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334132 01/04/19 +pl_CF6 � CITY OF CARMEL, INDIANA VENDOR: 00350776 ONE CIVIC SQUARE ORTMAN DRILLING, INC CHECK AMOUNT: $****13,195:00* CARMEL, INDIANA 46032 241 N 300 WEST CHECK NUMBER: 334132 KOKOMO IN 46901 CHECK DATE: 01/04/19 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 18CL333 13,195.00 OTHER EXPENSES VOUCHER NO. 183706 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 00350776 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER ORTMAN DRILLING CITY OF CARMEL 240 N 300 W An invoice or bill to be properly itemized must show: kind of service,where performed, KOKOMO, IN 46901 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit,etc. Payee $13,195.00 00350776 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR ORTMAN DRILLING Terms Carmel Water Utility 240 N 300 W Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), KOKOMO,IN 46901 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 18CL333 01-6360-02 $13,195.00 and received except 12/27/2018 18CL333 $13,195.00 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. 20_ Clerk-Treasurer RTMAN Drilling & Water Services Research-Design-Construction-Maintenance INVOICE 241 N.300 W.•Kokomo,IN 46901.765.45913125 Fax 7651159.6750 CARMEL Invoice Number 18CL333 City of Carmel Invoice Date 13-Dec-18 3450 W 131st St Purchase Order JM092518 Carmel, IN 46074 Terms Due Upon Receipt Attn: Kerri Loveall Salesperson Phil Bonneau Job Numberl PB18111 ;QTY UN[T :.... DESCRIPTION'. PRICE..:.: i4M0UN F::' 2018 Testing- per quote 1 ea Testing, inspection, maintenance on wells,HS, and other pumps $ 13,195.00 and motors Report to follow under separate cover *All invoices not paid within 30 days will be subject to 1.5%per month(18%per year) service and handlingfees,phts any court and/or attorney fees requiredfor collection. 1 ....... ...................... ..:..:. :. ...?3�?L7V7C lft7'tl AOR yQ lR B�ISTN S >:.:.::.':::.....: $ 13,195.00 RTMAIV Drilling & Water Services Research-Design-Construction-Maintenance INVOICE 241 N.300 W.•Kokomo,IN 46901.785.4594125 Fax 765.458.8750 CARMEL Invoice Number 18CL333 City of Carmel Invoice Date .. 137Dec-18 3460:W 131st St Purchase:Order 3M092518 Carmel,IN 46074 Terms Due Upon 1Peeeipt Attn: Kerri Loveall` Salesperson :. : .::Phil Bonneau Job Number PB18111 QTY tbV :.. .....:. :.., 1C3�SCiRI 'Il31 ..:.'..:. 2018 Testing-per.quote _ 1 ea Testing,inspection,maintenance on wells,HS,and other pumps $ 13,195.00 and motors Report to follow under separate cover Received: - ®ate: _jVyl X51 0 PO #:ACCT Use: 'All invoices not paid within 30 days will be subject to 1.5%per month(18%peer year) service and handling fees;phis any court and/or attorney fees required for collection. :...... ::....:. �L,�LN 13t�'{ : flZ` a�lZi B`i15NS5_. :.:...... .: e $ 13;195.00