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184195 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 033150 Page 1 of 1 ONE CIVIC SQUARE CC T CONSTRUCTION INC CHECK AMOUNT: $19,000.00 CARMEL, INDIANA 46032 5051 PROSPECT ST INDIANAPOLIS IN 46203 CHECK NUMBER: 184195 CHECK DATE: 4/1412010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 W09196 90271 19,000.00 CONCRETE WORK CC &T CONSTRUCTION, INC. 5051 Prospect Street Indianapolis, IN 46203 To: Carmel Water Company ATTN: Steve Cook Fax: 733 -2053 RE: Concrete Work Carmel Drive Rangeline Road Invoice Date: March 31, 2010 INVOICE 90271 Complete billing for work performed $19 LESS:. Previously billed _0_ Amount Due: $1900.00 Amount Due Contractor $19,000.00 VOUCHER 101300 WARRANT ALLOWED TCC &T IN SUM OF CC, T CONSTRUCTION INC 5051 PROSPECT ST� INDIANAPOLIS, IN 46203 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code Ct k(4_(p 90271 01- 6360 -06 $19,000.00 Voucher Total $19,000.00 Cost distribution ledger classification if claim paid under vehicle highway fund 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee TCC &T CC T CONSTRUCTION INC Purchase Order No. 5051 PROSPECT ST Terms INDIANAPOLIS, IN 46203 Due Date 4/7/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/7/2010 90271 $19,000.00 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have /audiited same in accordance with IC 5- 11- 10 -1.6 `/r Date Officer