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224988 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 00351005 Page 1 of 1 ONE CIVIC SQUARE MATTINGLY CONCRETE CARMEL, INDIANA 46032 15936 JOLIET ROAD CHECK AMOUNT: $4,525.00 WESTFIELD IN 46074 CHECK NUMBER: 224988 <roe co CHECK DATE: 10/8/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 5698325 4, 525 . 00 OTHER EXPENSES Mattingly Concrete, Inc. Invoice#: 5698325 15936 Joliet Rd. Invoice Date: October 1St, 2013 Westfield, Indiana 46074 317.867.4049 I INC. INVOICE Customer Name & Address: Carmel Water Department C/O: Mark Luper Carmel, Indiana Work Completed: Concrete Repairs At: 2145 Mustang Chase- $700 9620 Green Tree Dr- $1650 10908 Yorktown Crossing- $775 Burlington and Lexington- $700 656 Bird Song Ln- $700 Total: $4,525.00 Down Payment: NA Balance Due Upon Receipt: $4,525.00 VOUCHER # 132979 WARRANT # ALLOWED 00351005 IN SUM OF $ MATTINGLY CONCRETE 15936 JOLIET RD WESTIFIELD, IN 46074 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 5698325 01-6360-06 $4,525.00 i Voucher Total $4,525.00 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 10/3/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/3/2013 5698325 $4,525.00 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 Date Officer