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223077 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 00351005 Page 1 of 1 ONE CIVIC SQUARE MATTINGLY CONCRETE CARMEL, INDIANA 46032 15936 JOLIET ROAD CHECK AMOUNT: $10,400.00 WESTFIELD IN 46074 CHECK NUMBER: 223077 CHECK DATE: 8/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 29694 10, 400 . 00 CONT SERVICES OTHER Mattingly Concrete, Inc. Invoice#: 29694 15936 Joliet Rd. Invoice Date:July 30, 2013 Westfield, Indiana 46074 317.867.4049 1 ® D �V � ® CCU � INC. INVOICE Customer Name & Address: Carmel Water Dept. C/O: Mike Luper Carmel, IN Work Completed: 1. Eden Hollow and Carmel Drive: a. 15' of curb -$1500.00 2. 3645 Braewick Ct.: a. 20'x4' sidewalk-$1500.00 3. 522 E. 106th Street: a. 15' of curb-$1500.00 4. 1335 Thistlewood Ct.: a. 10'x10' driveway section b. 20'x4' sidewalk section c. 20'x3' apron section -$2200.00 S. 301&306 Mill Ridge: a. 5 sections of sidewalk total -$1700.00 6. 2007 Rhettsbury: a. 5'x10' reinforced concrete -$2000.00 Total: $10,400.00 Down Payment: N/A Balance Due Upon Receipt: $10,400.00 THANK YOUI _ _ VOUCHER # 132337 WARRANT # ALLOWED 00351005 IN SUM OF $ MATTINGLY CONCRETE t 15936 JOLIET RD WESTIFIELD, IN 46074 I Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 29694 01-6360-06 $10,400.00 Voucher Total $10,400.00 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 00351005 MATTINGLY CONCRETE Purchase Order No. 15936 JOLIET RD Terms WESTIFIELD, IN 46074 Due Date 8/6/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/6/2013 29694 $10,400.00 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 ''//y/3 C--'---�01 /A Date Officer