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329245 08/27/18 ♦u!"t�qb >� CITY OF CARMEL, INDIANA VENDOR: 371755 1. AMOUNT: $*****6 428.95* ONE CIVIC SQUARE CROSSROADS EXCAVATING &CONSTI�'f�b s. ate: CARMEL, INDIANA 46032 3928 W 600 S CHECK NUMBER: 329245 LYNN IN 47355 CHECK DATE: 08/27/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 604 5023990 1865 6,428.95 OTHER EXPENSES VOUCHER NO. 182481 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor # 371755 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER CROSSROADS EXCAVATING &CONSTRUCTION CITY OF CARMEL 3928 W 600 S An invoice or bill to be properly itemized must show: kind of service,where performed, LYNN, IN 47355 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit,etc. Payee $6,428.9 371755 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR CROSSROADS EXCAVATING&CONSTRUCTION Terms Carmel Water Utility 3928 W 600 S Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), LYNN, IN 47355 or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 1865 02-3330-40 $6,428.95 and received except 8/20/2018 1865 $6,428.95 Depreciation 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20L.— Clerk-Treasurer Invoice P.O. Box 30 - -'Involce;Numtier,„ 1810 W.Washington Street 186b Winchester, IN 47394 .Invoke".Date= . CR O S S R OA DS :(765);305-1988 EX.CAVATIN.G + CONST.R.UCT.I.ON 6/30/2018 Bill To: City of Carmel Re: Carmel-96th &Priority 30 W. Main Street Carmel, IN 46032 °OurJob�No - 1 Customer Job N, o _ Customer,PO-°` 3 Payment Terms :" Due Date CR18-090RC Net 30 Days 7/30/2018 Description`; .Price .Materials Fittings, Copper, Etc 763.66 Materials-Backfill 431.91 Labor-' Supervisor 90000 Labor-Other 1,420:00 Equipment-Pickup Trucks&Tools 400.00 Equipment-Mini Excavator 500.00 Equipment-Dump Truck&Trailer 700.00- - Hauling-Dump Fees: 80.00 Vacuum Excavation 1,233:38 Subtotal $ 6,428.95 Sales Tax(if applicable) $ 0.00 Total Due $ 6,428.95 Thank you for your business!For billing inquiries,please email finance@crossroadsexcavating.com