307693 01/27/17 (9, )
CITY OF CARMEL, INDIANA VENDOR: 357707
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ONE CIVIC SQUARE PENHALL COMPANY CHECK AMOUNT: S 250.00CARMEL, INDIANA 46032 PO BOX 842911 CHECK NUMBER: 307693
LOS ANGELES CA 90084-2911 CHECK DATE: 01/27/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 66689 250.00 OTHER EXPENSES
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COMPANY
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000001976
CITY OP CARMEL PENHALL COMPANY
it 1 CIVIC SQUARE *Nota New Remit To Address
CARMEL IN 46032— P.O.BOX$42911
317-571-2465 000— Los Angeles,CA 90084-2911
4915 106TH ST J'M103116
CARMEL WWTP CARMEL
CRAIG, SHAWN E
301 391611 023
1) 12" DIA X 10" BEEP HOLE CORED IN SLAB 1.1/01/16 3721323 250.00
IV
For billing questions please contact: 317-875-7601
$ 250.001
TERMS: Due Upon Receipt/1%Net 15 Days
information provided as required by IRC section 3406
Penhall Company TIN 33-4349226
Subject to the standard terms and conditions which are posted and may be accessed at
www.penhall.comiterms-andwconditions.
TICKET NO.
Equipment and Services to Meet Your Needs!
® CONCRETE/ASPHALT BOBCAT [ l
�.. _ ............ _.. '.. DATE
Flat Saws to 18'Deep Breaking 1801 Penhal!Way,Anaheim,CA 92801 • 714-772-6450
_...:.._............
Wali Saws to 24"Deep Excavation CUSTOMER NAME CUSTOMER P.O.NO.
Wire Sawing Compaction
® CORE DRILLING [Jump lfllcks BILLING ADDRESS STRrETi u;.*Yi CUSTOMER PHONE NO.
Electric HYDRA HAMMER
Pneumatic Breaking Jos ADDRESS rLn i MAP NO.
Hydraulic Compaction
Up to 42"Diameter NEW I CU57,NUMBER JOB NUMBER SLS-NUMBER
■ DEMOLITION I B H
® COMPP.ESSORS Ha,dlSoft
Breaking I QUANTITY UNIT
Rock Dritling
GROOVING/GRINDING TYPE ';HOufts UNTS DESCRIPTION Of WORK PERFORMED PRICE NET AMOUNT
Texturing
Chipping Joint Sealing
® BACKHOES/MINI-MAX Safety Grooving _...----__:T
Excalation Epoxy Repairs j
Break ng Green Salving -
Compaction . WHEEL SAWS
0 CAT EXCAVATORS Vermeer Received'
.._............
Breakers to 12.000 ft.lbs. Guts to 31"Doop __.. f. ... ! Date
Compacting,Pulverizing I p 0 #:
Shearing,Long Boom to 80+ff.
...._ .�
ACCT # —
Nationwide: 1-800-PENHALL Use
i
FOR YOUR LOCAL OFFICE: _._.... _ .......
........
Customer has identified,marked and de-energized(as necessary)all utilities.
Anaheim CA 714-772-6450 Minneapolis MN 763-542-9999 When appropriate,the public locator service has been notified
ut
Atlanta GA 770.941-3401 Phoenix AZ 480-967.5029 and signed.If not,call dispatch. Locator No. comer Signature
Austin TX 512-385-8500 Portland OR 503-253-9500 __ __._.. ._.--___ s�W�
Bakersfield CA 661-832-1155 Raleigh NC 919-859.9911 Stand Ry.,Remarks:
Birmingham AL 205.951-0041 Reno NV 775.786.8498
Burbank CA 818-562-1250 Richmond VA 804.520.1260 NOTICE: The individual signing below TOTAL
Camarillo CA 805.482.4634 Riverside CA 951-369-2800 represents that no or she is signing on be
Charleston SC 843.767.1881 Sacramento CA 916.386.1589 half of the owner or contractor,and mat he
� or she has the authority to bind owner or contractor to all of the terms and con
Charlotte NC 704-392-0644 Salt Lake City UT 801-355-7364 t ons set forth on the front and reverse side of this ob ticket to this regard,
Columbia SC 803.938.0039 San Diego CA 858.550.1111 ndroidua,signing below acknowledges that he or she has read.u.-iderstood e
Dallas TX 817.416-1846 San Leandro CA 510-357-8810
agrees t,,all of the terms and conditions contained in this job ticket.
Donor CO 303.934-3666 Santa Clara CA 408.970-9494 J Check rete,.. Owner Gontractvr
Fresno CA 661.832.1155 Seattle WA 206-763-9200 .. CUSTOMER APPROVAL
Honolulu HI 808-488-8222 Superior WI 715.394.6757
Las Vegas NV 702-736.6033 Tucson AZ 520-744-0225
Los Angeles CA 310-225.66W a Customer dPSrrPs to Clean up: y.r.alurr v dated by Penhull with its own force.
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