246905 06/30/1 5 `y ,�4q"• CITY OF CARMEL, INDIANA VENDOR: 00353063
® ONE CIVIC SQUARE MILLER PIPE LINE CORP CHECK AMOUNT: $****15,461.50*
CARMEL, INDIANA 46032 1853 RELIABLE PARKWAY CHECK NUMBER: 246905
CHICAGO IL 60686 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
660 5023990 2 15,461.50 OTHER EXPENSES
RE-PRINT INVOICE
Miller Pipeline
Elvaa TO
-1053 E1_JABLE RAJRK^0JAY
2086
�...
PHONE:317-293-02278
E,p i TO: CARMEL WASTEWATER
9609 HAZEL DEL ROAD
INDIANAPOLIS IN 46280
?EJB SIT='. CARMEL WASTEWATER PAGE: 1
9609 HAZEL DEL ROAD 208 641 73
INDIANAPOLIS IN 46280
1110211�51CP-372 1 01 I IN 1 55 NET 30 DAYS 459021
CREW TYPE: CP METHOD CREW
BILLING PERIOD: INVOICE #2
PRODUCT UNITS RATE EXTENSION
MOBILIZATION/SETUP .50 3500.00 1750.00
FURNISH & INSTALL LINER 10" 554.00 24.75 13711.50
SUB TOTAL: 15461.50
INVOICE GROSS: 15461.50
INVOICE NET: 15461.50
QUESTIONS: CALL THERESA JONES AT 317-653-5246
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
00353063
MILLER PIPE LINE CORP Purchase Order No.
P.O. BOX 3913 Terms
Indianapolis, IN 46255 Due Date 6/25/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/25/2015 2 $15,461.50
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 cer
VOUCHER # 155827 WARRANT # ALLOWED
00353063 IN SUM OF $
MILLER PIPE LINE CORP
P.O. BOX 3913
Indianapolis, IN 46255
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2 06-1050-86 $15,461.50
Availability
Voucher Total $15,461.50
Cost distribution ledger classification if
claim paid under vehicle highway fund