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HomeMy WebLinkAbout232784 05/21/14 aj 4�p;'� CITY OF CARMEL, INDIANA VENDOR: 00350164 ONE CIVIC SQUARE F E HARDING ASPHALT CO, INC CHECK AMOUNT: $*****2,511.07* ,_�; CARMEL, INDIANA 46032 10151 HAGUE ROAD CHECK NUMBER: 232784 9M��ioe °' INDIANAPOLIS IN 46256 CHECK DATE: 05/21/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236300 2,511.07 BITUMINOUS MATERIALS STATEMENT 5145 East 96th Street Indianapolis,Indiana 46240 (317)849-9666 www.hardingasphalt.com ACCOUNT NO. CARMEL STREET DEPARTMENT CAR210 STATEMENT DATE 3400 W. 131ST ST. CARMEL, IN 46074 04/30/14 DATE REFERENCE CHARGES CREDITS BALANCE 04/01/14 112236 520.38 520.38 04/08/14 112259 86.83 607.21 04/09/14 112285 150.65 757.86 04/10/14 112306 115.58 873.44 04/11/14 112346 144.33 1017.77 04/15/14 112375 61.53 1079.30 04/16/14 112404 552.58 1631.88 04/17/14 112430 523.25 2155.13 04/18/14 112466 120.18 2275.31 04/21/14 112494 59.80 2335.11 04/22/14 112524 60.38"-; ---`-`--_`2395.49 04/23/14 112559 57..50 2452..99 04/24/14 112579 .2511:07, 09/29/14 112618 ?4D 8...25°�' _ =29-1-9 32— 04/30/14 112643 '- " } 267.95" ` �-.., 13187.27 T MI 0-30 DAYS 31-60 DAYS 61-90 DAYS OVER ACCUM. BALANCE 90 DAYS FINANCECHG., DUE 3187.27 .00 ` 0000 .00 3187.27 ANALYSIS OF BALANCE DUE A FINANCE CHARGE OF 11/2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE OF 18 WILL BE INCURRED ON ALL PAST DUE AMOUNTS. LASER BUSINESS FORMS INC. (317)915-5000 i ; 10151 Hague Road :DATE 4 Indianapolis, Indiana 46256 I '�" # (317)849-9666 11 1 �y elf www.hardingasphalt.com ** INVOICE BILL- TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. ` 3400 W. 131ST ST. CARMEL, IN 4607.4 CARMEL, IN 46074 ATTN BONNIE ( 317 )733-2001 Tax Juris: 0001 INDIANA 1 St t Ord<. D.a-te Sh. - Date Sh -- -Vi a �i Sub Acct -Cust--'Ord -# lsman.°ilk Terms° -C�Pg y t . W-ltemn #: - - Ore�ed , Shi ed! D e ,s c r t i o `n s Unit Prc'I Ext INVOICE INVOICE ' INVOICE INVOICE ' _ . _. E 295281 12SF1:.07 12 SURFACE E';LNE#302 �a 57, . 506T.53 TN P I a , .. ,. •_ S -cif 9". S` r - �, r r b _.._ w s *71 n --- Sales- - Tax Fr--eightMisc CD w Deposit- -~ Ca-shCD' - TOTAL---___ 61 53 u . _ i A FINANCE CHARGE OF 11/2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS.CUSTOMER SHALL BE LIABLE PLEASE REMIT TO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND�ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256 INC.TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS,INC.(317)915-5000 1-8.5-27'FORM NO.BIN 025SF 10151 Hague Road DA E: ° Indianapolis, Indiana 46256 TM ' (317)849-9666 'I-Nvol-CE : 112404 t )q It INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 4607.4 CARMEL, IN 46074 ATTN BONNIE ( 317 ) 733-2001 Tax Juris : 0001 INDIANA 1 Sit=,Or-d °Date -Sh Date -Ship--Via- Sub Acct- C-ust-Ord # -Slsman"Clk'' ­ Terms _ c» I _ Ordered 77ihipped D e s c r -i t i= o. n -Unit Prci Ext INVOICE INVOICE INVOICE "' INVOICE 2,95342 12SF 9 .61 9 . 61 X12 SURFACE FINE#302 57 . 50 s 552 . 58 TN I P Ab » » E < e ( f : t ' I , e g. e � , 3 r s v e t ( F y , c - -Sales- -Tax-' Freight Misc- CD - Deposit- - Cash CD TOTAL » 552 . 