215032 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 358209 Page 1 of 1
ONE CIVIC SQUARE GRIDLOCK TRAFFIC SYSTEMS INC CHECK AMOUNT: $325.60
CARMEL, INDIANA 46032 6400 MASSACHUSETTS AVE
INDIANAPOLIS IN 46226 CHECK NUMBER: 215032
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350300 26294 23676 325 . 60 PAINT
6400 MASSACHUSETTS AVE.
INDIANAPOLIS, IN 46226 DATE INVOICE NO.
(317 541-2727 o FAX (317) 546-3311
(800) 262-8019 or (877) 754-3542 11/15/2012 23676
I
BILL TO
City of Carmel Street Dept.
3400 W. 131st St.
Carme, W 46074
--
P.O. NUMBER TERMS PROJECT
Net 30 2012 Paint S Carmel
QUANTITY DESCRIPTION RATE AMOUNT
1 LUMPSUM -WORK PERFORMED, PLEASE SEE SPREADSHEET 325.60 325.60
TICKET#34524
c �O
Sales Tax Exempt Cert.on File S325.60
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gridlock Traffic Systems
IN SUM OF $
6400 Massachusetts Avenue
Indianapolis, IN 46226
$325.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26294 I 23676 I 43-503.00 $325.60 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
Al !
FridayMove be`30, 2012
T11
r
Stre6tfeet Commissioner
Title
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))
11/15/12 23676 $325.60
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