220571 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 355559 Page 1 of 1
`. ONE CIVIC SQUARE CULY CONTRACTING, INC
s CHECK AMOUNT: $2,000.00
� CARMEL, INDIANA 46032 5 INDUSTRIAL PARK DRIVE
PO Box 29 CHECK NUMBER: 220571
WINCHESTER IN 47394
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 974 2 , 000 . 00 OTHER EXPENSES
CULY CONTRACTING, INC.
5 IND USTRIAL PARK DRI VE
P.O. BOX 29
WINCHESTER, INDIANA 47394
(765) 584-8509 Date: 04/05/2013
Invoice#: 0000000974
Page: I
To: CITY OF CARMEL UTILITIES For Job: MR135023
760 THIRD AVENUE SW CARMEL-VAC TANKS AT WATER PLANT
CARMEL, IN 46032-
- - - - Quanlily Pl-ice
WORKED PERFORMED AT PLANT#5 1.0000 2,000.0000 LS 2,000.00
5484 E 126TH ST
CLEAN OUT TANK WITH VAC TRUCK
c �
Invoice Totals
EQUAL OPPORTUNITY EMPLOYER Gross 2,000.00
Retention 0.00
Tax 0.00
NET DUE 15 DAYS FROM INVOICE DATE TOTAL DUE 2,000.00
after which, we will be entitled to collect:Interest,Attorney Fees,and/or
Collection Fees involved.
i
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
355559
CULY CONTRACTING INC Purchase Order No.
5 Indiustrail Park Drive Terms
P O BOX 29 Due Date 5/23/2013
WINCHESTER, IN 47394
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/23/2013 974 $2,000.00
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
At s
Date Officer
VOUCHER # 131673 WARRANT # ALLOWED
355559 IN SUM OF $
CULY CONTRACTING INC
5 Indiustrail Park Drive
P O BOX 29
WINCHESTER, IN 47394
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
974 01-6360-03 $2,000.00
I
I
Voucher Total $2,000.00
Cost distribution ledger classification if
claim paid under vehicle highway fund