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Home My WebLink About253407 01/15/16 J! CITY OF CARMEL, INDIANA VENDOR: 362779 ONE CIVIC SQUARE LEACH & RUSSELL CHECK AMOUNT: $****23,831.72* ;9` =q CARMEL, INDIANA 46032 9151 FORD CIRCLE CHECK NUMBER: 253407 �'��i'oN�°. FISHERS IN 46038 CHECK DATE: 01/15/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1208 4350900 33771 19,032.72 OTHER CONT SERVICES 1208 4350900 34837 3,600.00 OTHER CONT SERVICES 1208 4350900 35130 1,199.00 OTHER CONT SERVICES ! 2,0 So� TLeach & Russell a Mechanical Contractors, Inc. 9151 Ford Circle Invoice Fishers, Indiana 46038 R U S S EL L Phone: (317)841-7877 M E C H A N I C,A L Fax: (317)841-7460 Invoice Number: 33771 o City of Carmel Invoice Date: 08/19/2015 for Carmel Utilities Our Job Number 158427 - 30 58427 - 30 W. Main Street, Suite 220 Carmel, IN 46032 Job Name: Carmel Energy Center Your Purchase Order Number: John Duffy Labor and materials needed for HVAC service in above location. Installed temporary chiller and fence for temporary chiller. (See copy of work orders attached) TOTAL AMOUNT DUE $19,032.72 SAD Eubinitted To JAN 16 2016 feerk rens rer Terms: Due Upon Receipt WORD( ORDER 013034 , TO: ' rte, .wl`..,._. _W -_,_.._...._...._.W_W.__._._ LEACH & RUSSELL lI MECHANICAL CONTRACTORS, INC. _.__.._m._. 9151 Ford Circle Attention: / Fishers Indiana 46038-3000 �................ .._. ..�..._.....,�,.��/.,_,....,.�......................._..,,..........._._.._._....,.....,. � JOB LOCATION: / �� "��' Phone 317 841-7877 Fax 317 841-7460 WORK REQUESTED: _.............,....,..,,,,_.�_.____.._..._..._..................... . ...._ ..,_........_..................___. ___..m_..._....._........_.._._._..__. Date: Contract 7 g/ E]Extra Order Taken e&Material d/ BY pSL e0k/ Warranty _.w..... ............. .. Customer F]Job Complete Order No.: Job Incomplete ,_,,,,_.,, Phone (Model Number: _...... _..,. _.__ _...._,.._.W_......e..,._................._._.._._ �_..._.m_. .. 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OTHER CHARGES AMOUNT Truck _..._...._..........W.:........._...._...-_ -._._..._.,,_..._m_a._.._. , Charge ........................... _ ........ _... .........._............_.........................__ ........................................_..... .._.._.,.._............_ ............_.......... 3._....._...._...................... __....._ - I _..._..._... _.(._.p........._j...3 .5.....,.,..._-._.....�...a_.o.o..... ..._ Sz ulec+r-)C- SIS- l l0�►1 ear oy _..__._W_ _..._ ...w._- ��__.__............_. .W._ _ ._..._..,....__..... .._.__._..._......................_._.._._._.__. .. ._.._._._.___._._.-_ ,___._......__.._ __.__._...._. ......,....,._.,_._...W.._........_.._....,............._.... .._._._.._._....._.._.........,._. _W_..._ _�.�..._........,..__�.__._.__a._.._.._..__.-_. _.._ ..__._......... ..._..._...._...._.._...__._...._..............._ _.— e . rU_..,I_..�N......� ! uJ_ n_._.S..l_5.._-1.be�F_J-'! y ._.....b .a�_- k_..t�,._..�1uK-k_n............ ..a_s..._-._..� .,.7... ............-.._._l,32,.31...,,...gy QTY MATERIALS AMOUNT _........._..,,.........,._,,,._..._..._.._..__.............................._...,..�__......._..,.._..........,...........w._._..._.,._.W...w....,w_.,„.........................._.. __._......_... . #.5..,............,.._..._._.......__.._....._................_., . _..._..._. TOTAL OTHER CHARGES DATELABOR ST 1.5, DT AMOUNT _..._.,.._.,.._......._...._.,____._._....._....._.,..._...� �__.._.....___..._..._.._.__...._...__._............_..._.._...__ r� per�_._.._. .... _._..._.__.,............. -�..�........_.......... _ _..._w._....._..:......-_..,....�._....__........,...... _...._wAl _.._.._._.W_....,.......,._._._.._-._..._..._....._...._.,.._........_w._� s s^7� �syz z 7 �,� ��M �_.__.._...._...,_.,_...._........._._..,_.m....__...._ ..._.m._...._. ...._.............._.,..._......, %...�..._..,.. ._.,._._.._....__._._... ..._..,.._ __._......,,.._........_. -51s- l,ease ......,........._....._,.._..__....................................._.