HomeMy WebLinkAbout216376 01/15/2013 CITY OF CARMEL, INDIANA VENDOR: 364088 Page 1 of 1
ONE CIVIC SQUARE CONCRETE TAILORS LLC CHECK AMOUNT: $2,425.00
CARMEL, INDIANA 46032 PO BOX 3
NOBLESVILLE IN 46061 CHECK NUMBER: 216376
CHECK DATE: 1/15/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 R4350900 26312 10597 2, 425 . 00 DRIVEWAY REPAIRS
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Concrete Custom Fit for Your Lifestyle
P.O. Box 3
Noblesville, IN 46061
Voice: 317-773-1504
Fax: 317-221-7764
Invoice
City of Ca rme I
Jim Hobbs Invoice Number: 10597
3450 W. 131st. St. Invoice Date: 12/19/12
Westfield, IN 46074 Page: 1
Due�Date
#26312 Net 15 Days 113/13
R-
Job: 12424 Windsor Dr., Carmel
Driveway replacement as bid 2,425.00
Subtotal 2,425.00
Total Invoice Amount 2,425.00
Check/Credit Memo No: Payment/Credit Applied
TOTAL 2,425.00
Interest rate is 18%annually. Clistomer is reponsible for any collection,court costs and attorney fees for collection ofpast due invoices.
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))
12/19/12 10597 $2,425.00
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Concrete Tailors
IN SUM OF $
P.O. Box 3
Noblesville, IN 46061
$2,425.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26312 I 10597 I 43-509.001 $2,425.00 I 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
i
/ Frida,y,.January 11, 2013
l � it
Street Commissioner
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Cost distribution ledger classification if
claim paid motor vehicle highway fund