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HomeMy WebLinkAbout302562 08/31/16 r 44q CITY OF CARMEL, INDIANA VENDOR: 355559 / \1 ONE CIVIC SQUARE CULY CONTRACTING, INC CHECK AMOUNT: $*****5,002.00* CARMEL, INDIANA 46032 5 INDUSTRIAL PARK DRIVE CHECK NUMBER: 302562 PO BOX 29 CHECK DATE: 08/31/16 WINCHESTERIN 47394 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 5803 5,002.00 OTHER EXPENSES VOUCHER # 166007 WARRANT # ALLOWED 355559 IN SUM OF $ CULY CONTRACTING 5 INDUSTRIAL PARK DRIVE PO BOX 29 Winchester, IN 47394 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 5803 01-1452-00 5,002.00 Q Voucher Total 5,002.00 Cost distribution ledger classification if claim paid under vehicle highway fund 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 355559 CULY CONTRACTING Purchase Order No. 5 INDUSTRIAL PARK DRIVE Terms PO BOX 29 Due Date 8/23/2016 Winchester, IN 47394 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/23/2016 5803 5,002.00 hereby certify that the attached invoice(s), or bill(s) is (are) true and :orrect and I have audited same in accordance with IC 5-11-10-1.6 Date Officer Culy Contracting, Inc. Invoice 5 Industrial Park Drive Invoice Number P.O. Box 29 - '` 5803 Winchester, IN 47394 Invoice Date Phone: (765)584-8509 - 07/18/2016 Fax: (765)584-8060 Bill To: City of Carmel Utilities Re: Carmel-6in Insta Valve 30 West Main Street Suite 220 Carmel, IN 46032 Job No Customer Job No _ . Customer PO _Payment Terms_,_Tw - _=Due Date ___ - RW167140 - -- 5 Days 08/02/2016 � Description Q�tity U/Mt 1 ' Rate/Unit 11 Price 6" INSTA VALVE-OSWEGO ST.-ATTN STEVE COOK 1.00 LS 5,002.00 5,002.00 Fp'A y7n ye w VVW061 00 Subtotal $ 5,002.00 Sales Tax(if applicable) $ 0.00 Total Due $ 5,002.00 Thank you for your business! We are now WBE Certified!