�....._...._..._..................................................................,..................................... ... .......,.......,.....(............,/,.. _._ ....r/_.._.._...._.... ..........,_...........................,........,.....,..... .__........._............. y (0 11 ISo,h �cn e. 8 4 .. .................._._...w...__._......................w....._..W.__._....._.., .,.._.......w,_.,......,,......,8.............._.L....... ,._.-..,.,...,,. _.,...s........ w_....._._.. _................,.....,,... ..w..... .. _....... �... y (off tivelof ba �................. - _ ._........,...... _.._..._._._...,._................_. .l w....................._,.._....__.L.....,.� .�b_ -_._..a_............. ._.................._�_W_.d_._.m _..,_....._i....l...._..._.a_ ..._ ...._..............................,.._._...._...._..._...._............_..,.._.,._...�._.._. ,,._..,,_.w._.m_.,_��. ._a_,..........................�a._. _.,,,...,,....,.... .-._. 71 .._._.... ..._..m._..__ .._._._-....._......_......._.........................._...._..._. __._._._.............. __..�...................__... ___._.__._._._._._._._......_.m� _..y.............. 1q.�'.y3`'_..,,�!! ._.. _..,_..............i,..:a3..._..55._ .-.....,.....,,.....,....................,_.w._..._..........._............,._.,_.W_m__...,...,,,....,.,.........-_.._..._._.......... ......_...............,.............. _ .W........ a.,.......,..3...y.."....._...�....._..,”c�boW....._................................_...._.._.__.m_...._...............°�.....�..� . ......... W. .. _.__._._...._..................._... .__.__...._..._...._....._..._................._................................._._.............._............................__.. a 1. 3 i >r6 5 (may „ ....... w.. TOTAL MATERIAL ag 0,9 69 TOTAL LABOR )a3 �Pl� �'YFZ®iGC- y TOTAL MATERIAL, OTHER& LABOR Op 7,2 Work Ordered By: TAX Signature: TOTAL 63,R 17,2 ere y ac no age a satisfactorym cop a ono e above described workan agree to render payment upon receipt of invoice. a1,3o3y WORK ORDER 21 N TO: LEACH & RUSSELL MECHANICAL CONTRACTORS, INC. 9151 Ford Circle Attention: Fishers, Indiana 46038-3000 JOB LOCATION: Phone (317) 841-7877 Fax (317) 841-7460 WORK REQUESTED: IDate: MContract I F-1 Extra _,,,.,,,,,_..,,,,._.,, Order Taken i Time S Material By: Warranty Customer OJob Complete Order No.: nJob Incomplete ........ _._.... _ _. .._w..___,._.__. _:_. Phone Model Number: I jOurJob Serial Number: — Number: t_. _,....,._:.:..,..._........._,.._,._.,_,._..._..._.......,.._......._........,_..._....................:.,.:.........._........................... OTHER CHARGES j AMOUNT Trunk Charge _..__...._ ....._........._..___.._..._,._..._..................................... ._........_..,_.I................. ._,._... _.:..........._._....._,.._.,.__..__... ....,.,....:........_._.._...._............,........,:._._.._:___.._:.._,.._... .......... ._ ..............._,.._...._........_,.._.........,..._._........_.:._:._._.........,,.,......_.._._...__....................._.W (QTY MATERIALS AMOUNT --a_b��-_150. 3a1 ��+►�..__ _. _a0._`A9 TOTAL ®TREK CHARGES a (� 2►h�_. _ s �..,_._.-.,.,.,...._:...._. ..___._...$._......:_�l!o DATE_ � LABOR ST 1.5 �®T � AMOUNT- .._ ............ _v_.._._........._, N.�.�....q L... .,!" :.._r' . ,,....,.,._...._. 3 ... :. ..........,......_:....::.... .._.,...:..........._....._....._...._.. ........:::_ _.___._,.._..._ L ('9 a 3 z _._d.__...L....`.._.l " �'►�. w.�.`. .._,..._,.........,._._..__._.._.3Q_.:.._y. .. :_..._._.:._....,......,......_._ .,_.._.._...._........_..__... __._.:._......,.....__...._..._............................_ _._..._...�_,.:.:,, e�i .! ._,..v.___..._d.. _....,.....:....... _.._ ._..._-y.a...�.. . .._....._.............. _........ ......... _._.._._..,._.,_.._u._._W.. ._.. ...-. _ _......._._ .._ ._ .__....._.._m_. 1 42Flo-1- y1 I ! 3 TOTAL MATERIAL TOTAL LABOR TOTAL(MATERIAL, OTHER& LABOR Work Ordered By: TAX Signature: TOTAL erey ac no a ge a sa s c ory comp a ono e above described workan agree to render payment upon receipt of Invoice. 011621 WORD( ORDER 31q TO: LEACH & RUSSELL MECHANICAL CONTRACTORS, INC. - .. ... 9151 Ford Circle Aftention: Fishers, Indiana 46038-3000 .........................,,.....,,._...,................_.._.........,....... _...,................. ..................................................... J0B LOCATION: ._...._.. ...................._...._..,,._............................,,....N....a......_.. Phone (317) 841-7877 Fax (317) 841-7460 WORK REQUESTED: ...___._.,..._..._..._..................._..._____.m....._,........_,__....___....._..._....._.....„...._...._,..._...._.___..w._.,,._,.,_.,.,..............._....._.....__.._ Date: .iContract �7 Extra y�l�T 17r !( �f Order Taken ) Time 8 Material _.___.._........._....__..__._.._. .. ,W............_. t.._..._..,.._........ .. Order By: ..................(./..,1 &, Customer OJob Complete Order No.: E]Job Incomplete _. .,..._w.....,,....,. ..........,._........................._..,._..._.... ...w........... ...._........._...._.... Phone Model Number: Number: ,,.....�.._.e._m...m_. ........_,,....._ Our Job Serial Number: Number: L OTHER CHARGES AMOUNT _......._........,,.................._....._.._....._..._........................_. ...._........._...._................................_.........,._.......,...,,,._,,,,,_.,,,,....,........... .._. . Truck Charge __..._.___........_ _.._............. .......... ..............._. .,_W...........,...._........ �.W_�__...._........,.....,_...._� wW_w_..._...._.W.L____ ..........-....................................................,,_.............................................._._..._...,............._............ ....... QTY', MATERIALS AMOUNT v_-.....__............._5.15.-W...� 5. , ......-......................!.0....................._... TOTAL OTHER CHARGES SIS - I(�10 �t+Marliri DATE LABOR ST' 1.5 DT AMOUNT ry...,..., .................... _,_�_.,._.....,,._.,. ........_...,. ._.w _.. ._....^_.........,.._ _.. TOTAL MATERIAL TOTAL LABOR TOTAL MATERIAL, OTHER&LABOR Work Ordered By: TAX Signature: TOTAL hereby acknowledge the sa sac orycomp a ono n e above esca work an agree to render payment upon receipt of invoice. WORK ORDER 013038 4 TO: ( ._.._ ... LEACH & RUSSELL ylq MECHANICAL CONTRACTORS, INC. 9151 Ford Circle Aftention: Fishers, Indiana 46038-3000 .......W._...�........................................_............._...._.............._..._.... .. .............................,,............_._.w._.................................................. JOB LOCATION. Phone 317 841-7877 Fax 317 841-7460 WORE RK GI S1E TED: _,...__.......................................__...m......................,.............,................._.^....,.....,.....,.........................._.......,_.......,, Date. E3contract ��Z-`/`""/_4:5 // Extra L.t�!./:GP _ .,,,Lf w��i� /{/ .., Order Taken �Fi�&Material By: Warranty v��`✓ /�. 7✓3,_ .CJ... . ,7..�r`J �' !�.j�.._W,..W, .,.....,,....._.,__. Customer OJob Complete Order ,.. .,.._..._............. _ ...,._,...._............................_........._. Phone del Number: _,..,._..,..,_ _............ ........... I 7 / dam/ ob Incomplete - Number:��/�!a �//----- —- — - - _.._.. ...._,._..._._.^.- jOur Job Serial Number: Number: �S8/Z7 _. ...._...._._,...._.,......._...._..__.._.....W.................._....................................,._,_.m_..._.._..n....................w....._.._.. OTHER CHARGES AMOUNT _ _...._..... ..... 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QTY MATERIALS AMOUNT _.�. ............... . 2�r1 ,-...Qr_. ,!/............................._.....1_..-1...a.......�. �.. _.._a..._..,......_ ',a '.....5- ..F'_....z ,�......._......_...._...............�� TOTAL OTHER CHARGES ......_.. DATE LABOR ST 1.5 DT. AMOUNT ... _._. 1. .._ . _. . ._...._..._. .._._.p�_..at 3 s► _�... _ __...._....:../........_.. _.... .._.......a�_.a_ _...__.1................-3s _..,..1...Q ._..1 ...�._..._._..�� .._m._ .. ..... _ . z......._......_m_m.... - ..__ ...y...._...__ ._.w..............._.._...... _.._...W..,,_..._........_T._ �..� ..._..........1 e' �1 ._.._ .._._..................._,.....__...._s..l,.._.._.��_ -�....,.. � . . ��,��,�_..._....._.....�.............._w._...w._....._......