231867 04/23/14 r CITY OF CARMEL, INDIANA VENDOR: 367666
ONE CIVIC SQUARE SAGAMORE READY MIX LLC CHECK AMOUNT: $*'"'*"860.79'
CARMEL, INDIANA 46032 9170 EAST 131ST ST CHECK NUMBER: 231867
FISHERS IN 46038 CHECK DATE: 04/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 439937 592.75 OTHER EXPENSES
2201 4236200 442036 268.04 CEMENT
I I
SAGAMORE READY MIX, LLC
9170 East 131st Street - Fishers, IN 46038
Phone: (317) 570-6201 - (888) 986-9293
PAGE 1
CUSTOMER # 1351
Invoice Date 04-01-2014
Invoice Number 442036
CARMEL STREET DEPARTMENT Order Code 148
3400 W 131ST STREET Project Code
CARMEL IN 46074 Purchase Order
Job Number
DELIVERY LOCATION PAYMENT TERMS
1415 IRONWOOD DR W DISC 10th TOTAL 20th AFTER DELIVERY MO
Ticket # _Usage Product Product Quantity Price Extended
Code Description - -- — Amount�-
------------------------------------------------------------------------------------------------
806722 WALK 36036 6 BAG PEA GRAVEL AIR 1.00 cy 118 .50 118.50
806722 400 MINIMUM LOAD CHARGE 1.00 ea 125.00 125.00
806722 5015 SYNTHETIC FIBER (BLUE) 1.00 ea 7.00 7.00
CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS
YOU MAY DEDUCT $3.75 FROM THIS INVOICE IF PAID BY May-10-2014.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
1.00 $250.50 $17.54 $268.04
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))
04/01/14 442036 $268.04
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sagamore Ready Mix, LLC
IN SUM OF $
9170 E. 131st Street
Fishers, IN 46038
$268.04
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT
Board Members
2201 I 442036 I 42-362.001 $268.04 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
Th/ day, April 17, 2014
Street Ca issioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
SAGAMORE READY MIX, LLC
9170 East 131st Street - Fishers, IN 46038
Phone: (317) 570-6201 - (888) 986-9293
PAGE 1
CUSTOMER # 1350
Invoice Date 03-08-2014
Invoice Number 439937
CARMEL WATER DISTRIBUTION Order Code 22
3450 W 131ST ST Project Code
WESTFIELD IN 46074 Purchase Order
Job Number
DELIVERY LOCATION PAYMENT TERMS
116 STREET EAST OF KEYSTONE DISC 10th TOTAL 20th AFTER DELIVERY MO
,Ticket_ # _ _Usage Product Product _ Quantity _ Price Extended
Code Description Amount
------------------------------------------------------------------------------------------------
802312 40116800 6 BAG ST AE 26 CAL 2% HE 3 .50 cy 129.50 453 .25
802312 400 MINIMUM LOAD CHARGE 1.00 ea 75.00 75.00
802312 7001 WINTER CHARGE 3.50 /y 3.00 10.50
802312 4416 ENVIRO PER YARD 3.50 ea 2.00 7.00
802312 FUEL FUEL SURCHARGE 1.00 ea 7.00 7.00
802312 7016 SATURDAY CHARGE PER LOAD 1.00 ea 40.00 40.00
CONTACT MARLYS,BURRIS. AT (317) 570-6226 FOR ANY BILLING QUESTIONS
YOU MAY DEDUCT $12.25 FROM THIS INVOICE IF PAID BY Apr-10-2014.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT.ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
kk 3.50 $592.75 $.00 $592.75
V
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
367666
SAGAMORE READY MIX Purchase Order No.
9170 EAST 131ST STREET Terms
FISHERS, IN 46038 Due Date 4/9/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/9/2014 439937 $592.75
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
VOUCHER # 134699 WARRANT # ALLOWED
367666 IN SUM OF $
SAGAMORE READY MIX
9170 EAST 131ST STREET
FISHERS, IN 46038
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
439937 01-6200-06 $592.75
Voucher Total $592.75
Cost distribution ledger classification if
claim paid under vehicle highway fund