169624 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00352135 Page 1 of 1
ONE CIVIC SQUARE SIGNAL CONSTRUCTION INC CHECK AMOUNT: $4,870.00
CARMEL, INDIANA 46032 5639 WEST US 40
GREENFIELD IN 46140 CHECK NUMBER: 169624
CHECK DATE: 3/4/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DES CRIPTION
2201 R4350060 18762 1855 4,870.00 TRAFFICE SIGNAL MAINT
t,
INVOICE
REMITTO; M7 SIGNAL CONSTRUCTION INCORPORATED
5639 West U.S. 40
Greenfield, IN 46140
TO:,, CITY OF CARMEL
3400 W 131 ST STREET INVOICE DATE 12/31/08
WESTFIELD, IN 46074 INVOICE 1855
TERMS Due Upon Receipt
ATTN. DAVE HUFFMAN CONTRACT
Signal Lighting
Maint.
10 Each Item #1 Emergency Response Maint 100.001 1,000.00
11/21/08 -116th Hazeldell
Replaced pushbutton on NE corner
1 lEach Pushbutton 75.00 75.00
12/13108 -116th Keystone
Replaced detector NBLT lanes
1 Each Detector 275.00 275.00
44 Each Item #2 Scheduled Maint., Qtly. Inspec., Traffic Signal 80.00 3,520.00
TOTAL $4,870.00
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/31/08 1855 $4,870.00
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 NO. WAR RANT NO.
ALLOWED 20
Signal Construction
IN SUM OF
5639 W. US 40
Greenfield, IN 46140
$4,870.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
18762 1855 43- 500.60 $4,870.00 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
r
F i ay, #uary 27, 2009
Stre t Commi s' ner
Street ur)mmi
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund