HomeMy WebLinkAbout216516 01/15/2013 CITY OF CARMEL, INDIANA VENDOR: 366866 Page 1 of 1
ONE CIVIC SQUARE YORK CONSTRUCTION&EXCAVATING
CARMEL, INDIANA 46032 6700 W ISANOGELCK AMOUNT: $30,000.00
MUNCIE IN 47304 CHECK NUMBER: 216516
CHECK DATE: 1/15/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
610 5023990 3 5, 100 . 00 OTHER EXPENSES
610 5023990 4 24 , 900 . 00 OTHER EXPENSES
PAYMENT APPLICATIONIFdAPPLICATI�NNO �3
FOR PERIOD ENDING j Oct 23,2012
FROM: York Construction& Excavation, Inc PROJECT: 36-inch Water Main (106th St.)
TO: City of Carmel, Indiana 6700 W. Isanogel NO: Contract 66B
One Civic Square Muncie, Indiana 47304 OWNERS PROJECT NO:
Carmel, Indiana 46032
PREPARED BY: Jason York WORK CATEGORY: Utility Services
ATTN: Mr.John Duffy PHONE: 765.760.9806 CATEGORY NO:
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I hereby certify that the work for which this application is being submitted has been performed or is scheduled to be performed.
Jason York Date
1 hereby confirm that to the best of my knowledge,this payment application accurately reflects the completion of work. r f
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The Check is to be made out to York Construction &
Excavation,Inc.and to HD Supply Waterworks,Ltd.
F7, This App: p r Other. , !0 •Z3
(Explain in Notes) Signature Date `
Forth SSt-Cuslom Created using Pay,-'.,F-1.Frey 6—m.d at—.Nymee.cwm
DISTRIBUTION: ® Engineer
APPLICAT'1' 4
PAYMENT APPLICATION + '�":� �� ',� �
FOR PERIOD ENDING,iIOct 23, 2012
FROM: York Construction& Excavation, Inc PROJECT: 36-inch Water Main (106th St.)
TO: City of Carmel, Indiana 6700 W. Isanogel NO: Contract 66B
One Civic Square Muncie, Indiana 47304 OWNERS PROJECT NO:
Carmel, Indiana 46032
PREPARED BY: Jason York WORK CATEGORY: Utility Services
ATTN: Mr.John Duffy PHONE: 765.760.9806 CATEGORY NO:
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----- ---- - ----- ---- ----- - ------- -_.. ------ - - -- -- ---- ------- -- - - - ---
I hereby certify that the work for which this application is being submitted has been performed.
Jason York Date
I hereby confirm that to the best of my knowledge,this payment application accurately reflects the completion of work.
The Check is to be made out to York Construction&
Excavation,Inc.
r ThisAPp: 0 r Other. '-
(Explain in Notes) Signature Date
Form Ssi-Custom rieelad using Pay—for End.F-6-1.dat:xww.Pay ..
DISTRIBUTION: 0- Engineer
PAYMENT APPLICATION �� "APPUCArtor�NOj3
FOR PERIOD ENDING:j Oct 23,2012
FROM: York Construction& Excavation, Inc PROJECT: 36-inch Water Main (106th St.)
TO: City of Carmel, Indiana 6700 W. Isanogel NO: Contract 66B
One Civic Square Muncie, Indiana 47304 OWNERS PROJECT NO:
Carmel, Indiana 46032
PREPARED BY: Jason York WORK CATEGORY: Utility Services
ATTN: Mr.John Duffy PHONE: 765.760.9806 CATEGORY NO:
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• • •
I hereby certify that the work for which this application is being submitted has been performed or is scheduled to be performed.
Jason York Date
•
I hereby confirm that to the best of my knowledge,this payment application accurately reflects the completion of work. F r NOTES +
The Check is to be made out to York Construction&
�- Excavation,Inc.and to HD Supply Waterworks,Ltd.
r This App: 0 r Other. !0 •Z g
(Explain in Notes) Signature Date
Form SS 1-Custom G—I d u mg Paymee`•.,F-1.Rae 6.,N.d aL w• Nym--
DISTRIBUTION: ® Engineer