245920 06/03/15 ,1+of CAq�f
�/ 4� CITY OF CARMEL, INDIANA VENDOR: 368941
.� ® ,• ONE CIVIC SQUARE MIDWEST CONSTRUCTORS
CHECK AMOUNT: $***"66,900.00*
r. ,?� CARMEL, INDIANA 46032 2916 BLUFF ROAD,SUITE D CHECK NUMBER: 245920
94�1r`6N�� INDIANAPOLIS IN 46225 CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
659 5023990 33015 66,900.00 OTHER EXPENSES
Midwest Constructors LLC
INVOICE
600 S. Kentucky Ave. (�I��
Indianapolis IN 46225- U
Invoice No: 33015
(317) 784-6400 Date:3/30/2015
Due Date:4/29/2015
Bill To:
Carmel Waste Water Treatment Job No:15002
9609 Hazel Dell Parkway Description:Carmel Wastewater Utilities
I dianapofs IN 46280 PO #:514761
I� ccu( 6-none,
_ Description Extended Price
Weir Gate Replacement 66,900.00
ky
r, Amount Nnw r)na• RF_Ann- n
VOUCHER # 155608 WARRANT# ALLOWED
368941 IN SUM OF $
MIDWEST C ONSTRUCTORS LLC
600 S. Kentucky Avenue
Indianapolis, IN 46225
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
33015 07-1050-63 $66,900.00
ConlNer'iioA/
Voucher Total $66,900.00
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
368941
MIDWEST C ONSTRUCTORS LLC Purchase Order No.
600 S. Kentucky Avenue Terms
Indianapolis, IN 46225 Due Date 5/29/2015
I
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
i
5/29/2015 33015 $66,900.00
i
i
I
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 /Z
Date O er