209939 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 366290 Page 1 of 1
ONE CIVIC SQUARE BRIDGESMITH, INC
i CHECK AMOUNT: $2,400.00
�Q CARMEL, INDIANA 46032 4149 SR 43
SPENCER IN 47460 CHECK NUMBER: 209939
CHECK DATE: 6/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 26281 1 2,400.00 KEYSTONE WALL REPAIRS
06/14/2012 02:16 812 935 -5929 BRIDGESMITH PAGE 01/01
Bridgesmithijuc. Invoice
3604 N Green Hills Est S.
Solsbetry, IN 47459 Date Invoice
6/14/2012 1
Bill To
Carmel Street Dept.
Fax:317- 733 -2005
Attn: Jim Hobbs
P.O. No. Terms Project
26281 P.O, 26281 116th Str...
Item Description Est Amt Prior Amt Prior Qty Rate Curr Total Amount
Masonry... Power wash to remove 2,400.00 2,400.00 100.00% 100.00% 2,400.00
anti graffiti coating reapply
masonry coating color#33717
reapply anti graffiti coating
Total $2,400.00
Payments /Credits $0.00
Balance Due $2,400.00
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))
06/14/12 1 $2,400.00
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
VOUCH N O. W NO.
ALLOWED 20
Bridgesmith, Inc.
IN SUM OF
4149 SR 43
Spencer, IN 47460
$2,400.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
26281 I 1 I 43- 509.001 $2,400.00 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
Fri ay, 15, 2012
Street Commissione
et
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund