HomeMy WebLinkAbout226631 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 00353052 Page 1 of 1
ONE CIVIC SQUARE CONCRETE SURGEONS INC
0 , CHECK AMOUNT: $425.00
CARMEL INDIANA 46032
4761 INDUSTRIAL PARKWAY
INDIANAPOLIS IN 46226 CHECK NUMBER: 226631
CHECK DATE: 12/3/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 31243 425 . 00 OTHER EXPENSES
THE CONCRETE SURGEONS, INC.
Invoice
4761 INDUSTRIAL PARKWAY
INDIANAPOLIS, IN 46226 s
1 (317)897-0600
1 1 (800)822-3844 FAX(317)897-0606
SING a DRILLING SPEDIALISTS 10/31/2013 31243
BILL •
CARMEL UTILITIES
760 3RD AVENUE SW,STE 110
CARMEL,IN 46032
t i
[ I
S13765 Net 30
• s •
LIFT STATION 4895 WOODFIELD DR.CARMEL,IN
CORE DRILLED 4"DIA.HOLE THRU 7"DEEP CONCRETE 425.00 425.00
WALL
HYDRAULIC HAND/RING SAWED THRU 10"DEEP CONCRETE
SLAB
3-20"CUTS
2-28"CUTS 1
3'-6"CUT
4'CUT
I
{ The Concrete Surgeons
assumeno liabililty whatso-
ever for layout of wall/ Thank you for your business
floor openings,holes or
lines,or,for cutting any
buried electrical,gas or
water-sewer lines TOTAL $425.00
3
i i
VOUCHER # 136899 WARRANT # ALLOWED
00353052
IN SUM OF $
CONCRETE SURGEONS I
4761 INDUSTRIAL PARKWAY
INDIANAPOLIS, IN 46226
Carmel Wastewater Utility
t
ON ACCOUNT OF APPROPRIATION FOR
I
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
31243 01-7362-06 $425.00
S
1 yl
t
Voucher Total $425.00
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
00353052
CONCRETE SURGEONS Purchase Order No.
4761 INDUSTRIAL PARKWAY Terms
INDIANAPOLIS, IN 46226 Due Date 11/26/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/26/201,' 31243 $425.00
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