184197 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 364057 Page 1 of 1
ONE CIVIC SQUARE C -TECH CORPORATION INC
CHECK AMOUNT: $5,055.00
CARMEL, INDIANA 46032 ssoo W100 N
BOGGSTOWN IN 46110 CHECK NUMBER: 184197
CHECK DATE: 4/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 5,055.00 OTHER CONT SERVICES
MRR- 29- 2010(MON) 1d 57 [-Tech (FAX)317 835 2781 P.0021002
C -TECH CORPORATION, INC.
SUBCONTRACT BILLING REPORT
FOR WORK PERFORMED 3.26.10
FROM: C -TECH CORPORATION, INC TO: CARMEL STREET 0EPARTMENT C'Z'ECH JOE 10 -362
5300 w. 100 NORTH 3400 W. 131ST ST- STATE NIA
SOGGSTOWN, IN 46110 WESTFIELD, IN 46074 PERIOD: MARCH 2010
PHONE: 317- 733.2001 1067H AND KEYSTONE AVE.
FAX 317- 733 -2005
ATTN; JIM HOBBS DATE: 3126110
CONTRACT *---CURRENT PERIOD--- TO DATE
PLANNED UNIT TOTAL CURRENT CURRENT TO DATE TO DATE
ITEM# DESCRIPTION QUANTITY PRICE PRICE QUANTITY PRICE QUANTITY PRICE
1 IMPACTATTENUATOR REPAIR 1,00 LSUM 5,055.00 5,055.00 1.00 5,055.00 1.00 51055.00
TOTAL CONTRACT 5,055.00 5,055.00 5,055.00
ORDERS
CO 1.00 LSUM 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL CONTRACT Wl CO'S 5,055.00 5,055.00 5,055.00
TOTALS TO DATE 5,055.00
LESS PREVIOUS 61LLINGS QQQ
CURRENT PILLING 5,055,00
LESS RET 0'% 0 10 0
NET BILLINGS $5,055.00
FOR WORK PERFORMED MARCH 26,2010
VOUCHER NO. WARRANT N
ALLOWED 20
C -Tech Corporation, Inc.
IN SUM OF
5300 W. 100 North
Boggstown, IN 46110
$5,0
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members
2201 43- 509.00 $5,055.00 I hereby certify that the attached 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
a Mond, April 05, 2010
;I
Street Commissioner
Title y
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Slate Board of Accounts City Form No. 261 (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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/26110 $5,055.00
1 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
Clerk- Treasurer