232612 05/13/14 os.�±q,, CITY OF CARMEL, INDIANA VENDOR: 367666
h ® �I ONE CIVIC SQUARE SAGAMORE READY MIX LLC CHECK AMOUNT: $*****1,129.50*
o sig EAST 131ST ST CHECK NUMBER: 232612
9, ;r; CARMEL, INDIANA 46032 0
M,iTON�. FISHERS IN 46038 CHECK DATE. 05/13/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 444740 1,129.50 CEMENT
SAGAMORE READY MIX, LLC
9170 East 131st Street - Fishers, IN 46038
Phone: (317) 570-6201 - (888) 986-9293
PAGE 1
CUSTOMER # 1351
Invoice Date 05-02-2014
Invoice Number 444740
CARMEL STREET DEPARTMENT Order Code 10
3400 W 131ST STREET Project Code
CARMEL IN 46074 Purchase Order
Job Number
DELIVERY LOCATION PAYMENT TERMS
HAZEL DELL & CHERRY TREE RD DISC 10th TOTAL 20th AFTER DELIVERY MO
Ticket # Usage----Product--Product ------- __---_Quantit-y_- -- ----Price ____Extended
Code Description Amount
------------------------------------------------------------------------------------------------
812902 CB CURBS B6016 6 BAG STONE AIR 9.00 cy 118.50 1, 066.50
812902 MISC 5015 SYNTHETIC FIBER (BLUE) 9.00 ea 7.00 63.00
CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS
YOU MAY DEDUCT $33.71 FROM THIS INVOICE IF PAID BY Jun-10-2014.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales T INVOICE TOTAL
9.00 $1,129.50 .07 $1,208.57
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sagamore Ready Mix, LLC
IN SUM OF$
9170 E. 131st Street
Fishers, IN 46038
$1,129.50 11
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 444740 I 42-362.00 $1,129.50 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
i
F I ' 2014
I
i Str�I�e�Grr����ner
Title
f
Cost distribution ledger classification if
claim paid motor vehicle highway fund
if
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
I
ACCOUNTS PAYABLE VOUCHER
I
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
i
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/02/14 444740 $1,129.50
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