227313 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 00353052 Page 1 of 1
ONE CIVIC SQUARE CONCRETE SURGEONS INC CHECK AMOUNT: $735.00
CARMEL, INDIANA 46032 4761 INDUSTRIAL PARKWAY
INDIANAPOLIS IN 46226 CHECK NUMBER: 227313
'rru Via`
CHECK DATE: 12/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 31407 735 . 00 OTHER EXPENSES
THE CONCRETE SURGEONS, INC. Invoice
4761 INDUSTRIAL PARKWAY
INDIANAPOLIS, IN 46226
1 (317)897-0600
1 1 (800)822-3844 FAX(317)897-0606
SAYING 8 DRILLING SPECIALISTS
12/4/2013 31407
BILL •
CARMEL UTILITIES
760 3RD AVENUE SW,STE 110
CARMEL,IN 46032
JEFF COOPER Net 30
• A DESCRIPTION
•
WWTP @96TH&HAZELDELL RD. CARMEL,IN
4 CORE DRILL 4-3"DIA.HOLES THRU 12.5"DEEP CONCRETE 65.00 260.00 j
FLOOR,VACUUM SLURRY 1
5 CORE DRILL 5-3"DIA.HOLES THRU 14"DEEP CONCRETE 95.00 475.00
WALL,3'AFF,VACUUM SLURRY
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I
I
The Concrete Surgeons
assume no liabililty whatso-
ever for layout of wall/ Thank you for yo business
floor openings,holes or
-lines,or,for cutting any
buried electrical,gas or
water-sewer lines. TOTAL $735.00
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VOUCHER # 137048 WARRANT # ALLOWED
00353052 IN SUM OF $
CONCRETE SURGEONS
4761 INDUSTRIAL PARKWAY
INDIANAPOLIS, IN 46226
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
31407 01-7362-06 $735.00
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Voucher Total $735.00
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 12/11/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/11/201, 31407 $735.00
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