174438 07/08/2009 �y f CITY OF CARMEL, INDIANA VENDOR: 00351732 Page 1 of 1
ONE CIVIC SQUARE MORPHEY CONSTRUCTION INC CHECK AMOUNT: $2,300.00
CARMEL. INDIANA 46032 1499 N SHERMAN DRIVE
INDIANAPOLIS IN 46201-1515 CHECK NUMBER: 174438
CHECK DATE: 7/8/2009
DEPARTMENT ACCOUNT PO NUMBER INV OICE NUMBER AMOUNT DESCRIPTION
1115 4350000 09 -1320 2,300.00 EQUIPMENT REPAIRS M
MORPHEY CONSTRUCTION, INC.
1499 North Sherman Dr. DATE INVOICE No.
Indianapolis, IN 46201 -1515
711109 09 -1320
PHONE: (317) 356 -9250
BILL TO PROJECT /CONTRACT NUMBER
Carmel Clay Communications
31 First Avenue Attn: Todd Luckoski
Carmel, IN 46032
P.O. NUMBER: 20384 TERMS: Net 15
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
Install 1 Power Pedestal Per Purchase Order 20384 2,300.00 2,300.00
Complete 7 -01 -2009
We Appreciate the Opportunity to Work with The City of Carmel. TOTAL $2,300.00
"EQUAL OPPORTUNITY EMPLOYER"
INDIANA RETAIL TAX EXEMPT PAGE
C f C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE CIVIC SQUARE THIS rIZ1
RIMUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY 'MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
612212009
VENDOR Morphey Construction, Inc. SHIP Carmel Clay Communications
TO 31 First Avenue NW
1499 Noah Sherman Drive Carmel, IN 46032
CONFIRMATION IaI.&T d )0NTFWcTTJ ana 462014 515 PAYMENT TERMS 3 571 -2586 FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43- 500.00
1 Each Power Pedestal $2,300.00 $2,300.
Sub Total: $2,300.00
I
�a 9
1
Send Invoice To: f
Carmel Clay Communications
31 `First Avenue NW
Carmel IN 46032 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
Communications NUMBER IS MADE A PART OF THE VOUCHER AND EVERY Iij r0ji }A101 0
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED-
OBLIGATED INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO-PA F OR THE ABOVE ORDER.
SHIP REPAID._ F
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
e'
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
0 j CLERK- TREASURER
DOCUMENT CONTROL NO. A.P. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ti
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
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
materials or services itemized thereon for
Which charge is made were ordered and
received except__
20
signature
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))
07/01/09 I 09 -1320 I 2,300.00
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, Inc.
IN SUM OF
1499 North Sherman Drive
Indianapolis, Indiana 46201 -1515
$2,300.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
20384 09 -1320 43- 500.00 $2,300.00 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
Monday, July 06, 2009
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund