HomeMy WebLinkAbout211182 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 359545 Page 1 of 1
ONE CIVIC SQUARE A-1 CONCRETE LEVELING CHECK AMOUNT: $500.00
` CARMEL, INDIANA 46032 10816 DEANDRA DR
ZIONSVILLE IN 46077
CHECK NUMBER: 211182
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 500 . 00 OTHER CONT SERVICES
123 - 13 U
A4 10816 Deandra Drive • Zionsville, Indiana 46077 d
CNCRETE (317) 733-6339 • Fax (317) 733-8701
LEVELING
Toll Free 1-800-660-6503 ,
Ive Pump 11,6%
Qi Za gut eaacw& de eZ T M
Phone: (H)7) �l �� � � (VV) Date
Sold To: Work Location:
C � \-
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Salesperson: Water Available: `` County:
Source PAI-U. Utilities Marked ❑ Piers Ordered ❑ Electricity AvailablREN Township:
Signature: X Truck Access: \1 P.O. No.:
Special Instructions: 5, Z, ,(_�(
Description of Work Amount
Truck No.: Crew: Date:
Start: Finish:
-- _-,- -g - # Hours: Lime Used:
Paid:
IN
Subtotal
$25.00 Fee For Adjustments \
NSF Checks
TOTAL
b�
_` _ PAYMENT DUE UPON COMPLETION.
NOT RESPONSIBLE FOR STRESS CRACKS.
OWNER TO PATCH AND SEAL ALL CRACKS TO PREVENT EROSION.
TWO YEAR GUARANTEE ON LEVELING WORK FROM DATE OF COMPLETION.
' WE APPRECIATE YOUR BUSINESS.
Drain Location? JOB SKETCH Buried Electric? THANK YOU !
Late Payments Subject to 1.5% Late Charge Per Month
a
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))
07/11/12 $500.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
A-1 Concrete Leveling IN SUM OF $
10816 Deandra Drive
Zionsville, IN 46077
$500.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I I 43-509.001 $500.00 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
Thursday;July 2012
t. ,, P 2�, .
r'
Street Commissioner
5tree� i��ie
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund