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210466 07/05/2012 CIT OF CARMEL, INDIANA VENDOR: 00351732 Page 1 of 1 ONE CIVIC SQUARE MORPHEY CONSTRUCTION INC CHECK AMOUNT: $829.59 CARMEL, INDIANA 46032 1499 N SHERMAN DRIVE .off a� INDIANAPOLIS IN 46201 -1515 CHECK NUMBER: 210466 CHECK DATE: 7/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350900 12 -3154 829.59 OTHER CONT SERVICES MORPHEY CONSTRUCTION, INC. 1499 North Sherman Dr. DATE INVOICE No. Indianapolis, IN 46201 -1515 PHONE: (317) 356 -9250 6/11/12 12 -3154 Fax: (317) 356 -9253 BILL TO PROJECT /CONTRACT NUMBER City of Carmel 3400 W. 131st Street Attn: Jim Bentley Carmel, Indiana 46074 P.O. NUMBER: TERMS: I Net 15 QUANTITY DESCRIPTION UNIT PRICE AMOUNT Replace 48" x 30" Quazite Handhole Cover, (Electric) Per Jim 829.59 829.59 Bentley TOTAL $829.59 "EQUAL OPPORTUNITY EMPLOYER" 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)) 06/11/12 12 -3154 $829.59 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. WARRA NO. ALLOWED 20 Morphey Construction IN SUM OF 1499 North Sherman Dri ve Indianapolis, IN 46201 $829.59 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member; T 2201 I 12 -3154 I 43- 509.001 $829.59 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 /Thursday� June 28, 2012 /1 l Str Se1,eet Pgpn ssioner e Title Cost distribution ledger classification if claim paid motor vehicle highway fund