58 ' x 552 :58 A FINANCE CHARGE OF 11/2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS.CUSTOMER SHALL BE LIABLE PLEASE REMIT TO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256 INC.TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS,INC.(317)915-5000 1-8.5-27 'FORM NO.BIN 025SF India Hague Road DATE 4/11/14 $ � Indianapolis, Indiana 46256 rM P, (317)849-9666 T- AP q but, www.hardingasphalt.com ** INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE ( 317 ) 733-2001 Tax Juris : 0001 INDIANA 1 -,St,-Ord ,Date; Shy °Date Ship.-.Via Sub Acct '- Cust-Ord-# £ ShSfn A Clk :�`- aTe'rms- E--'!ZiDP� -4 0411111 on 0- 11 I s E :Item_.#: --. Ordered Shed D, -e s >c r t i o n�_Unit -P -67- Ext INVOICE INVOICE 'UNVOICE . INVOICE 2 9 5'2 2 8 1TNF 2' 51 ,0 2..51 12 SURFACE FINE#302 57 . 50 144 . 33 r _ e ie fl n I 3 a a e i a 0 r e R e z e , dales _ __T-ax Freic�'ht - --Mise CD Deposit - - - - C—ash CD TOTAL 144 . 33 114433 A FINANCE CHARGE OF 11/2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS.CUSTOMER SHALL BE LIABLE PLEASE REMIT TO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256 INC.TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS,FORMS,INC.(317)915-5000 1-8.5-27`:FORM NO.BIN 025SF 10151 Hague Road DA Indianapolis;Indiana 46256 e TM tai (317)849-9666 ; . y �, Pm fr1 0 Il 11111t`' www.hardingasphalt.com ** INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE ( 317 ) 733-2001 Tax Juris : 0001 INDIANAn. 1 a fit' .Ord..-Date: Sh Date#phi Via ' -Sub Acct �i:Gust O"rd # 1 -- z . . "0"1, 1 A 0 4' a man:` Clk Terms,- •CDPc1 „_Item Or,dered SYried t i o n UnYt Pry EX INVOICE INVC}'ICE. IINVOICE 294971, 12SF 9 05 =` 9 . 05 12 SURFACE FINE#302 57.50 520. 38 TN P, �- -�11 ; I .> E w i F f P Saps Tax Freic�h Mksc CD Deposit Cash CD 50 ..38 . �52&­:38 A FINANCE CHARGE OF 1'/2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS.CUSTOMER SHALL BE LIABLE PLEASE REMIT TO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256 INC.TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS,INC.(317)915-5000 1-8.5-27 FORM NO.BIN 025SF 10151 Hague Road DATE 0 4 .0$ ® mx ` Indianapolis,Indiana 46256 66 rM g' � Pbj3 www.hardinasp halt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE ( 317 ) 733-2001 Tax Juris : 0001 INDIANA 1 _.. t .Ord •Date 1?hm..Date b" A-Acct ' Cust Ord=# lsman •Clk 31 Terms,-, P - It ,Z 14,1 es..- xiwjg - Try Shiied D s c r 1 g t i o n -ilnii Prc` Est INVOICE INVOICE ; 2NVOICE INVOICE 29502.4 ° 12SF 1 :51 12 SURFACE FINE#302 57 . 50 °� ..-86. 83 TN i P if w k n - i I it g i It # l { n I t e , r p e .r Sales Tax Freight Misc CD De12os-it Cash CD' TOTAL $,6 83 86 _8.3 e �. A FINANCE CHARGE OF 11/2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS.CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256 INC.TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS,INC.(317)915-5000 1-8.5-27 FORM NO.BIN 025SF �. ( 10151 Hague Road DATE °•0 4 0 9 142. Indianapolis, Indiana 46256 � io (317)849-9666 www.hardingasphalt.com ** INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE ( 317 )733=2001 Tax Juris : 0001 INDIANA 1 Ord.wDate Sh. Date Shi Via 4 W"Sub- Acet I -Cost -=Ord # Slsman ;Clk' -: Terms 'C Pct - Ordered- m- Shied D e LLs car i- -t' i o- n a-Unit Prc Ex"t INVOICE INVOICE ' TI�tVOICE INVOICE " A. 12SF 2` 62 2 :,62 X12 SURFACE FINE#302 57 . 