225386 10/23/2013 a-«», CITY OF CARMEL, INDIANA VENDOR: 358209 Page 1 of 1
ONE CIVIC SQUARE GRIDLOCK TRAFFIC SYSTEMS INC
CARMEL, INDIANA 46032 6400 MASSACHUSETTS AVE CHECK AMOUNT: $15,077.23
INDIANAPOLIS IN 46226
CHECK NUMBER: 225386
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350300 31256 25159 15, 077 . 23 STREET STRIPING
/0
GROLOCK TRAFRIC SYSTEMS, NC.
r 6400 MASSACHUSETTS AVE.
INDIANAPOLIS, IN 46226 DATE INVOICE NO.
(317 541-2727 a FAX (317) 546-3311
(800) 262-8019 or (877) 754-3542 9/30/2013 25159
1 t�
1�
BILL TO
I `
City of Carmel Street Dept.
3400 W. 131 st St.
Carmel, IN 46074
1
I
s
P.O. NUMBER TERMS PROJECT
Net 30 2013 Paint 8 Cannel
QUANTITY DESCRIPTION RATE AMOUNT
1 LUMPSUM-WORK PERFORMED, PLEASE SEE SPREADSHEET 15,077.23 15,077.23
TICKET#'S 37263,37083,37484,37488,37489,37492,37493,37498,&37552
Sales Tax Exempt Cert. on File ', $15,077.23
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gridlock Traffic Systems
IN SUM OF $
6400 Massachusetts Avenue
Indianapolis, IN 46226
$15,077.23
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
31256 I 25159 I 43-503.00j $15,077.23 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
L - # I
ednesd� O a er 16, 2013
cxwti�y 4&y%4t4441_
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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))
09/30/13 25159 $15,077.23
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