214658 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 358209 Page 1 of 1
ONE CIVIC SQUARE GRIDLOCK TRAFFIC SYSTEMS INC CHECK AMOUNT: $23,708.64
?a CARMEL, INDIANA 46032 6400 MASSACHUSETTS AVE
INDIANAPOLIS IN 46226 CHECK NUMBER: 214658
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350300 26294 23547 10, 907 .20 PAINT
2201 4350300 23590 12, 801 .44 STREET STRIPING
I
GROLOCK TRAFMC 'SYSTEMS, WC.
6400 MASSACHUSETTS AVE. j
INDIANAPOLIS, IN 46226 DATE INVOICE NO.
(31 7 541-2727 o FAX (317) 546-3311
(800) 262-8019 or(877) 754-3542 10i31i2012 23547
BILL TO
City of Carmel Street Dept.
3400 W. 131st St.
Carme,IN 46074
1
P.O. NUMBER TERMS PROJECT
Net 30 2012 Paint 8 Carmel
QUANTITY DESCRIPTION RATE AMOUNT
1 LUMPSUM-WORK PERFORMED,PLEASE SEE SPREADSHEET 10,907.20 10,907 20
TICKET WS 34288,34311,34314,34317,34327,&34475
Sales Tax Exempt Cert. on File 79U', 510,907.20
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gridlock Traffic Systems
IN SUM OF $
6400 Massachusetts Avenue
Indianapolis, IN 46226
$10,907.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
26294 I 23547 I 43-503.00] $10,907.20 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 November 15, 2012
� f /
V v v Street Commissioner
I v
Street Co. mi Tiilerer
Cost distribution ledger classification if
Claim paid motor 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 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))
10/31/12 23547 $10,907.20
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
120
Clerk-Treasurer
6400 MASSACHUSETTS AVE.
INDIANAPOLIS, IN 46226 DATE INVOICE NO.
(317 541-2727 o FAX (317) 546-3311
(800) 262 78019 or(877) 754-3542 11/7/2012 23590
BILL TO h l
City of Carmel Street Dept.
3400 W. 131 st St.
Carme, IN 46074
1
P.O. NUMBER TERMS PROJECT
Net 30 2012 Paint 8 Carmel
QUANTITY DESCRIPTION RATE AMOUNT
1 LUMPSUM -PAY APPLICATION#3 -WORK PERFORMED, PLEASE SEE 12,801.44 12,801.44
SPREADSHEET
TICKET#'S 34511 &34522
Sales Tax Exempt Cert. on File UUUL,LS
S12,801.44
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gridlock Traffic Systems
IN SUM OF $
6400 Massachusetts Avenue
Indianapolis, IN 46226
$12,801.44
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
2 4 I 23590 I 43-503.00 $12,801.44 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
Monday, November 19, 2012
Street Comm1spi ner
Street Go7mYitcje qioner
Cost distribution ledger classification if
claim paid motor 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 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))
11/07/12 23590 $12,801.44
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