221378 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 355241 Page 1 of 1
ONE CIVIC SQUARE A-1 CONCRETE LEVELING
CARMEL, INDIANA 46032 10816 DEANDRA DRIVE CHECK AMOUNT: $1,620.00
`? ZIONSVILLE IN 46077 CHECK NUMBER: 221378
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 7017 1, 620 . 00 OTHER CONT SERVICES
A-1 Concrete Leveling Invoice
10816 Deandra Drive
Zionsville, IN 46077 Date Invoice#
5/20/2013 7017
Bill To
City of Carmel
Attn: Street Department
3400 W. 131st St.
Westfield,tn.
46074
P.O. Number Terms Due Date Rep
Net 30 6/19/2013 RB
Item Code Description Amount
Pump West 27 sections of walkway were lifted and stabilized to their near original position @ 1,620.00
$60.00 per panel.This work was done at Reserve @ Springmill and was ordered by
Erik Russell.
Total $1,620.00
Phone# Fax#
317=733-6339-- 317-733-8701
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))
05/20/13 7017 $1,620.00
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
A-1 Concrete Leveling
IN SUM OF $
. 10816 Deandra Drive
Zionsville, IN 46077
$1,620.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
2201 I 7017 I 43-509.00 j $1,620.0 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
//hur�# June 27, 2013
Street Com i ioner
Street nmmiceinnef
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund