249365 09/09/15 CITY OF CARMEL, INDIANA VENDOR: 368941
ONE CIVIC SQUARE MIDWEST CONSTRUCTORS CHECK AMOUNT: $*****1,264.00*
?� CARMEL, INDIANA 46032 2916 BLUFF ROAD,SUITE D CHECK NUMBER: 249365
INDIANAPOLIS IN 46225 CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
659 5023990 52615 1,264.00 OTHER EXPENSES
Midwest Constructors LLC
INVOICE
600 S. Kentucky Ave.
;;yrt Indianapolis IN 46225-
z, F. Invoice No: 52615
(317) 784-6400 Date:5/26/2015
Due Date:6/25/2015
Bill To:
Carmel Waste Water Treatment Job No:15002
9609 Hazel Dell Parkway Description:Carmel Wastewater Utilities
Indianapoli IN 46280 PO #:
Description Extended Price
Air Compressor 160.00
Laborer 624.00
Supt. 480.00
Thank You For Your Business! Amount Now Due: 1,264.00
Terms: Net 30
i
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 9/3/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/3/2015 52615 $1,264.00
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 # 156222 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
52615 07-1050-63 $1,264.00
�O N Ne �'��� �
Voucher Total $1,264.00
Cost distribution ledger classification if
claim paid under vehicle highway fund