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173036 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 00352135 Page 1 of 1 1 ONE CIVIC SQUARE SIGNAL CONSTRUCTION INC CHECK AMOUNT: $38,960.00 CARMEL, INDIANA 46032 5639 WEST US 40 GREENFIELD IN 46140 CHECK NUMBER: 173036 CHECK DATE: 5/27/2009 DEPARTMEN ACCO PO NUMBER INVOI N UMBER A MOUNT DESCRIPTION 2200 R4462100 15051 38,960.00 TRAFFIC SIGNAL IMPROV INVOICE REMIT ro (a 7 SIGNAL CONSTRUCTION INCORPORATED r @7 5639 West U.S. 40 Greenfield, IN 46140 TO CITY OF CARMEL CITY ENGINEERING DEPT. INU0I6 E DATE 4120/09 1 CIVIC SQUARE INVOICE 1880 CARMEL, IN 46032 TERMS Due Upon Receipt ATTN MICHAEL MCBRIDE CONTRACT :Carmel Upgrades Cont. #06- 07 -06 -04 UNIT DESCRIPTION TOTAL Each Item #3 Furnish Install Signal Service; Meter Base Only 550.00 Each Item #4 Modify "M" Foundation to "P1" Foundation 550.00 Each Item #5- Remove Existing Cab Cont; Install P1 Cab Cont 500.00 9 Each Item #6- Install Opticom Interface Relay Panel 250.00 2,250.00 9 Each Item #7- Install "D" Module 25.00 225.00 9 Each Item #8 "D" Harness 75.00 675.00 32 Each Item #9- Install M760 Card Rack 100.00 3,200.00 25 Each Item #10- Install M711 Detector 100.00 2,500.00 58 Each Item #11- Install M721 Detector 100.00 5,800.00 4 Each Item #12- Install M722 Detector 100.00 400.00 29 Each Item #13- Install M752 Phase Selector 50.00 1,450.00 9 Each Item #14- Install M754 Phase Selector 50.00 450.00 Each Item #15- Install M5575 Confirmation Light Kit 100.00 1 Each Item #16- Install'Load Switches 10.00 10.00 88 Each Item #17- Install M138 Detector Cable 250.00 22,000.00 Each Furnish Install 2- Channel Loop Amp 300.00 Each Furnish Install Prom Card Battery 208.00 TOTAL $38,960.00 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 Signal Construction, Inc. Purchase Order No. 5639 West U.S. 40 Terms 'Greenfield, IN 46140 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 04/20/09 1880 Signal Upgrades $38,960.0 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 IN SUM OF 5639 West U.S. 40 Greenfield, IN 46140 $38,960.00 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members Po# 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 15051 1880 2200 R4462100 $38,960.00 materials or services itemized thereon for which charge is made were ordered and received except 5� ZZ 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund