382.00 1
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1
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Voucher Total $3,382.00 '�.
4
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
367400
INDIANAPOLIS CONCRETE INC Purchase Order No.
5363 W 86TH ST Terms
INDIANAPOLIS, IN 46268 Due Date 5/7/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/7/2015 11037 $3,382.00
hereby certify that the attached invoice(s), or bill(s) is (are)true and
correct and 1 have audited same in accordance with IC 5-11-10-1.6
sA-//r
Date Officer