216879 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 356934 Page 1 of 1
ONE CIVIC SQUARE SIGNATURE CONSTRUCTION LLC
CARMEL, INDIANA 46032 720 3RD AVE SW CHECK AMOUNT: $18,750.00
CARMEL IN 46032 CHECK NUMBER: 216879
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 R4350900 26308 0001 18, 750 . 00 SNOW REMOVAL
Igo nature
onstruction, uc
T0: Carmel Street Department
RE: Parcel 5 Plaza - Snow & Ice Removal
ATTN: Dave Huffman
INVOICE
Date: January 23'd, 2013 Invoice: 0001
Snow and ice removal costs for the following:
12-21-12 $3,125
12-25-12 $3,125
12-26-12 $3,125
12/27-12 $3,125
12-28-12 $3,125
12-29-12 $3,125
TOTAL INVOICE $ 18,750
Please make check payable to: Signature Construction, LLC
If you have questions, please contact Jason Springer at 317-945-7915.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Signature Construction, LLC
IN SUM OF$
720 3rd Avenue S. W.
Carmel, IN 46032
$18,750.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
26308 1 0001 1 43-509.001 $18,750.00 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
Friday, January 25, 2013
r
Street 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))
01/23/13 0001 $18,750.00
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