HomeMy WebLinkAbout250626 10/21/15 Coq .
CITY OF CARMEL, INDIANA VENDOR: 00353052
® 1 ONE CIVIC SQUARE CONCRETE SURGEONS INC CHECK AMOUNT: $"""*540.00'
r., ;� CARMEL, INDIANA 46032 4761 INDUSTRIAL PARKWAY CHECK NUMBER: 250626
�r,,_aNw�`• INDIANAPOLIS IN 46226 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 34800 540.00 CEMENT
4761 Industrial Parkway Invoice
Indianapolis, IN 46226
317-897-0600
fax: 317-897-0606 DATE INVOICE#
www.concretesurgeons.com
9/24/2015 34800
BILL TO
CARMEL STREET DEPT.
3400 W. 131 ST ST
CARMEL, IN 46074
P.O. No. TERMS PROJECT
Net 30
QUANTITY DESCRIPTION RATE AMOUNT
JOB LOCATION: 5 CENTER GREEN, CARMEL, IN
6 CORE DRILLED 12" DIA. HOLES THRU 9"- 11" 90.00 540.00
CONCRETE, AS DIRECTED, VACUUMED SLURRY.
Sales Tax 7% 7.00% 0.00
Thank you for your business
Total $540.00
The Concrete Surgeons assume no
liablilty what so ever for layout of
wall/floor openings, holes or lines, or
for cutting any buried electrical, gas or
water-sewere lines.
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))
09/24/15 34800 $540.00
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Concrete Surgeons
4761 Industrial Parkway
IN SUM OF $
Indianapolis
$540.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 34800 I 42-362.001 $540.00 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
Wedmlday� tober 14 2015
n,
6
Str��rte���nO iPAi ('c er
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund