Loading...
320029 12/21/17 +u,_Cqq %�( � . CITY OF CARMEL, INDIANA VENDOR: 108335 i; ® "i'. ONE CIVIC SQUARE GLOBE ASHPHALT PAVING CO CHECK AMOUNT: S"'"1,600.00• =4 CARMEL, INDIANA 46032 PO BOX 19168 CHECK NUMBER: 320029 9si.__ :" INDIANAPOLIS IN 46219 CHECK DATE: 12/21/17 ` 1)UN�. DEPARTMENT ACCOUNT PO NUMBER _ INVOICE NUMBER AMOUNT DESCRIPTION 902 4350900 C174031 1,600.00 OTHER CONT SERVICES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 108335 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER GLOBE ASHPHALT PAVING CO IN SUM of$ CITY OF CARMEL PO BOX 19168 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. INDIANAPOLIS, IN 46219 Payee $1,600.00 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Redevelopment Commission 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-17 4031 43-509.00 $1,600.00 1 hereby certify that the attached invoice(s),or 11/20/17 C-17 4031 Repair utility cut and stamped asphalt on 3rd $1,600.00 902 902 902 902 Ave SW 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, December 19,2017 Mestetsky, Henry 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 1�cv— . Glob6AsphaltPavingCo.,Inc. iPO:Box 19168 Indianapolis_ IN 46219 (317} 568-4344 INVOICE TO: City of Carmel Street Department 3400 West 131 st St. Carmel,IN 46074 Attn: Dave Huffman/Accts Payables INVOICE"DATE-: November 20,2017 - _ INVOICE #: C47 4031- - - PO/WORK ORDER #: JOB NAME AND LOCATIONS: 3rd Ave SW DESCRIPTION: Repair utility cut and stamped asphalt in the parking area west across the street from the new skating area. Work was completed on 11/4/17. $ 1,600.00 Total Amount Due: $1,600.00 TOTAL AMOUNT DUE: $19600.00 Please remit upon receipt with copy of invoice. All applicable sales and use tax has been satisfied. Thank You! !