196456 04/13/2011 a CITY OF CARMEL, INDIANA VENDOR: 365228 Page 1 of 1
ONE CIVIC SQUARE MAXIM SERVICES LLC CHECK AMOUNT: $2,910.83
a CARMEL, INDIANA 46032 6550 N GUION ROAD
INDIANAPOLIS IN 46268 CHECK NUMBER: 196456
CHECK DATE: 4/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT D ESCRIPTION
2201 4350900 7610 2,910.83 OTHER CONT SERVICES
Maxim Services, LLC Invoice
6550 N. Guion Road
Date Invoice
Indianapolis, IN 46268
Telephone 317 -290 -1080 3/29/2011 7610
Fax 317 -290 -1081
Bill To
City of Carmel Street Department
Attn: Bonnie Callahan
3400 W 131 st Street
Carmel, IN 46074
P.O. No. Terms Project
Due on receipt
Description Rate Amount
126th Street and Rangeline Road 3/21-22/11 2,910.83 2,910.83
Labor and material to repair a broken hot feed for the pole lights; started
digging to repair the broken feed but was then instructed to pull all the
old wires out and replace all the wires feeding the contactor in case
others were damaged as well.
Thank you for your business For your convenience we now accept Visa, Mastercard
and Discover cards. Total $2,910.83
VOUCHER NO. WARRANT NO.
MaxiMServices, LLC ALLOWED 20
C Mm, IN SUM OF
6550 N. Guion Road
Indianapolis, IN 46268
$2,910.83
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 7610 43- 509.00 $2,910.83 1 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
Thyrsda April 07, 2011
v v v Street COMMISSI Per
,n
Street CorrT tossioner
Cost distribution ledger classification if
claim paid motor 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 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))
03/29/11 7610 $2,910.83
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