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189397 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 00352711 Page 1 of 1 ONE CIVIC SQUARE JAMES H DREW CORPORATION CARMEL, INDIANA 46032 PO BOX 68935 CHECK AMOUNT: $24,783.00 INDIANAPOLIS IN 46268 -0935 CHECK NUMBER: 189397 CHECK DATE: 8/31/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 R4462000 21819 13297 24,783.00 WEST ROAD GUARD RAIL JAMES H. DREW CORPORATION 1 N V O 1 C E 'REMIT TO: PO BOX 68935 INVOICE 13297 INDIANAPOLIS IN 46268 -0935 INVOICE DATE: 7/31/2010 OUR JOB NUMBER: 410716 CITY OF CARMEL ONE CIVIC SQUARE CARMEL IN 46032 Qty. Ulm Description Un it Pr ice E xt. Price 1.00 LS WEST ROAD GUARDRAIL CONSTRUCTION 24,783.00 24,783.00 PROJECT NO. 10 -05 HAMILTON COUNTY P.O. NO. 21819 JOB COMPLETE. fat 110 SUBTOTAL 24,783.00 Q7 RETAINAGE: 0.00 SALES TAX: 0.00 TOTAL DUE: 24,783.00 Proscribed 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 James H Drew Purchase Order No. PO Boz 68935 Terms Indianapolis, IN 46268 -0935 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total 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. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 James H Drew IN SUM OF PO Boz 68935 Indi,pnapolis, IN 46268 -0935 $24,783.00 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members Pp# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. 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 2181 E 13297 2200-R446200C $24,783.00 which charge is made were ordered and received except p 20 7� Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund