210947 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 00351005 Page 1 of 1
ONE CIVIC SQUARE MATTINGLY CONCRETE
=a CARMEL, INDIANA 46032 15936 JOLIET ROAD CHECK AMOUNT: $1,800.00
«o� WESTFIELD IN 46074 CHECK NUMBER: 210947
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 456325689 1, 800 . 00 OTHER EXPENSES
Mattingly Concrete, Inc. Invoice #: 456325689
15936 Joliet Rd. Invoice Date: 6/27/2012
Westfield, Indiana 46074
317.867.4049 ® I ® ® D
INC.
INVOICE
Customer Name &Address:
Carmel Water Department
C/O Greg Hollander
177 West Carmel Drive
Work Completed:
Sidewalk repair.
Total: $1,800.00
Down Payment: N/A
Balance Due Upon Receipt: $1,800.00
THANK YOU!
VOUCHER # 121449 WARRANT # ALLOWED
00351005 IN SUM OF $
MATTINGLY CONCRETE
15936 JOLIET RD
WESTIFIELD, IN 46074
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
456325689 01-6360-06 $1,800.00
Voucher Total $1,800.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00351005
MATTINGLY CONCRETE Purchase Order No.
15936 JOLIET RD Terms
WESTIFIELD, IN 46074 Due Date 7/11/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/11/2012 456325689 $1,800.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with ICS 5-11-10-1.6
711.54-
Date Officer