50 150."65 TN E f ,. x _ Sa.le.s Ta-x-, Fr-eight ��Misc C6D De os-it__;M_ _ __dash CDT" - -TOTAL-- m® d F a _ v g w 150::65 A FINANCE CHARGE OF 1'/2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS.CUSTOMER SHALL BE LIABLE PLEASE REMIT TO: 1.0151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256 INC.TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS,INC.(317)915-5000 1-8.5-27. FORM NO.BIN 025SF 1 (' 10151 Hague Road India Indianapolis,Indiana 46256 (317)849-9666 www.hardingasphalt.com ** INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL IN 46074 CARMEL, IN 46074 ATTN BONNIE ( 317 ) 733-2001 Tax Juris : 0001 INDIANA 1 Ord Date _�h ._ Date S:hi- via Sub Acet Oust-Ord-=#' Shsman,'Clk =.TermsCpP� ; � ; z . :Item # . Or`dered4� hed D es c r i; -t- i c� n -sUnit Prc= - Ext INVOICE _ INVOICE- INVOICE INVOICES I 29515`1 , 1�NF 2 01 n` 2 . 01 " 12 SURFACE FINE'#:302 - 5`7 . 50 L� 1¢15 . 58 t I i — s 4 I j {e II ! s 0 vSaies Tax'-�rei .ht Misc CD� .. _ De�os�rt - . �C.ash Dt -TOTAL e_� '11,5158 115,. 8 A FINANCE.CHARGE OF 11/2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS.CUSTOMER SHALL BE LIABLE PLEASE REMIT TO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256 INC.TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS,INC.(317)915-5000 1-8.5-27. FORM NO.BIN 025SF t 10151 Hague Road =DATE ' Indianapolis, Indiana 46256 s _ rM � � (317)849-9666 r1i www.hardingasphalt.com ** INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE ( 317 ) 733-2001 Tax Juris : 0001 INDIANA m Ord .Date, Shy Date, ShipVia :�_5ub-.-Acct dust-Ord"--# "Slsinan -Clk Terms 01 . 0,4/17/14. 04/17/11! _, ,t . Ttem = Ordered S"hipped D e c r i Li c n Unit Prc Ext INVOICE, INV©ICE INVOICE ;, NVOICE 12SF295;39.4 ' I TN 9e 10 9 . 10 12 "SURFACE EINE#302 57 . 50 5'23. 25 i P ` AN Y' xi N E a a„ I ', {g a Sales Tax Freicrht ` Mise D DeostTOTA Cash D L 523 25 it 52, A FINANCE CHARGE OF 11/2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE OF 18%WILL BE INCURRED ON ALL-PAST DUE AMOUNTS.CUSTOMER-SHALL BE LIABLE PLEASE REMITTO: 10151 I4AGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256 INC.TO ENFORCE THE TERMS OF COLLECTION. 'LASER BUSINESS FORMS,INC.(317)915.5000 1-8.5-27 FORM NO.BIN 025SF 10151 Hague Road DATE04J 1 8 14. Indianapolis, Indiana 46256 rM � (317)849-9666 ` www.hardingasphalt.com INVOICE * r BILL TO: CAR210 SHIP TO. 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST' CARMEL, IN 46074 CARMEL, IN 46074 ( 317 ) 733-2001 Tax Juris: 0001 INDIANA ATTN BONNIE 1 Ord Date, ShDate Ship _t7ia € Sub Acct -C-ust -Ord #- l man` Clk'r,�F Terrlis���E CPQ t_— O l 0,4/1,8/1-4= 04-/18/14j, i� _ a i IL- Item # Or feredS hipped D e s c r i t z ofn U j nit Pre- Ext INVOICE INVOICE, INVOICE NVOICE ` 295475 I 12SF 2 092 . 0912 :SURFACE EINE# 302 57 . 50 120 . 18 TN P it vi I. e #` e e Sales Tax ` Frei ht 4Misc D Deposit Cash D. TOTAL 120 . 18 12e0: �= 18 • A FINANCE CHARGE OF 11/2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS.CUSTOMER SHALL BE LIABLE PLEASE REMIT TO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256 INC.TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS,INC.