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Home My WebLink About249752 09/23/1 5 a°i.CiIN F � ' CITY OF CARMEL, INDIANA VENDOR: 353622 ® i' ONE CIVIC SQUARE J D H CONTRACTING INC CHECK AMOUNT: $*****8,439.00* :_ ?� CARMEL, INDIANA 46032 8109 NETWORK DRIVE CHECK NUMBER: 249752 ..,,,_�N. ,. PLAINFIELD IN 46168-9024 CHECK DATE: 09/23/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1202 R4340400 32321 52989 8,439.00 CABLE REPAIR 1 8109 Network Dr. INVOICE Plainfield IN 46168-902 Phone:(317)839-0520 Invoice No:52989 Fax:(317)838-0925 Invoice Date:7/30/2015 Due Date:8/29/2015 Bill To: City of Carmel Terry Crockett 3 Civic Square PO No:32321 Job No: 2015-01252 Carmel IN 46032 Job Description:Carmel Mezz Fiber RE:Fiber Optic Cable Repairs Quantity IDescription...... - ... ..- _ .............._-- _.__._.. - -. Unit Price.._lExtended Price. 1.Move(3)144 FO Cables from Existing Handholes,Placing Damaged Cable at HH 40'North of Broken Handhole 2. Remove Damaged Handhole,Connecting 1.25"Conduits Together.Backfill Hole with Compactabie Stone 3.Splicing&Testing 1.00 Total Due: 8,439.00 .8,439.00 i Thank You For Your Business! Total Invoice Amount ; 8,439.00 Terms: Net Due 30 Days INDIANA RETAIL TAX EXEMPT PAGE C l t ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 32321 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 1211012014 Prof Svs for repair to Fiber optic cable JDH Contracting, Inc. Carmel Communications SHIP Terry Crockett VENDOR 6109 Network Dr TO 3 Civic Square Plainfield, IN 46168-9024 Carmel, IN 46032 (317)571-2567 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY .� �/�UNNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43.404.x' a e 0 1',,Each Fiber Optic Cable repairs $10,241.00 $10,241.00 Sub Total: $10,241.00 al _,FL Estimate No. I�aslt00 Send Invoice To: f- City of Carmel Terry Crockett 3 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1202 Carmel IS Dept. PAYMENT $10,241.00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. - SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE/ABOVE ORDER- • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. • ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL e SHIPPING LABELS. Direct®r •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 7945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 32321 A.P.V. COPY-SIGN AND RETURN TO CLERKS OFFICE VOUCHER NO. WARRANT NO. _ ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I 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 20 ...-....------------------ -........--................----.....-.... -------.......-..--..........-....-.......--.-.-.--.....-.-- Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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 Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s) or bill(s)) 07/30/15 I 52989 I I $8,439.00 1202 101 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 J D H CONTRACTING INC IN SUM OF $ 8109 NETWORK DRIVE PLAINFIELD IN 46168-9024 $8,439.00 ON ACCOUNT OF APPROPRIATION FOR PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members 32321 I 52989 I 43-404.00 I $8,439.00 1 hereby certify that the attached invoice(s), or 1202 Encumbered 101 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 Monday, September 21, 2015 / it T rr Crock t, irector Cost distribution ledger classification if claim paid motor vehicle highway fund