206256 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 358209 Page 1 of 1
ONE CIVIC SQUARE GRIDLOCK TRAFFIC SYSTEMS INC CHECK AMOUNT: $3,566.55
CARMEL, INDIANA 46032 6400 MASSACHUSETTS AVE
INDIANAPOLIS IN 46226 CHECK NUMBER: 206256
CHECK DATE: 2/1412012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350300 22069 3,566.55 STREET STRIPING
i GR OLOCK QTR" AFFIC SYSTEMS, INC WOKE
6400 MASSACHUSETTS AVE.
INDIANAPOLIS, IN 46226
(317 541 -2727 FAX (317) 546 -3311 PATE INVOICE Na.
j (800) 262 -8019 or (877) 754 -3542 litsizotz 22069
BILL TO
City of Carmel Street Dept.
3400 W. 131st St
Carmel, tN 46074 j
I
P NUMBER TERMS PROJECT
Net 30 2011 Paint 8 Carmel
1
QUANTITY DESCRIPTION RATE AMOUNT
I LUMPSUM WORK PERFORMED, PLEASE SET SPREADSHI-ET 3,566.55 3,566.55
TICKET 4'S 31598, 31597, 31716, 31726
Sales Tax Exempt Cert. on File 0
53,566.55
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gridlock Traffic Systems
IN SUM OF
6400 Massachusetts Avenue
Indianapolis, IN 46226
$3,566.55
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #rrITI -E AMOUNT Board Members
2201 22069 43 503.00 $3,566.55 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
Wednesd "ay, February 08'j 2012
Street Commissioner
r
v41ccL Ur�-Imissjcner
Title
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))
01/15/12 22069 $3,566.55
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