HomeMy WebLinkAbout257198 04/05/16 4+d.4Aq�f
<�/" 4� CITY OF CARMEL, INDIANA VENDOR: 365624
jg® '� ONE CIVIC SQUARE HIS CONSTRUCTORS INC CHECK AMOUNT: $*****9,700.00*
:„ � CARMEL, INDIANA 46032 5150 E 65TH STREET SUITE B CHECK NUMBER: 257198
7,,�rON-.�. INDIANAPOLIS IN 46220-4817 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
920 4470299 16001001 9,700.00 106 KEYSTONE OTHER
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
Dept. Fund# (or note attached invoice(s)or bill(s))
02/18/16 I 16001001 I Keystone Parkway 106th Street Bridge CollisionI $9,700.00
2200 920
1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
HIS CONSTRUCTORS INC
5150 E 65TH STREET SUITE B IN SUM OF$
INDIANAPOLIS, IN 46220-4817
$9,700.00
ON ACCOUNT OF APPROPRIATION FOR
Engineering
PO#/Dept. INVOICE NO. ACCT#/Fu dy 1) AMOUNT Board Members
16001001I 4 _74 g2.99 t If $9,700.00; I hereby certify that the attached invoice(s), or
2200j920
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, March 21, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
92C' - 12-1+ F -402 -1 �
Progress Billing Invoice
From: HIS Constructors, Inc. Invoice#: 160010*01
5150 E.65th St.,Suite B Date: 02/18/16
Indianapolis,IN 46220
Application#: 1
To: City Of Carmel
Board Of Public Works&Safety Invoice Due Date: 03/19/16
Carmel,IN 46032
Payment Terms: Due 30 days
Contract: 160010- 106 'Street Repairs
Contract Contract Quantity Quantity Unit Amount Amount %
Cont Item - Description- Amount- Quantity This Period JTD U/M - Price This Period----To-Date- Compi-- --
100 106TH BRIDGE REPAIR-CARMEL 9,700.00 0.00 0.00 0.00 LS 0.00000 9,700.00 9,700.00 100.00%
a
2016
t
CAR
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r�4c CITy�rNCIN�ER ���
Total Billed To Date: 9,700.00
Less Retainage: 0.00
Less Previous Applications: 0.00
Total Due This Invoice: 9,700.00
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