225328 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 00353052 Page 1 of 1
§ ONE CIVIC SQUARE CONCRETE SURGEONS INC
CARMEL, INDIANA 46032 4761 INDUSTRIAL PARKWAY CHECK AMOUNT: $325.00
��. INDIANAPOLIS IN 46226
CHECK NUMBER: 225328
CHECK DATE: 10/2312013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 31090 325 . 00 BUILDING REPAIRS & MA
THE CONCRETE SURGEONS, INC. Invoice
i 4761 INDUSTRIAL PARKWAY
INDIANAPOLIS, IN 46226 o
0 (317)897-0600
I g (800)822-3844 FAX(317)897-0606
SAWING 8 DRILLING SPECIALISTS 10/1/2013 31090
•
CARMEL UTILITIES
760 3RD AVENUE SW,STE 110
CARMEL,IN 46032
P.O. -o
JOE FAUCETT Net 30
o
DESCRIPTION 9 •
IBC BLDG.@ 200 S.RANGELINE RD. CARMEL,IN
CORE DRILLED 34"DIA.HOLES THRU 8"DEEP CONCRETE 325.00 325.00
WALLS,8'AFF,3 LOCATIONS,VACUUM SLURRY,HANG
PLASTIC
1
i
The Concrete Surgeons
assume no liabililty whatso-
ever for,layout of wall/ Thank you for your busines
floor openings,holes or
lines,or for cutting any I
buried electrical,-gas or
water-sewer lines.
TOTAL $325.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
The Concrete Surgeons, Inc.
IN SUM OF $
4761 Industrial Parkway
Indianapolis, IN 46226
$325.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 31090 I 43-501.001 $325.00 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
17 /11
M ay, r 13
�ree�t � r
Title
Cost distribution ledger classification if
claim paid motor 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 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))
10/01/13 31090 $325.00
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