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Home My WebLink About246980 06/30/15 Cqq . ``'� *R CITY OF CARMEL, INDIANA VENDOR: 00353046 ® `ii ONE CIVIC SQUARE SIMPLEXGRINNELL LP CHECK AMOUNT: $*****1,739.42* �._ i4 CARMEL, INDIANA 46032 DEPT CH 10320 CHECK NUMBER: 246980 ';,i oN�. PALATINE IL 60055-0320 CHECK DATE: 06/30/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350100 32532 40793003 1,739.42 REPAIRS tq -INVOICE NO. INVOICE DATE CUSTOMER PO S%mp/exGrynnell 40793003 04/24/2015 32532 D-U-N-S 09-4738007 FED. ID 58-2608861 TERMS INVOICE TYPE NET30 Standard Invoice INDIANAPOLIS 11820 Pendleton Pike INDIANAPOLIS IN 462363979 Phone: (317) 826-2130 BILL TO: 331-000910576 PROJECT: 331-982928601 Carmel Street Dept Carmel Street Dept 3400 W 131ST ST 3400 W 131ST ST WESTFIELD IN 46074-0000 WESTFIELD IN 46074-0000 INVOICE SUMMARY TOTAL P.O. - 5, 279 .00 INVOICE SUBTOTAL - $1, 739.42 INVOICED TO DATE - 5, 279 .00 LESS RETAINAGE - 0. 00 DUE THIS INVOICE - ,1, 739 .42 SUBTOTAL - $1,7339 .42 REMAINING TO INVOICE - $0 . 00 SALES TAX - $0 .00 TOTAL INVOICE - $1, 739.42 Please direct inquiries to our local branch office listed above. PAY THIS AMOUNT D $1, 739.42 INVOICE DETAIL LABOR PROGRESS CARMEL STREETS TOTAL LABOR THIS INVOICE: $1,739.42 Comments REMITTANCE COPY tilga INVOICE AMOUNT SImp/exGAnne/I ° ° $1,739.42 BILL TO 331-000910576 Carmel Street Dept INVOICE NUMBER 40793003 SHIP TO 331-000910576 Carmel Street Dept INVOICE DATE 04/24/2015 CUSTOMER P.o. 32532 REMIT TO Sim lexGrinnell Dep CH 10320 Palatine, IL 60055-0320 8000173942240793003 525-M999 tINVOICE NO. INVOICE DATE CUSTOMER PO Sime/exGn►nne// 40793003 04/24/2015 32532 D-U-N-S 09-4738007 FED. ID 58-2608861 TERMS INVOICE TYPE NET30 Standard Invoice INDIANAPOLIS 11820 Pendleton Pike INDIANAPOLIS IN 462363979 Phone: (317) 826-2130 BILL TO: 331-000910576 PROJECT: 331-982928601 Carmel Street Dept Carmel Street Dept 3400 W 131ST ST 3400 W 131ST ST WESTFIELD IN 46074-0000 WESTFIELD IN 46074-0000 SHIPMENT DETAIL SINCE LAST INVOICE 526-M999 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)) 04/24/15 40793003 $1,739.42 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 VOUCHER NO. WARRANT NO. ALLOWED 20 SimplexGrinnel IN SUM OF $ Dept. CH 10320 Palatine, IL 60055-0320 $1,739.42 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 32532 I 40793003 I 43-501.00 $1,739.42 1 hereby certify that the attached invoice(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 ua"-- -Fb une 2 , 2015 r Street Commissioner Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund