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217745 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 00351732 Page 1 of 1 ONE CIVIC SQUARE MORPHEY CONSTRUCTION INC CARMEL, INDIANA 46032 1499 N SHERMAN DRIVE CHECK AMOUNT: $9,100.00 INDIANAPOLIS IN 46201-1515 CHECK NUMBER: 217745 CHECK DATE: 2/26/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350080 12-3764 9, 100 . 00 STREET LIGHT REPAIRS MORPHEY CONSTRUCTION, INC. 1499 North Sherman Dr. DATE INVOICE No. Indianapolis, IN 46201-1515 PHONE: (317)356-9250 2/18/13 12-3764 Fax: (317)356-9253 BILL TO PROJECT/CONTRACT NUMBER City of Carmel 3400 W. 131 st Street Attn: Amy 126th & Shelborne Rd Carmel, Indiana 46074 P.O. NUMBER: I I TERMS: I Net 15 QUANTITY DESCRIPTION UNIT PRICE AMOUNT Replace ornamental light pole hit by vehicle at NW corner 1 Furnish and install new 30' Carmel Standard ornamental light pole 9,100.00 9,100.00 & luminaire. Foundation was not damaged Lump Sum Complete 2-14-2013 We Appreciate the Opportunity to Work with The City of Carmel. TOTAL 1 $9,100.00 "EQUAL OPPORTUNITY EMPLOYER" VOUCHER NO. WARRANT NO. ALLOWED 20 Morphey Construction IN SUM OF $ 1499 North Sherman Dri ve Indianapolis, IN 46201 $9,100.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members r 2201 1 12-3764 43-500.801 $9,100.00 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 Th Lro ay, ruary 21, 2013 Street Comm ner mrPasioner 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)) 02/18/13 12-3764 $9,100.00 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