252234 1 2/08/1 5 ate.-c�q,NF
>� CITY OF CARMEL, INDIANA VENDOR: 362820
ONE CIVIC SQUARE BLAKELY CORPORATION/CMS DIVISIOPGHECK AMOUNT: $... 1,285.00'
a° CARMEL, INDIANA 46032 8060 E 88TH ST CHECK NUMBER: 252234
M,l>UNG�` INDIANAPOLIS IN 46256 CHECK DATE: 12/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2390 1,285.00 OTHER EXPENSES
The Blakley Corporation/CMS Division
8060 East 88th street INVOICE No. 2390
Indianapolis, IN 46256
NA a DATE 11/19/2015
wif"am PROJECT crack repair
ATTN: Jeff Cooper
Maintenance Foreman
Carmel Waste Water Treatment Plant
9609 Hazel Dell Parkway
Indianapolis, IN 46280
--- -- For office use only
Contract No. 460071
00-0744
TERMS: NET 30
DESCRIPTION AMOUNT
Carmel Indiana WWTP Crack Repairs
Inject Chemical Grout into leaking crack of ceiling corner.
Total Amount Due: $1,285.00
A service charge of 1.5%will bill added to any balance 30 days old.
This is an annual rate of 18%.
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
367788
BLAKLEY CORPORATION /CMS DIVISION Purchase Order No.
8060 EAST 88TH STREET Terms
INDIANAPOLIS, IN 46256 Due Date 12/1/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/1/2015 2390 $1,285.00
Ihereby 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 # 156772 WARRANT # ALLOWED
367788 IN SUM OF $
BLAKLEY CORPORATION / CMS DIVIS
8060 EAST 88TH STREET
INDIANAPOLIS, IN 46256
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2390 01-7202-06 $642.50
2390 01-7362-06 $642.50
Voucher Total $1,285.00
Cost distribution ledger classification if
claim paid under vehicle highway fund