222362 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 355559 Page 1 of 1
s ONE CIVIC SQUARE CULY CONTRACTING, INC
CARMEL, INDIANA 46032 5 INDUSTRIAL PARK DRIVE CHECK AMOUNT: $1,817.00
PO Box 2s
CHECK NUMBER: 222362
WINCHESTER IN 47394
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
610 5023990 1156 1, 817 . 00 OTHER EXPENSES
6� �; "`_ _e` vvS��'�-- x�.. - � ik" 6 '_ ti. Y;^• "*t�r�°�u R? :.� a fM .`
CULY CONTRACTING, INC.
5INDUSTRIAL PARK DRIVE
P.O. BOX 29
WINCHESTER,INDIANA 47394
(765) 584-8509 Date: 06/13/2013
Invoice#: 0000001156
Page: I
To: CITY OF CARMEL UTILITIES For Job: MS 12509C
760 THIRD AVENUE SW CARMEL-PENN/106TH STREET-WATER
CARMEL,IN 46032-
Quantity Price Amount
ITEM#7 1.0000 1,817.0000 LS 1,817.00
RESTORATION
Invoice Totals
EQUAL OPPORTUNITY EMPLOYER Gross 1,817.00
Retention 0.00
Tax 0.00
NET DUE 15 DAYS FROM INVOICE DATE
after which,we will be entitled to collect:Interest,Attorney Fees,and/or TOTAL DUE 1,817.00
Collection Fees involved
WE
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 7/23/2013
WINCHESTER, IN 47394
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/23/2013 1156 $1,817.00
i
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 Off(car
VOUCHER # 132107 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
i
1156 06-1050-66 $1,817.00
Availability
Voucher Total $1,817.00
Cost distribution ledger classification if
claim paid under vehicle highway fund