220564 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 00353052 Page 1 of 1
ONE CIVIC SQUARE CONCRETE SURGEONS INC CHECK AMOUNT: $525.00
CARMEL, INDIANA 46032 4761 INDUSTRIAL PARKWAY
INDIANAPOLIS IN 46226 CHECK NUMBER: 220564
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 30270 525 . 00 OTHER EXPENSES
�I
THE CONCRETE SURGEONS, INC. Invoice
4761 INDUSTRIAL PARKWAY
1 INDIANAPOLIS,IN 46226 !p
1 1 (317)897-0600 ' ® ' •
SAWING 6 GNILLING SPECIALISTS (800)822-3844 FAX(317)897-0606
5/10/2013 30270
•
C ARMEL UTILITIES
760 3RD AVENUE SW, STE 110
CARMEL,IN 46032
I
JEFF COOPER Net 30
• ® • �I; •
STREET COLLAPSE @ 126TH&GRAY RD.
C �
I
I 1 HY-CYCLE WALLSAW SLY.x 15" DEEP IN EXCAVATION, 525.00 525.00
WAITED 1 HR FOR DIG OUT,WAITED 1.25 HRS TO SEE IF ANY
MORE CUTS WERE NEEDED
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01 '7 3t" o
I - 11;11' `»�;w�,s:'�;° yr�>M` 'a;,�� •�:n:'w',,`,'.,a,'.`, t I
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The Concrete Surgeons
assume no habililty whatso-
ever for layout of wall/ Thank you for your bu ' ess
floor openings,holes or
lines,or for cutting any
buried electrical,gas or
water-sewer lines. TOTAL $525.00 3'
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 5/23/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/23/2013 30270 $525.00
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 # 135610 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
30270 01-7362-06 $525.00
Voucher Total $525.00
Cost distribution ledger classification if
claim paid under vehicle highway fund