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252353 12/08/15 %'s`p'�'� CITY OF CARMEL, INDIANA VENDOR: 00351005 ® 31 ONE CIVIC SQUARE MATTINGLY CONCRETE CHECK AMOUNT: $****"2,850.00* ?�; CARMEL, INDIANA 46032 10620 BELLAFONTAINE CHECK NUMBER: 252353 y�TON�. INDIANAPOLIS IN 46280 CHECK DATE: 12/08/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 2843 2,850.00 OTHER EXPENSES Mattingly Concrete Inc. Invoice 10620 Bellefontaine Street Indianapolis, IN 46280 Invoice#: 2843 Invoice Date: 11/25/2015 Due Date: 11/30/2015 Bill To: Project: Carmel Water Dept.c/o Mike Luper P.O. Number: 3450 W 131 st St, Carmel, IN 46074 Date Description Amount 10505-13ower Dr-2 sections of sidewalk-$400 2,850.00 10644 Lakeshore Dr West-Concrete apron-$975 11808 Eden Glen Dr-Removed sidewalk and curb 8' curb, 10'walk-$650 1335 Thistlewood Ct-2 sections of sidewalk-$400 4606 Brookshire Prkwy-removed curb, 23' of curb-$425 TOTAL-$2,850.00 Total $2,850.00 Payments/Credits $0.00 Balance Due $2,850.00 VOUCHER # 153737 WARRANT# ALLOWED 00351005 IN SUM OF $ 1 MATTINGLY CONCRETE 10620 BELLEFONAITE ST i INDIANAPOLIS, IN 46260 p Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR ;1 i+ Board members i PO# INV# ACCT# AMOUNT Audit Trail Code 2843 01-6360-06 $2,850.00 1 1 Y Voucher Total $2,850.00 Cost distribution ledger classification if claim paid under vehicle highway fund �' 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 00351005 MATTINGLY CONCRETE Purchase Order No. 10620 BELLEFONAITE ST Terms INDIANAPOLIS, IN 46260 Due Date 12/4/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/4/2015 2843 $2,850.00 i 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