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251950 12/02/15
o CITY OF CARMEL, INDIANA VENDOR: 364088 ONE CIVIC SQUARE CONCRETE TAILORS LLC CHECK AMOUNT: $"""""2,500.00' CARMEL, INDIANA 46032 PO BOX 3 CHECK NUMBER: 251950 NOBLESVILLE IN 46061 CHECK DATE: 12/02/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350900 32565 13671 2,500.00 DITCH REPAIR (;DoncrefeRU °o°©Pnollors.. Concrete Custom FJ?for Your 111estylo P.O. Box 3 Noblesville, IN 46061 Voice: 317-773-1504 Fax: 317-221-7764 Invoice e City of Carmel Lynette Hobbs - Street Dept. Invoice Number: 13671 3450 W. 131st. St. Invoice Date: 11/18/15 Westfield, IN 46074 Page: 1 Customer ProjectPayment Terms Due Date PO#32565 Net 15 Days 12/3/15 Description Amount Curb replacement of 20 lineal feet as bid 2,500.00 Subtotal 2,500.00 Total Invoice Amoun- 2,500.00 Check/Credit Memo No: Payment/C red itAppliec TOTAL 2,500.00 Interest rate is 1s%an nually. custonIV.r is Irponsihlc for au}'collection,court costs and attorney fees liar collection of hast due invoices. 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)) 11/18/15 13671 $2,500.00 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. Concrete Tailors ALLOWED 20 IN SUM OF $ P.O. Box 3 Noblesville, IN 46061 $2,500.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 32565 I 13671 I 43-509.001 $2,500.00 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 )a4 / Mond r 30, 2015 Street rstWL 6�M%ifssioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund