213934 10/23/2012 M CITY OF CARMEL, INDIANA VENDOR: 358209 Page 1 of 1
ONE CIVIC SQUARE GRIDLOCK TRAFFIC SYSTEMS INC
CARMEL, INDIANA 46032 6400 MASSACHUSETTS AVE CHECK AMOUNT: $731.50
INDIANAPOLIS IN 46226 CHECK NUMBER: 213934
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
920 4350900 23310 465 . 50 OTHER CONT SERVICES
920 4350900 23399 266 . 00 OTHER CONT SERVICES
GRIDLOCK TRAFFIC SYSTEMS, INC. MOM
6400 MASSACHUSETTS AVE.
INDIANAPOLIS, IN 46226 DATE INVOICE NO.
(317 541-2727 o FAX(317) 546-3311
(800) 262-8019 or(877) 754-3542 9/25/2012 23310
�J
BILL TO
Carmel Street Department
3400 W. 131 st St.
Carmel, IN 46074
P.O. NUMBER TERMS PROJECT
Engineering Dept. Net 30
QUANTITY DESCRIPTION RATE AMOUNT
5 EACH-T.P.M.,TYPE II,REMOVABLE,FOIL BACK 4" X 300' ROLL,YELLOW 66.50 332.50
2 EACH-T.P.M.,TYPE 11,REMOVABLE,FOIL BACK 4" X 300' ROLL,WHITE 66.50 133.00
CPU-TICKET#34195
Sales Tax Exempt Cert. on File UUU&L
$465.50
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
Gridlock Traffic Systems, Inc. Purchase Order No. NA
6400 Massachusetts Avenue Terms
Indianapolis, IN 46226 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
09/25/12 23310 Keystone Reconstruction Project $465.50
98th & Keystone Signal Decommission
Total $465.50
1 hereby certify that the attached invoice(s), or bills(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.
Gridlock Traffic Systems, Inc. ALLOWED 20
6400 Massachusetts Avenue IN THE SUM OF $
Indianapolis, IN 46226
6'� 465.50
rbX 4�,Rjq�X I:�—
471)�:-®oU o����tir� ®a•®m
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
DEPT.#
NA 23310 4350900 $465.50
1 hereby certify that the attched 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
22-Oct 20 12
Total $465.50 Signature
Cost distribution ledger classification if City Engineer
claim paid motor vehicle highway fund Title
GROLOCK TRAFNIC SYSTEMS, WC. MGM
6400 MASSACHUSETTS AVE.
INDIANAPOLIS, IN 46226 DATE INVOICE NO.
(31 7 541-2727 o FAX (317) 546-3311
(800) 262-8019 or (877) 754-3542 10/10/2012 23399
BILL TO
City of Carmel
One Civic Square
Carmel, IN 46032
P.O. NUMBER TERMS PROJECT
City Engineer Net 30
QUANTITY DESCRIPTION RATE AMOUNT
98th St.&Keystone Ave.
4 EACH-T.P.M.,TYPE 11, REMOVABLE,FOIL BACK 4" X 300'ROLL,YELLOW 66.50 266.00
CPU-Ticket#34412
18 9 BOP��'�
20�a
ctr� Fk
��Fn�Szlp",v
Sales Tax Exempt Cert.on File UUUL;l'�
$266.00
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
Gridlock Traffic Systems, Inc. Purchase Order No. NA
6400 Massachusetts Avenue Terms
Indianapolis, IN 46226 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/10/12 23399 Keystone Reconstruction Project $266.00
98th & Keystone Signal Decommission
Total $266.00
1 hereby certify that the attached invoice(s), or bills(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.
Gridlock Traffic Systems, Inc. ALLOWED 20
6400 Massachusetts Avenue IN THE SUM OF $
Indianapolis, IN 46226
266.00
F�x
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
DEPT.#
NA 23399 4350900 $266.00.
1 hereby certify that the attched 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
22-Oct 20 12
Total $266.00 Signature
Cost distribution ledger classification if City Engineer
claim paid motor vehicle highway fund Title