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HomeMy WebLinkAbout301686 08/08/16 Q CITY OF CARMEL, INDIANA VENDOR: 108335 ONE CIVIC SQUARE GLOBE ASHPHALT PAVING CO CHECKAMOUNT: $*****3,150.00* CARMEL, INDIANA 46032 PO Box 19166 CHECK NUMBER: 301686 INDIANAPOLIS IN 46219 CHECK DATE: 08/08/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350900 C-16 1302 3,150.00 OTHER CONT SERVICES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) GLOBE ASHPHALT PAVING CO ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 19168 IN SUM OF$ 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. $3,150.00 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 1302 43-509.00 $3,150.00 1 hereby certify that the attached invoice(s),or 6/30/16 C-16 1302 $3,150.00 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,August 02,2016 Dave Huffman Director 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer GGlobe Asphalt Paving Co.,Inc. P.O.Box 19168 Indianapolis,IN 46219 (317)5684344 INVOICE TO: City of Carmel Ihobbs@carmel.in.Rov 3450 West 131st Street Westfield,IN 46074 INVOICE-DATE:- June 30,-2016 J _ INVOICE #: C-16-4J01- PO/WORK 161302PO/WORK ORDER #: JOB NAME AND LOCATIONS: 126th St. & Shellbourne Carmel, IN DESCRIP.TION.:. , Concrete Curb Repair Work $3,150.00 i Total Amount Due: $3,150.00 TOTAL AMOUNT,DUE: $39150.00 Please ieinit upon receipt with copy of invoice. All applicable sales and use tax has- been- satisfied. Thank You! !