_._._.:...,__._..._...._...._.._...................__..._. ................... u+�._... + h . . .___....W... . . a... .. ... ..............._ , : , ,............................ _..._.......W................ ... _... 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I,Q Q S -- IIIS�iS �_ T Leach. & Russell Mechanical Contractors, Inc. 9151 Ford Circle . Invoice _ Fishers, Indiana 46038 Phone: (317)841-7877 R U S S E L L Fax: (317)841-7460 MECHANICAL City.of Carmel Invoice Number: 34837 o for Carmel Utilities Invoice Date: 11/30/2015 30 W. Main Street, Suite 220 Our Job Number: 155008 m Carmel, IN 46032 Job Name: Carmel Energy Center Your Purchase Order Number: John Duffy HVAC Preventive Maintenance Agreement for the month of November 2015. TOTAL AMOUNT DUE $3,600.00 Submitted To JAN 16 2016 Clerk reins rer Terms: Due Upon Receipt TLeach & Russell Mechanical Contractors, Inc. n 9151 Ford Circle Invoice Fishers, Indiana 46038 = Phone:(317)841-7877 R U S S E L MECHANICAL Fax:(317)841-7460 Invoice Number: 35130 o City of Carmel Invoice Date: 12/22/2015 Carmel Utilities Our Job Number 159095 30 W Main. Street, Suite 220 Carmel, IN 40632 _JobNam_e: Carmel Energy Center�i —You_r Purchase Nu Order mber: Labor and materials needed for HVAC service in above location. Repaired threads. Repiped boiler drains. (See copy of work orders attached) TOTAL AMOUNT DUE $1,199.00 Subin "led To JAN 16 2016 Clerk Treasurer Terms: Due Upon Receipt •a�al��. i ' . SERVICE WORK ORDER 000762 TO: LEACH & RUSSELL _ MECHANICAL CONTRACTORS, INC. 4`r. JOS LMA 9151 Ford Circle Fishers, Indiana 46038-3000 ...j,S.......t .... .-�PA.4-,.. -rkeeAD s AN Phone (317) 841.7877 Fax (317) 841-7460 ...'."".. !F....,..... al.i... ..R....... (�;AiNS J-An To Data: r-- r7Comtract Order Taken Time L IAaur}af 11V' =IWarr" 1A4O'f01U customer �ob CornpiaN -t Order No-: ^,Epob incomplr/a ........... /. �...... ........... MoM ._.._"'J3 Modal►AumMr: ---_._'l Number, Number: OTHER CHARGES~---— AMC UN"t� Qua►ea��rouow,ur --- Truck Charge _..... ................................. ............... ..... ................. _ ............. _.., ......... ...... AMOUNT SS f} . .................................... _ .,.,. _._....... .... r.S. .... 9. . .. ........ .. TOTAL OTHER CHARGES 4 :3 . z....,yt ..,...__...... ... .. .. ��_.. DATE 'LABOR ST 1.5 DT AMOUNT ..:..:.: ... . W.. .: �� C. 1Q. ►,. ..... .. ...,. '. �..�:. Kls!.... .. .. rte ..... ...... +J .. r«. '..».«..........................A........... .... ... r. « « .. I 1. Y. .. . . I .................. ......1 . . ....rr.«.a,..« .....j... .:.«., .w«. ............ ..»........._..... ..�,.,.. ..-..............._ ......»........................ .,...... :fir ... . .... .... TOT LABOR zo a1 r 'a TOTAL MATERIAL,OTHER&LABOR c; O TAX — Y TOTAL r� 7 r j SERVICE WORK ORDER 001310 TO: .l'� P ...r.�r .. .....C� n. ...... LEACH & RUSSELL MECHANICAL CONTRACTORS, INC. ............................................................................................................... 9151 Ford Circle JOB LOCATION: Fishers, Indiana 46038-3000 WORK PERFORMED: ........ Phone (317) 841-7877 Fax (317) 841-7460 . .................... .. ^ y►.1.. ....(.. ..:.G... Q ....��J...� .5...... Date: / �/ aContract .. , F Extra �... �j..../..��., s .�. rr .� /x.71' J MTIme ,,,, „.,..,.„L:,,,,, Order Taken Time 8 Material By: fir.. 0.�r1. .. L..D...t�.. ....f.....!..., ....4�✓G . Customer Job Complete f.......... Order No.: Inco. plate cf, /{,,,, ,,,�, 1 g ✓rt„�� `/ .m \/.Q:�i,}��_j� /�/r ✓ - / //� p. .......... P–hon Numbeer: /-59C)1!5 95 ...... - OumJob- Modiaell Number: Nurber: : - OTHER-CHARGES AMOUNT QUOTESIFOLLOW-UP: Truck Charge ................................................................................................................................... ....................................................................................................................................................... ................................................................................................................................... .........................................................................................................................I.............................. ................................................................................................................................... .....................................................................