HomeMy WebLinkAbout249657 09/23/15 1 W,C�Nh
CITY OF CARMEL, INDIANA VENDOR: 355559
® 31 ONE CIVIC SQUARE CULY CONTRACTING, INC CHECK AMOUNT: $****12,498.60«
CARMEL, INDIANA 46032 5INDUSTRIAL PARK DRIVE CHECK NUMBER: 249657
PD BOX 29 CHECK DATE: 09/23/15
WINCHESTERIN 47394
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
660 5023990 3701 12,498.60 OTHER EXPENSES
Culy Contracting, Inc. Invoice
5 Industrial Park Drive '
Invoice Numtie�
P.O. Box 29 i 3701
Winchester, IN 47394 CLJLY pInvoice Date__
04/20/2015
Phone: (765)584-8509Soso, — -—
Fax: (765)584-8060
Bill To: City of Carmel Utilities Re: Carmel-Grand Blvd. & Main St.
30 West Main Street Suite 220
Carmel, IN 46032
F Doti No ! CustomerJoti No fCustomer•POPaymenfTerrhs _ Due
I MS146061 i ; Net 15 Days 05/05/2015
I,.QuantityU/M;. l. .:_RatelUnit' Price:
COMPLETION OF WORK MARCH 2015-ORIGINAL 1.00 LS 3,313.60 3,313.60
WORK MATERIAL
ORIGINAL WORK LABOR& EQUIPMENT 1.00 LS 5,900.00 5,900.00
CHANGE ORDER 20" BELL RESTRAINT 1.00 LS 3,285.00 3,285.00
Subtotal $ 12,498.60
Sales Tax(if applicable) $ 0.00
Total Due $ 12,498.60
Thank you for your business! We are now WBE Certified!
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
355559
CULY CONTRACTING Purchase Order No.
5 INDUSTRIAL PARK DRIVE Terms
PO BOX 29 Due Date 9/21/2015
Winchester, IN 47394
Invoice Invoice Description,
Date Number (or note attached invoice(s) or bill(s)) Amount
9/21/2015 3701 $12,498.60
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 44
Date O icer
I
VOUCHER # 156342 WARRANT # ALLOWED
355559 IN SUM OF $
CULY CONTRACTING
5 INDUSTRIAL PARK DRIVE
PO BOX 29
Winchester, IN 47394
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
3701 06-1050-88 $12,498.60
Availability
t
Voucher Total $12,498.60
Cost distribution ledger classification if
claim paid under vehicle highway fund