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222565 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 00351568 Page 1 of 1 ONE CIVIC SQUARE RT MOORE CO., INC 0 CARMEL, INDIANA 46032 6340 LAPAS TRAIL CHECK AMOUNT: $156.97 INDIANAPOLIS IN 46268 CHECK NUMBER: 222565 CHECK DATE: 7/30/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 SRVCE00633 156 . 97 OTHER EXPENSES INVOICE MECHANICAL CONTRACTORS Bill To: Remit To: CITY OF CARMEL WATER CO. R. T. Moore Co., Inc. 3450 W. 131 ST STREET 6340 Lapas Trail CARMEL, IN 46074 Indianapolis, Indiana 46268-2511 Service Call ID: 0000269685 Location: Invoice Number: SRVCE0063334 Date: 7/19/2013 CITY OF CARMEL. WATER CO. Customer ID: CIT00005 3.456-W. 131ST STREET Technician: SOBLOTNE,D CARMEL, IN ..46074•M - PO Number: Terms: COD WORK PERFORMED: 7/9: LOCATED AND REPAIRED BROKEN 3"X 1 1/2"WYE ON MAIN DRAIN LINE IN CRAWL SPACE. USED (1) 3"X 1 1/2 WY (1) 3" NO HUB, (1) 1 1/2"45° *TOTAL AMOUNT DUE THIS INVOICE: $156.97 PRICE INCLUDES ALL PARTS, LABOR AND APPLICABLE TAXES. UJ **TOTAL AMOUNT DUE UPON RECEIPT OF INVOICE** SUBTOTAL: $156.97 PAYMENT: $0.00 Terms&Conditions: Customer will be charged a finance charge of INVOICE TOTAL: $156.97 1.5%per month of any past due balances. In the event of default by non-payment, Customer will be liable for any and all collection costs including, but not limited to, attorney fees, court costs, collection We also Accept Visa, MasterCard, and Discover. agency fees, etc. If you prefer to phone in your payment please call 317-291-1052 ext. 1209. R. T. Moore Co., Inc. _ Phone: (317) 291-1052 6340 Lapas Trail Fax: (317) 387-2172 Indianapolis, Indiana 46268-2511 vwwv.rtmoore.com VOUCHER # 132265 WARRANT It ALLOWED 351568 IN SUM OF $ RT MOORE 6340 LAPAS TRAIL INDIANAPOLIS, IN 46268-2511 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR 1 Board members PO# INV# ACCT# AMOUNT Audit Trail Code SRVCE00633 01-6360-06 $156.97 Voucher Total $156.97 Cost distribution ledger classification if claim paid under vehicle highway fund 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 351568 RT MOORE Purchase Order No. 6340 LAPAS TRAIL Terms INDIANAPOLIS, IN 46268-2511 Due Date 7/23/2013 Invoice Invoice Description Date _ Number _(or note attached-invoice(s) or biII(s)) - Amount- - 7/23/2013 SRVCE0063: $156.97 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 5-11-10-1.6 712 L 13 Date Officer