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331529 10/25/18 +ur_C4AM ! w� CITY OF CARMEL, INDIANA VENDOR: 367400 ® ONE CIVIC SQUARE INDIANAPOLIS CONCRETE CHECK AMOUNT: $*****3,670.00* CARMEL, INDIANA 46032 5363 W 86TH INDIANAPOLISIST CHECK N 46268 CHECK DATE:ME : 330259 8 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350900 16688 3,670.00 OTHER CONT SERVICES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 367400 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER INDIANAPOLIS CONCRETE IN SUM OF$ CITY OF CARMEL 5363 W 86TH ST 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 46268 Payee $3,670.00 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 16688 43-509.00 $3,670.00 1 hereby certify that the attached invoice(s),or 10/17/18 16688 Repairs to Roundabout $3,670.00 2201 2201 2201 2201 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 Monday, October 22,2018 Huffman, Dave 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Indianapolis Concrete Incorporated INVOICE 5363 WEST 86TH STREET INDIANAPOLIS, IN 46268 Date Invoice# 10/17/2018 16688 Bill To Carmel Street Department P.O. No. LAKE16502 %Jim Hobbs 3400 W 131st St Carmel, IN 46074 Project 106th&Gray inside curb Net Terms Due on receipt Quantity Description Rate Amount 106th&Gray inside curb PREP WORK 1 Saw-Cut Minimum-dust warning. 125.00 125.00 40 6"Concrete Tear-out-includes removal of concrete without 4.00 160.00 re-enforcement 1 Dump Fee Minimum-includes the removal&disposal of spoils 175.00 175.00 from project up to 5 yards. CONCRETE WORK 40 6"Regular Concrete-includes 25%spray-on clear sealer- 5.00 200.00 broom/trowel finish- 40 Includes fulll fiber mesh mix into concrete 0.50 20.00 1 Gravel Minimum-Includes delivery,placement,&grading of up to 300.00 300.00 5 tons,gravel-area will be compacted as needed. 10 Labor Hours-for transporting any material to/from project site. 45.00 450.00 1 Fuel Charge 75.00 75.00 1 Env.Charge 65.00 65.00 1 20x2 Curb t/o and r/p 1,600.00 1,600.00 1 Electric Signage 500.00 500.00 Access:Full Thank you for your business. Total $3,670.00 TERMS:DUE UPON RECEIPT BY CHECK OR CREDIT CARD(3%PROCESSING FEE). UNPAID PAST DUE BALANCES WILL BE SUBJECT TO A LATE CHARGE OF ONE AND ONE HALF PERCENT PER MONTH(18%APR)ON THE OUTSTANDING BALANCE.ALL Payments/Credits $0.00 DELINQUENCY AND COLLECTION CHARGES,INCLUDING REASONABLE ATTORNEY FEES AND COURT COSTS,WILL BE PAID BY THE CUSTOMER,ALL WITHOUT RELIEF Balance Due VALUATION AND APPRAISEMENT LAWS.ALL WORK COMPLETED IN ACCORDANCE $3,670.00 WITH BAGI,NAHB AND ACI STANDARD PRACTICES. Phone# Fax# E-mail Web Site 317-733-4200 317-733-4245 info@indianapolisconcrete.com www.indianapolisconerete.com