170800 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 362589 Page 1 of 1
ONE CIVIC SQUARE CONCRETE INDUSTRIES INC
,o CARMEL, INDIANA 46032 10340 PLEASANT STREET STE 400 CHECK AMOUNT: $649.95
NOBLESVILLE IN 46060 CHECK NUMBER: 170800
CHECK DATE: 4/16/2009
DEPARTMENT ACCO P O NUMBER IN VOICE NUMBER AMOUNT D
1205 4462000 13494 649.95 OTHER STRUCTURE IMPRO
eC— us"... i-
D i e
C CONCRETE Concrete Industries, Inc. INVOICE
10340 Pleasant Street, Suite 400 itl V
INDUSTRIES Noblesville, IN 46060
Phone 317 776 -1828 CUSTOMER NO. DATE INVOICE NO. PAGE
t 2',
INC. Fax 317-773-6227 05584 03/16/2009 13494 1
CARMEL UTILITIES
760 THIRD AVE SW, SUITE 110
CARMEL, IN 46032
JOB NUMBER JOB LOCATION ADDRESS UNIT
DATE QUANTITY UNIT DESCRIPTION PRICE TAX TOTAL
521 GRADLE VETERANS WAY
03/16/09 7.00 CY 6 BAG AE 4000 PSI 89.850 0.00 628.95
7.00 CY WINTER HEAT CHARGE NOV —M 3.000 0.00 21.00
TICKET DATE TOTALS: 0.00 649.95
TICKETS: 001- 145679 001- 145686
JOB TOTALS 649.95 0.00 649.95
AMOUNT DUE 649. 95
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
Y 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
C onrt"ete Industries Inc. Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/1 13494 CY 6 Bay AE 40OU
Total $649.95
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
VOUCHER N C04g 3A)fAR RANT NO.
ALLOWED 20
rere Inc.
IN SUM OF
Pleasant Street, Suite 400
Noble,gyM 141 46nE5n
$649.95
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1205 Administration
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify hat the attached invoice(s), or
DEPT. y y
bill(s) is (are) true and correct and that the
494 620 $649.95 materials or services itemized thereon for
which charge is made were ordered and
received except
20
sig a re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund