HomeMy WebLinkAbout247770 07/28/15 ,CSN .
`� "`• CITY OF CARMEL, INDIANA VENDOR: 366290
® ONE CIVIC SQUARE BRIDGESMITH, INC CHECK AMOUNT: $*****2,400.00*
_� CARMEL, INDIANA 46032 4149 SR 43 CHECK NUMBER: 247770
•,,,_ro�_�`, SPENCER IN 47460 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350400 1 2,400.00 GROUNDS MAINTENANCE
Bridgesmithjnc. Invoice
4149 STATE ROAD 43
SPENCER, INDIANA 47460 Date Invoice#
7/9/2015 1
Bill To
City of Carmel Street Department
3400 W. 131 st St
Carmel,In 46074
P.O. No. Terms Project
116st repair
Item Description Est Amt Prior Amt Prior% Qty Rate Curr% Total% Amount
Surface... ITEM;REPAIR PAINT 2,400.00 2,400.00 100.00% 100.00% 2,400.00
SYSTEM ON DAMAGE
WALL ATI 16f1i STREET
Total $2,400.00
Payments/Credits $0.00
Balance Due $2,400.00
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))
07/09/15 1 $2,400.00
1 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
Bridgesmith, Inc.
IN SUM OF $
4149 SR 43
Spencer, IN 47460
$2,400.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 1 I 43-504.001 $2,400.00 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
a 015
v 1 fill is i d
treet Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund