251681 11/18/15 �,,c�yM
>:'- ;� CITY OF CARMEL, INDIANA VENDOR: 357707
® ONE CIVIC SQUARE PENHALL COMPANY CHECK AMOUNT: $*****1,920.00*
,., ?� CARMEL, INDIANA 46032 PO BOX 842911 CHECK NUMBER: 251681
M(.�H.c��. LOS ANGELES CA 90084-2911 CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 29662 1,920.00 OTHER EXPENSES
;, .. 29662
10/29/15
COMPANY 66689
® 000020926
CITY OF CARMEL PENHALL COMPANY
1 CIVIC SQUARE
*Note New Remit To Address
CARMEL IN 46032- P.O. Box 842911
317-571-2465 000- Los Angeles, CA 90084-2911
96TH AND HAZLEDELL 515508
CARMEL WWTP CARMEL
WUNDER, DEREK
063
632015
s � ; •' �iw .. ••,:. ;a; sus
2) 24" DIA X 12" DEEP HOLES CORED �Ty10/22/15 3584242 1920 .00
THROUGH CONCRETE TANK WALL i 3584243
1) 24" DIA X 12" DEEP HOLE CORED 3584245
THROUGH CONCRETE TANK WALL
1) 24" DIA X 12" DEEP HOLE CORED
THROUGH CONCRETE TANK WALL
**NO RETAINAGE IS TO BE WITHHELD**
***** VISA, MASTERCARD & AMEX *****
**** NOW ACCEPTED FOR PAYMENT ****
*** THANK YOU FOR YOUR BUSINESS ***
For billing questions please contact: 317-875-7601
$ 1, 920 .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.
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 11/5/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/5/2015 29662 $1,920.00
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 # 156609 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
29662 01-7362-05 _ $1,92.0.00
i
i
Voucher Total $1,920.00
Cost distribution ledger classification if
claim paid under vehicle highway fund