161320 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 00353052 Page 1 of 1
ONE CIVIC SQUARE CONCRETE SURGEONS INC
CARMEL, INDIANA 46032 CHECK AMOUNT: $231.75
5705 W 73RD ST
INDIANAPOLIS IN 46278 CHECK NUMBER: 161320
CHECK DATE: 7/11/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 23090 231.75 OTHER EXPENSES
THE CONCRETE SURGEONS, INC. In v oice
5705 WEST 73RD STREET
6 INDIANAPOLIS, IN 46278
1 (317) 291 -0600
SAWING s DRILLING SPECIALISTS (800) 822 -3844 FAX (317) 291 -0606
6/16/2005 23090
CARMEL UTILITIES
760 3RD AVENUE SW, STE 110
CARMEL, IN 46032
3EFF COOPER Net 30
WWTP 96TH HAZELDELL RD.
1
CORE DRILLED 1- 5 "`DIA. HOLE THRU 14" DEEP CONCRETE 225.00 225.00
WALL 9' UP OFF LADDER
I FUEL SURCHARGE 3 6.75 6.75
3
R"
E
The Concrete Surgeons assume e t
no liabililty whatso e�i6r,B r
layout of wall/
floor openings, holes Or-
lines, or for cutting any buned x
electrical, gas or water-s6 d a
lines.
you for y business
I
$231.75
TOTAL
VOUCHER 085792 WARRANT ALLOWED
00353052 IN SUM OF
CONCRETESURGEONS
5705 W. 73RD ST
INDIANAPOLIS, IN 46278
Carmel Wastewater Utilit
y
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
23090 01- 7362 -06 $231 -75
Voucher Total $23135
.)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
r,
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.
a
Payee.
00353052
CONCRETE SURGEONS Purchase Order No.
5705 W. 73RD ST Terms
INDIANAPOLIS, IN 46278 Due Date 6126/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/26/2008 23090 $231.75
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer