181869 02/03/2010 c CITY OF CARMEL, INDIANA VENDOR: 362263 Page 1 of 1
o ONE CIVIC SQUARE D E INDIANA POWER DELIV
CARMEL, INDIANA 46032 PO BOX 1771 CHECK AMOUNT: $169,172.00
o ff CINCINNATI OH 45201 -1771 CHECK NUMBER: 181869
CHECK DATE: 2/3 /2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
920 4470305 P0017033601 169,172.00 116 /CARMEL DR UTIL RE
DUke Invoice: P0017033601
INVOICE Invoice Date: 1/13/2010
Energy ��1 V Page: 1 of 1
Bill to: CITY OF CARMEL Customer No 00044817
ONE CIVIC SQUARE
PO Contract No:
ATTN: JEREMY KASHMAN Payment Terms: Net 30
CARMEL IN 46032 Due Date: 2/12/2010
Amount Due: $169,172.00
Invoice for work or services performed at: 116TH STREET KEYSTONE AVENUE
CARMEL IN
For billing questions, please call Misc. Accounts Receivable at 513/287 -2827.
Line Date of Charge Description Net Amount
1 1/12/2010 Customer contribution $169,172.00
Amount Due: $169,172.00'
479
4 Please detach and return with your payment, Please indicate invoice number on check. y
Payment Coupon
Please make check payable to: Invoice Number: P0017033601
DE Indiana Power Deliv Corporation Code: 75115
P.O. Box 1771 Please Pay By: 2/12/2010
Cincinnati, Ohio 45201 -1771 Customer Number: 00044817
Total Amount Due: $169,172.00
Fed Tax ID 35- 0594457
Amount Enclosed
CITY OF CARMEL
ONE CIVIC SQUARE D
ATTN: JEREMY KASHMAN
CARMEL IN 46032 Energy
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
DE Indiana Power Deliv Purchase Order No. NA
PO Box 1771 Terms
Cincinnati OH 45201 -1771 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
01/13/10 P0017033601 Keystone Reconstruction Project $169,172.00
116th Street Utility Relocation
Project 07 -08
Total $169,172.00
I hereby certify that the attached invoice(s), or bills(s), is (are) true and correct and I have audited same in accordance
•with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
DE Indiana Power Deliv ALLOWED 20
PO Box 1771 IN THE SUM OF
Cincinnati OH 45201 -1771
169,172.00
ON ACCOUNT OF APPROPRIATION FOR
DE Indiana Power Deliv
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
DEPT.#
NA P0017033601 4470305 S169,172.00
I hereby certify that the attched invoice(s), or
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
February 1, 20 10
-e —r
Total $169,172.00 Sig ature
Cost distribution ledger classification if City Engineer
claim paid motor vehicle highway fund Title