HomeMy WebLinkAbout231666 4 /23/2014 C�qM
CITY OF CARMEL, INDIANA VENDOR: 358385
d it ONE CIVIC SQUARE GENERAL SHALE & BRICK CHECK AMOUNT: S""'1,075.50'
?a CARMEL, INDIANA 46032 PO BOX 5825 CHECK NUMBER: 231666
'�irori-EO\ CAROL STREAM IL 60197-5825 CHECK DATE: 04/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239011 182011437 1,075.50 SPECIAL DEPT SUPPLIES
General Shale
Brick
Building The American Dream
:>::::>::»:::>
:::.::::::::::
Invoice: 182011437 Invoice Date: 04/04/2014
Bill To: 279670 Customer PO: inlet repairs
CITY OF CARMEL
3400 W 131ST STREET Bill of Lading: 172232060
WESTFIELD IN 46074-8267 Goods Issue Date: 04/04/2014
Order: 317096321
Sales Rep: 399
Ship-To:
CITY OF CARMEL Order Loc.: Carmel
3400 W 131ST STREET CARMEL IN
WESTFIELD IN 46074-8267 Phone: 317-846-2566
Mode of Shipment: Customer _Pickup _/ -057. .
Material Material Description Quantity Price Value USD
Batch Number and Description
6099001046 ESSROC BRIXMENT GRAY TYPE N 50 BAG 8.55 427.50
6099010275 4 X 8 X 16 SOLID BLOCK 144 EA 1.80 259.20
6099000573 CONCRETE BRICK 720 EA 0.54 388.80
Subtotal 1, 075.50
TAX
TOTAL 1,075.50
LATE PAYMENT CHARGE of 1.5% PER MONTH.
PLEASE RETURN THIS PORTION WITH YOUR PAYMENT
Accnt#: Customer Name Invoice-Date Invoice Amount Due
279670 CITY OF CARMEL 04/04/2014 182011437 1,075.50
Remit To: GENERAL SHALE BRICK, INC
PO Box 5825
CAROL STREAM IL 60197-5825
Terms: Take discount of $21.51 If paid on or before 05/04/2014 NET 45 DAYS.
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))
04/04/14 182011437 $1,075.50
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
General Shale and Brick
IN SUM OF $
P. O. Box 5825
Carol Stream, IL 60197-5825
$1,075.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 182011437 I 42-390.111 $1,075.50 I 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
/ edn y, April 16, 2014
Streep", � Aefoner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund