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221243 06/18/2013 F CITY OF CARMEL, INDIANA VENDOR: 00352135 Page 1 of 1 ONE CIVIC SQUARE SIGNAL CONSTRUCTION INC CHECK AMOUNT: $5,920.00 CARMEL, INDIANA 46032 5639 WEST US 40 GREENFIELD IN 46140 CHECK NUMBER: 221243 CHECK DATE: 6/18/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350900 2293 5, 920 . 00 OTHER CONT SERVICES INVOICE REMIT TO: ®7 SIGNAL CONSTRUCTION INCORPORATED 5639 West U.S. 40 Greenfield, IN 46140 TO: CITY OF CARMEL 3400 W. 131 ST STREET INVOICE DATE 6/10/2013 CARMEL, IN 46074 INVOICE# 2293 TERMS: ,,, Due upon Receipt ATTN: DAVE HUFFMAN CONTRACT Signal Maintenance Locates QTY UNIT DESCRIPTION UNIT PRICE TOTAL 74 our Item 2 -Skillea laborer 80. 0 5,92 00 3/6/13- 10:00am-12:30pm; 4 Locates 3/7/13- 10:02am-1:00pm; 6 Locates 3/11/13- 10:30am-2:30pm; 3 Locates 3/13/13 - 10:32am-3:30pm; 6 Locates 3/20/13 - 10:06am-3:OOpm; 7 Locates 3/22/13 - 10:00am-2:00pm; 9 Locates 3/29/13-9:02am-1:30pm; 10 Locates 4/2/13- 10:02am-3:00pm; 4 Locates 4/8/13- 12:30pm-3:30pm; 2 Locates 4/11/13_- 10:00am-2:00pm; 6 Locates 4/16/13- 11:30am-2:00pm; 4 Locates 4/22/13 -9:30am-3:00pm; 8 Locates 4/26/13 -9:00am-12:30pm; 5 Locates 4/28/13 -9:30am-11:00am; 1 Locate 5/1/13 - 10:08am-2:00pm; 5 Locates 5/7/13- 10:OOM-1:30pm; 4 Locates 5/10/13-8:00am-11:00am;4 Locates 5/14113- 11:OOam-1:30pm; 3 Locates 5/20/13-9:00am-3:00pm; 6 Locates TOTAL $5,920.00 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)) 06/10/13 2293 $5,920.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Signal Construction IN SUM OF $ 5639 W. US 40 Greenfield, IN 46140 $5,920.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 2201 I 2293 I 43-509.001 $5,920.00 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 t/rday/jje 14, 2013 r��t�Gpommi ss�rn n er Title Cost distribution ledger classification if claim paid motor vehicle highway fund