251039 11/04/15 CITY OF CARMEL, INDIANA VENDOR: 364088
ONE CIVIC SQUARE CONCRETE TAILORS LLC CHECK AMOUNT: S*****2,715.00*
(9,
CARMEL, INDIANA 46032 PO Box 3 CHECK NUMBER: 251039
NOBLESVILLE IN 46061 CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 32562 13633 21715.00 REPAIRS 96TH AND WEST
DOncrete d
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Concrete Cusiom fit for Your Lifestyie
P.O. Box 3
Noblesville, IN 46061
Voice: 317-773-1504
Fax: 317-221-7764
Invoice
City of Carmel
Lynette Hobbs - Street Dept. Invoice Number: 13633
3450 W. 131st. St. Invoice Date: 10/16/15
Westfield, IN 46074 Page: 1
Customer Project Paymenf Terms Due,�Date
32562 Net 15 Days 10/31/15
`Description .Am:ouiit
Replace curb and walk as bid 2,715.00
Subtotal 2,715.00
Total Invoice Amoun- 2,715.00
ChecWCredit Memo No: Payment/Credit Appliec
TOTAL 2,715.00
Interest rate in 18%annually. Customer is reponsible for any collection,court costs and attorney fees for collection or past due invoices.
VOUCHER NO. WARRANT NO.
Concrete Tailors ALLOWED 20
IN SUM OF $
P.O. Box 3
Noblesville, IN 46061
$2,715.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
32562 I 13633 I 43-509.001 $2,715.00 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
Thur E1 y, O er 29, 2015
ucuhd7
Street Commissior��r
lyl
Title
Cost distribution ledger classification if i
i
claim paid motor vehicle highway fund
I
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))
10/16/15 13633 $2,715.00
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
120
Clerk-Treasurer