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187942 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 00351429 Page 1 of 1 ONE CIVIC SQUARE M.K. BETTS ENGINEERING INC CARMEL, INDIANA 46032 PO BOX 2533 CHECK AMOUNT: $5,030.00 ANDERSON IN 46018 CHECK NUMBER: 187942 CHECK DATE: 7/21/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 W09269 10- 166.01 5,030.00 REPAIR TOWER INVOKE Area Code: 765 Telephone: 649 -1294 A K. Betts P.O. Box 2533 Engineering Contracting, Inc. ANDERSON, INDIANA 46018 June 29, 2010 Invoice No. 10- 166.01 IN ACCOUNT WITH PROJECT: City of Carmel Antenna Tower Base 760 Third Avenue SW Carmel, IN 46032 Attn: Ken Rhodes Wl1 Terms: Net 20 days Labor, equipment and materials to excavate, form, install rebars, install tower base (furnished by owner), place concrete, remove forms and backfill. New base to be V -0 11 x 8 1 0 x 4' -0 $5,03 0 Total Amount Due This Invoice $5,030 00 E i. SERVIC E, CHIARG T OF 2 per r17onth, tirt! L's 'Ot paid whon due. This la an ANNUAL PER CENTAGE RATE OF 24 e CLAIMS, IF ANY, MUST BE MADE IMMEDIATELY VOUCHER 102129 WARRANT ALLOWED 351429 IN SUM OF MX. BETTS ENGINEERING CONTRP P.J. Box 2533 Anderson, IN 46018 Carmel Water Utility�� ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 10- 166.01 01- 6360 -03 $5,030.00 Voucher Total $5,030.00 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 351429 M.K. BETTS ENGINEERING CONTRACTING Purchase Order No. P.O. Box 2533 Terms Anderson, IN 46018 Due Date 7/12/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/12/2010 10- 166.01 $5,030.00 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 Date Officer