251133 11/04/15 r Coq'-
"" CITY OF CARMEL, INDIANA VENDOR: 367400
® ij ONE CIVIC SQUARE INDIANAPOLIS CONCRETE CHECK AMOUNT: $*****1 952.00*
CARMEL, INDIANA 46032 5363 W 86TH ST CHECK NUMBER: 251133
*rro„�� INDIANAPOLIS IN 46268 CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 11786 1,952.00 OTHER EXPENSES
Indianapolis Concrete Incorporated INVOICE
5363 WEST 86TH STREET
INDIANAPOLIS. IN 46268 Date Invoice#
►0/7/2015 11786
Bill To
Carmel Water Distribution
P.O. No. LAKEI 1081
Mike Luper
Project
4 Locations 09092015
Net Terms
Due on receipt
Quantity Description Rate Amount
CITY NNIALKS.CURBS
4 LOCATIONS:
*2191 Greencroti
*14578 Saddleback Dr
*5803 Annandale Dr
*11304 Lakeshore Dr NNI
PREP WORK 0.00
1 Saw-Cut Mininrtun 125.00 125.00
92 Sod, Dirt,Asphalt. Paver Removal- Includes all non concrete site 2.75 253.00
preparation
1 Dump Fee Minimum-includes the removal R disposal of spoils 175.00 175.00
front 1)1-0.jcct.
CONCRETE WORK 0.00
92 4"Regular Concrete-includes 25%spray-on clear scaler-broomed 4.00 368.00
finish
92 Includes full fiber mesh mix into concrete 0.50 46.00
2 Fuel Charge 75.00 150.00
1 Env.Charge 65.00 65.00
1 16 x 1 Roll Curb 160.00 160.00
1 18'-\2'Curb 360.00 360.00
JOB SIZE 0.00
Thank you for your business.
Total
Payments/Credits
( Balance Due
Phone# Fax# E-mail Web Site
317-733-4200 3 17-733-4245 infoa indianapolisconcrete.com www.indianapo►isconcrete.com
Page 1
Indianapolis Concrete Incorporated INVOICE
5363 WEST 86TH STREET
INDIANAPOLIS, IN 46268 Date Invoice#
10/7/2015 11786
Bill To
Carmel Water Distribution P.O. No LAK L'11081
Mike Luper
Project
4 Locations 09092015
Net Terms
Due on receipt
Quantity Description Rate Amount
0-120sf add$250 250.00 250.00
Subtotal 1.952.00
Access Notes: lull
If payment is made with a credit card there is a 3 %processing fee
"thank Vou for your business.
Total $1.952.00
TERMS:DUE UPON RECEIPT.UNPAID PAST DUI:BALANCES WILL BE SUBJECT TO A LATE
CHARGE OF ONE AND ONE HALF PERCEN'I PER MONTH(18%APR)ON THE
OUTSTANDING BALANCE.ALL DELINQUENCY AND COLLECTION CHARGES,INCLUDING Payments/Credits $0.00
REASONABLE ATTORNEY FEES AND COURT COSTS.WILL BE PAID BY THE CUSTOMER.
ALL WITHOUT RELIEF VALUATION AND APPRAISEMENT LAWS.ALL WORK COMPLETED Balance Due
IN ACCORDANCE WITH BAGL NAHB AND ACI STANDARD PRACTICES. $L952.00
Phone# Fax# E-mail Web Site
317-733-4200 317-733-4245 into @i indianapolisconcrete.com N\,\\w.indianapolisconerete.com
Page 2
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
367400
INDIANAPOLIS CONCRETE INC Purchase Order No.
5363 W 86TH ST Terms
INDIANAPOLIS, IN 46268 Due Date 10/26/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/26/201! 11786 $1,952.00
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
Date Officer
VOUCHER # 153371 WARRANT # ALLOWED
367400 IN SUM OF $
INDIANAPOLIS CONCRETE INC
5363 W 86TH ST
INDIANAPOLIS, IN 46268
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
11786 01-6360-06 $1,952.00
Voucher Total $1,952.00
Cost distribution ledger classification if
claim paid under vehicle highway fund