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178296 10/14/2009 a f CITY OF CARMEL, INDIANA VENDOR: 00351732 Page 1 of 1 1= ONE CIVIC SQUARE MORPHEY CONSTRUCTION INC CHECK AMOUNT: $18,550.00 CARMEL, INDIANA 46032 1499 N SHERMAN DRIVE INDIANAPOLIS IN 4 62 01 -1 51 5 CHECK NUMBER: 178296 CHECK DATE: 10114/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350080 09 -1463 18,550.00 STREET LIGHT REPAIRS r MORPHEY CONSTRUCTION, INC. 1499 North Sherman Dr. DATE INVOICE No. Indianapolis, IN 46201 -1515 10/1/09 09 -1463 PHONE: (317) 356 -9250 BILL TO PROJECT /CONTRACT NUMBER City of Carmel Street Dept 3400 W. 131st Street Attn: Jim Bentley Westfield, Indiana 46074 P.O. NUMBER: 21386 TERMS: Net 15 QUANTITY DESCRIPTION UNIT PRICE AMOUNT 2 Furnish and install roundabout poles, one each at NB Keystone at 9,275.00 18,550.00 106th St, 116th at Clay Center Complete 9 -29 -2009 We Appreciate the Opportunity to Work with The City of Carmel. TOTAL $18,550.00 "EQUAL OPPORTUNITY EMPLOYER" l 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)) 10/01/09 09 -1463 $18,550,00 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. WARRANT NO. ALLOWED 20 Morphey Construction IN SUM OF 1499 North Sherman Dri ve 'Indianapolis, IN 46201 $18,550.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member 21386 09 -1463 43- 500.80 $18,550.00 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 a Fdd y, er 09, 200 Street Commisstotr r Crrp a r Title Cost distribution ledger classification if claim paid motor vehicle highway fund