250807 10/21/15 . M
,��..4�N,yF!
�., CITY OF CARMEL, INDIANA VENDOR: 357707
.g ® ,• ONE CIVIC SQUARE PENHALL COMPANY.
CHECK AMOUNT: $******"876.00•
?4; CARMEL, INDIANA 46032 DERr`�1 {t+jD� 5,�l �� CHECK NUMBER: 250807
.y��TON�° LOS ANGELES CA 9008 911 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 29518 876.00 OTHER EXPENSES
t 3 29518
9/28/15
66689
COMPANY: h
s 000020767
CITY OF CARMEL PENHALL COMPANY
1 CIVIC SQUARE
Note New Remit To Address
CARMEL IN 46032-
P.O. Box 842911
ld317-571-2465 000- Los Angeles, CA 90084-2911
i
96TH & HAZELDELL RD. # �, S15413
,r � u WWTP- CARMEL
GOODNIGHT, BRIAN K n JEFF COOPER
063 c r� �it%,C ; 632015
CORE DRILL PER QUOTE #13916 9/24,/=15 3584110 876.00
3584047
**NO RETAINAGE IS TO BE WITHHELD**
00
VISA,
***** VISA, MASTERCARD & AMEX ***** n
**** NOW ACCEPTED FOR PAYMENT **** �•\ " ��\R
*** THANK YOU FOR YOUR BUSINESS *** w ,\V)6a
J
For billing questions please contact: 317-875-7601
$ 876.00
TERMS: NET 30 DAYS
Information provided as required by IRC section 3406
Penhall Company TIN 33-0349226
Subject to the standard terms and conditions which are posted and may be accessed at
www.penhaIl.com/terms-and-conditions.
VOUCHER # 156480 WARRANT # ALLOWED
357707 IN SUM OF $
PENHALL CO
PO BOX 842911
LOS ANGELES, CA 90084-2911
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
29518 01-7362-06 $216.00
29518 01-7363-06 $660.00
Voucher Total $876.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
357707
PENHALL CO Purchase Order No.
PO BOX 842911 Terms
LOS ANGELES, CA 90084-2911 Due Date 10/13/2015
Invoice Invoice Description
Date . Number (or note attached invoice(s) or bill(s)) Amount
10/13/201! 29518 $876.00
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
Id Date Officer
I