--............................................................................... .................................................................................................................................. .................................................................................................................. .................................... ........................................................................................................................I........................ 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FE-2........ ....... .. ..�.. . .... ..... ..... .. .................15%...0 ..............................1...(... . ...........................,..................................... ............................................ .................................... ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ............................................................................................................................... ......................................................................................................................I......I..................... ............................................................................................................................... ................................................................. ............................................ .............I...................... ............................................................................................................................... .............................................................................................................................I..................... ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, .....................................................................................................-........................ ..........................................,...................... ...............................................................................,. ............................................................................................................................... ................................................................. ................................................................................. ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, TOTAL MATERIAL '8Z 1 (971 TOTAL LABOR TOTAL MATERIAL, OTHER& LABOR Work Ordered By: TAX Slgnatur TOTAL ere y ac no ew ed—fge he satia ac orycomp a ono e above escn a wor an agree to render payment upon receipt of invoice. LR-06-0615 SERVICE WORK ORDER 000762 TO: LEACH & RUSSELL .............................................................................................................. ....................................................................... MECHANICAL CONTRACTORS, INC. 9151 Ford Circle JOB LOCATION: Fishers, Indiana 46038-3000 WORK PERFORMED: Phone 317 841-7877 Fax 317 841-7460 .......p...............................EPS►? ......!.H.2nD..s...... ........................... ►-�'X I f TO Date: I L / Contract t _ 1 Extra C ...................1F' „pl..C.....d �H..44 �L �I�b Order Taken =TirnL&Material .............. iz%............. By: =Warranty ,,• sg1G"(j�.,j Customer I�lobcomplete ............... Order No.: A!.X �Q�w.�V(� •••••rk'ida.,•„•...... �/ '/ Phone Model Number: Job Incomplete Y rrr�;Ar .� .' ... .. ... dumber• �y ..................................,....................... Our Job V� Serial Number: Number: ................................................................................................................................... OTHER CHARGES AMOUNT QUOTES/FOLLOW-UP: Truck Charge ........................................................................................................... ...........I........................ QTY MATERIALS AMOUNT ....................................................................................................................................................... 29 .................... .. ....................... ..................................... �� .'.... .(..............................................I...............I...... TOTAL OTHER CHARGES .................... .. . ............................................................................................................................... DATE LABOR ST 1 1.5 DT AMOUNT — a.................................................................. ..................... --. !Z..-.�.........J.... 1. ....... ... .��..... ..... .......... ....$........................................................................ ...........-.............................................................................................................. ......�....Z....: .1:..�....Nk �s ..:. .... ..... .............................. ............. ....................... ....................................................................................................... ...........:.........--........................................ .....................................................................--........ ............................................................................................................................... .....................................................................................:........................ .................................... ...............................................................................................................-.............. .......................................................................................................................I......................I.... ............................................................................................................................... ................................................................. ................................................................................. ............................................................................................................................... ................................................................. ................................................................................. ............................................................................................................................... ................................................................. ................................................................................. .........................I..............-...................I...............I......................-...................... ...............I............................................. ..............i................. ........I........................................ TOTAL MATERIAL TOTAL LABOR TOTAL MATERIAL, OTHER& LABOR Work Ordered By: TAX Signature: TOTAL her y ac now a ge a sa is ae ory comp a ono e above escr a wor an agree to render payment upon receipt of invoice. LR-06-0615 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 Date invoice# Description Amount Deft. _ Fund# (or note attached inVoice(s)or bill(s)) 08/19/15 33771 $19,032.72 1208 101 11/30/15 34837 $3,600.00 1208 101 12/22/15 35130 $1,199.00 1208 101 I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. LEACH & RUSSELL ALLOWED 20 9151 FORD CIRCLE IN SUM OF$ FISHERS, IN 46038 $23,831.72 ON ACCOUNT OF APPROPRIATION FOR Building Operations PO#/Dept. _ INVOICE NO. ACCT#/Fund_ AMOUNT Board Members 33771 43-509.00 $19,032.72 1 hereby certify that the attached invoice(s), or 1208 101 Prior Year 34837 43-509.00 $3,600.00 bill(s) is (are)true and correct and that the 1208 101 Prior Year 35130 43-509.00 $1,199.00 materials or services itemized thereon for 1208 I I. 101 I Prior Year which charge is made were ordered and received except Monday, January 11, 2016 Cost distribution ledger classification if claim paid motor vehicle highway fund