250876 10/21/15 CITY OF CARMEL, INDIANA VENDOR: 369974
/ } ONE CIVIC SQUARE TOTAL BALANCE INC CHECK AMOUNT: $*******735.00*
:„ ,_° CARMEL, INDIANA 46032 1031 HARRISON ST CHECK NUMBER: 250876
M��oN" INDIANAPOLIS IN 46202 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 10562 735.00 BUILDING REPAIRS & MA
TOTAL
1031 Harrison Street 9/30/15 10562
BALANCE _Indianapolis, IN 46202
(317) 955-7825 P.O. #: 3 915 0
INC. (317) 955-7850 FAX
.��C M JOB: 157472
�: MV
OCT 15 2015 fiJ 1
CARMEL CLAY PARKS & RECREATION BY:
ADMINISTRATION OFFICE
1411 E. 116TH STREET MONON CENTER
CARMEL, IN 46032 CARMEL, IN
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DESCRIPTION OF WORK PERFORMED
LABOR PROVIDED TO PERFORM AIR BALANCE WORK AT THE CAPTIONED PROJECT.
DESCRIPTION UNITS UNIT PRICE EXTENSION
TESTING & BALANCING 1.00 735.00 735.00
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Subtotal 735.00
Sales Tax
Total Invoice Amoun $735.00
TOTAL DUE $735.00
If Not Paid Within 30 Days
Balance due is subject to 11/2%
interest per month and all cost of
collection including attorney fees.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Total Balance Inc. Terms
1031 Harrison Street
Indianapolis, IN 46202
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
9/30/15 10562 Service repair Balancing Unit 8 39150 $ 735.00
Total $ 735.00
1 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.
Total Balance Inc. Allowed 20
1031 Harrison Street
Indianapolis, IN 46202
In Sum of$
$ 735.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center I
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PO#or INVOICE NO. CCT#/TITL AMOUNT Board Members
Dept#
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1093 10562 4350100 $ 735.00 1 hereby certify that the attached invoice(s), or
itbill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
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October 15,2015
Signature
$ 735.00 Accounts Payable Coordinator
Cost distribution ledger classification if ( Title
claim paid motor vehicle highway fund
a
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