252526 12/15/15 Q
CITY OF CARMEL, INDIANA VENDOR: 370118
ONE CIVIC SQUARE ACCULEVEL CHECK AMOUNT: $****"3,120.00'
9495 N WALDRON ROAD CHECK NUMBER: 252526
CARMEL, INDIANA 46032 ROSSVILLE IN 46065 CHECK DATE: 12115115
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350100 7817 3,120.00 BUILDING REPAIRS & MA
= Invoice
Completion '
Invoice#
Indiana's Foundation Expert.TM Date
9495 N Waldron Rd_R-1119,IN 46065
O(Nce 866-669-3349,Fax 765-296.3398 10/30/2015 7817
Bill To
Jim Martin
City of Cannel
210 1st Ave SW Terms
Carmel IN 46032
Due on receipt
P.O. No. Work# Home# Other# Rep
SKL
Description Amount
Install 53'of water tunnel as per drawing 3,120.00
Route to new sump pump,pit with battery backup
E
0mitted ToEC 14 2015
k Tr��saarer
Building maintenance
Account #
Department # -5=
__-----
THERE IS A 1.33%FINANCE C14ARGE PER MONTH ON ACCOUNTS OVER 30
DAYS Total $3.120.00
$35.00 fee on all returned checks Payments/Credits $0.00
Customer Total Balance $3,120.00
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.
Term s
Date Due
Invoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
10/30/15 7817 $3,120.00
1205 101
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
ACCULEVEL
9495 N WALDRON ROAD IN SUM OF $
ROSSVILLE, IN 46065
$3,120.00
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
7817 I 43-501.00 I $3,120.00 1 hereby certify that the attached invoice(s), or
1205 101
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
Monday, December 14, 2015
Cost distribution ledger classification if
claim paid motor vehicle highway fund