248924 08/26/15 CSF.
CITY OF CARMEL, INDIANA VENDOR: 00351005
® °I ONE CIVIC SQUARE MATTINGLY CONCRETE CHECK AMOUNT: $*****5,050.00*
CARMEL, INDIANA 46032 10620 BELLAFONTAINE CHECK NUMBER: 248924
'M,roN INDIANAPOLIS IN 46280 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2678 5,050.00 OTHER EXPENSES
Mattingly Concrete Inc. Invoice
10620 Bellefontaine Street
Indianapolis, IN 46280
Invoice#: 2678
Invoice Date: 7/27/2015
Due Date: 7/27/2015
Bill To:
Project:
Carmel Water Dept. c/o Mike Luper P.O. Number:
3450 W 131 st St,
Carmel, IN 46074
Date Description Amount
Concrete- Lakeshore Dr/Rolling Springs 500.00
Concrete- 10715 Lakeshore Dr 850.00
Concrete-3710 Cambridge Ct 750.00
Concrete- 3518 Timber Springs Ct 650.00
Concrete- 10906 Songbird Ln 850.00
Concrete- 11619 Eden Glen Dr 450.00
Concrete- 105 W. Carmel Dr. 1,000.00
1
Total $5,050.00
Payments/Credits $0.00
Balance Due $5,050.00
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00351005
MATTINGLY CONCRETE Purchase Order No.
10620 BELLEFONAITE ST Terms
INDIANAPOLIS, IN 46260 Due Date 8/18/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/18/2015 2678 $5,050.00
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 Officer
VOUCHER # 152824 WARRANT # ALLOWED
00351005 IN SUM OF $
MATTINGLY CONCRETE
10620 BELLEFONAITE ST
INDIANAPOLIS, IN 46260
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2678 01-6360-06 $5,050.00
Voucher Total $5,050.00
Cost distribution ledger classification if
claim paid under vehicle highway fund