219689 05/07/2013 CITY OF CARMEL, INDIANA VENDOR: 00353052 Page 1 of 1
ONE CIVIC SQUARE CONCRETE SURGEONS INC
CARMEL, INDIANA 46032 4761 INDUSTRIAL PARKWAY CHECK AMOUNT: $300.00
INDIANAPOLIS IN 46226
CHECK NUMBER: 219689
CHECK DATE: 5/7/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 30198 300 . 00 OTHER EXPENSES
THE CONCRETE SURGEONS, INC. Invoice
4761 INDUSTRIAL PARKWAY
1 ► INDIANAPOLIS, IN 46226
► 1 (317)897-0600
SAWING b DRILLING SPECIALISTS (800)822-3844 FAX(317)897-0606
4/23/2013 30198
CARMEL UTILITIES
760 3RD AVENUE SW,STE 110
CARMEL,IN 46032
P.O. NUMBER - •
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HEADWORKS B... Net 30
• DESCRIPTION
•
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WWTP 96TH&HAZELDELL RD. SEE JEFF COOPER
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CORE DRILLED 1-311 DIA.HOLE THRU 16"DEEP BLOCK& 300.00 300.00
BRICK WALL INSIDE OF BLDG.
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The Concrete Surgeons i
assume no liabililty whatso-
ever for layout of wall/ 'ham you for your business
j floor openings,holes or
lines,or for cutting any
buried electrical,gas or ! f
�_ water�sewerlines. TOTAL $300.00
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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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00353052
CONCRETE SURGEONS Purchase Order No.
4761 INDUSTRIAL PARKWAY Terms
INDIANAPOLIS, IN 46226 Due Date 5/2/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/2/2013 30198 $300.00
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
Date Officer
VOUCHER # 135436 WARRANT # ALLOWED
00353052 IN SUM OF $
CONCRETE SURGEONS
4761 INDUSTRIAL PARKWAY
INDIANAPOLIS, IN 46226
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
30198 01-7362-06 $300.00
Voucher Total $300.00
Cost distribution ledger classification if
claim paid under vehicle highway fund