HomeMy WebLinkAbout259553 06/14/16 9u; CITY OF CARMEL, INDIANA VENDOR: 108335
21 ONE CIVIC SQUARE GLOBE ASHPHALT PAVING CO CHECK AMOUNT: S""`2,113.00'
r _� CARMEL, INDIANA 46032 PO Box 19168 CHECK NUMBER: 259553
aM,__..,; INDIANAPOLIS IN 46219 CHECK DATE: 06/14/16
��ON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239034 C-16 1301 2,113.00 LANDSCAPING SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
GLOBE ASHPHALT PAVING CO ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 19168 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46219 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$2,113.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
C-16 1301 42-390.34 $2,113.00 1 hereby certify that the attached invoice(s),or 5/31/16 C-16 1301 $2,113.00
2201 201 2201 201
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
Tuesday,June 07,2016
0' Wj )4#WM
StMet C;nrnmisSlnnPr
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
40W Globe Asphalt Paving Co.,inc.
P.O. Box 19168
gLeltei' Indianapolis,IN 46219
(317)568-4344
INVOICE
TO: City of Carmel lhobbs earmel_ in.Rov
3450 West 131 st Street
Westfield, IN 46074 '
INVOICE DATE: May 31,2016 INVOICE #: C-16 1301
PO/WORK ORDER #:
JOB NAME AND LOCATIONS: 141 st St&SpringmiII
Carmel, IN
DESCRIPTION:
Concrete Curb Repair Work $2,113.00
Total Amount Due: $2,113.00
"J
TOTAL AMOUNT DUE: $2,113.00
Please remit upon receipt with copy of invoice. All applicable sales and use tax
has been satisfied. Thank You! !