(317)915.5000 1-8.5-27 FORM NO.BIN 025SF K �� 10151 Hague Road DATE: •04/21 14Indiana olis, Indiana 46256t p . 6 y (317)849-9666 1124-94 TM rr1 � 11 ,�bpt, www.hardingasphalt.com ** INVOICE BILL TO: CAR210 SHIP TO. 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ( 317 ) 733-2001 Tax Juris : 0001 INDIANA ATTN BONNIE 1 St Ord, Date Shy Date Ship Via .=tSub Acct � Cust Ord- Slsman, Clk = Terms -C.PPg 01, 04/,21/14, 04/21/14'- Item # Ordered- Shed D e � �c r i t i o n Unit Prc Ext INVOICE INVOICEz �INVOICE INVOICE 295552 12SF 1 . 04 1 . 04 t12 SURFACE TN FINE#302-` ; 57 . 50 , y ' 59 . 80 - P ) I m s L 'A `€ o x - e E t t S Qa 3 j( I Sales Tax Freiaht Mis-c CD Deposit ash DTOTAL 59 . 80 59 8-0 A FINANCE CHARGE OF 1'/z%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS.CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256 INC.TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS,INC.(317)915-5000 1-8.5-27 FORM NO.BIN 025SF I' f` �t �-, 10151 Hague Road DATE: 04/22/14 I �e% t a ( g Indianapolis, Indiana 46256 TM _ (317)849-9666 !NVOICE: 1125 www.hardingasphalt.com ** INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE ( 317 ) 733-2001 Tax Juris : 0001 INDIANA 1 St Ord. Date Shp Date -Ship Via Sub Acct Cust Ord # Slsman ,Clk, Terms CiDPc ni _nd /22jj4 04Z22/14 0 00 NET 15TH P 0201 Item # . - ordered Shipped. D Q._s c r i p t i o n Unit Prc Ext. INVOICE INVOICE ` —INVOICE - INVOICE - . 295661 12SF `1. 05 1 . 05 ;'12 SURFACE FINE#302 57 . 50 60 . 38 TN P l 1 i a Sales - = -Tax- Freight Misc CD Deposit Cash CD TOTAL 60 . 38 60 . 38 A FINANCE CHARGE OF 1'/2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS.CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256 INC.TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS,INC.(317)915-5000 1-8.5-27 FORM NO.BIN 025SF 10151 Hague Road -DATE v- ,041 2 3 14 ` Indianapolis, Indiana 46256 (317)849-966IN17GICE, 1 1-255-9 6 lipwww.hardingasphalt.com ** INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE ( 317 ) 733-2001 Tax Juris : 0001 INDIANA 1 °.,St<<.Ord: Date; Shy Date Ship Via La .Sub. Acct I _Gust �a0rd #J Slsman;,Clk � Terms CpPa , 0l° 04-/2,1/14 t; 04 ..2 A; ;_: ET -1 5TH Item #" Ordered 'a. Shi ed D e s c r s P t i o n Unit Prc Ext INVOICE - TNV410E ` - NUOCE s IiNVOICE X295828 12SF. .. - 1.00 1 :0012 .SURFACE E`TNE#302 57 . 50 57. 50 TN P i e - . I FB .Yv iM1 - a , a e ' 7 - P e it i 1< ' if q h s , . : t , Sales Tax Freight Misc CD '- Deposit CashaCD TOTAL 5-7 .5-0 . , «. ,F • A FINANCE CHARGE OF 11/2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS.CUSTOMER SHALL BE LIABLE PLEASE REMIT TO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION-AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256 INC.TO ENFORCE THE TERMS OF COLLECTION. LASER,BUSINESS FORMS,INC.(317)915-5000 1-8.5-27,FORM NO.BIN 025SF 10151 Hague Road DATE 0 4��24 14 �- /•�.. Indianapolis,Indiana 46256 (317)849-9666 ' www.hardingasphalt.com ** INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE ( 317 ) 733-2001 Tax Juris : 0001 INDIANA 1 EP St Ord 4Date ; Shp Date �hip.:Via k Sub Acct i._Cust Ord-# I Slsman Clk Terms CDPD - Item # Ordered Shippedµ D e s c r t i n ,Y9 Unit Prc Ext INVOICE _ - — Ifi�VOICE TT�VOICE INVOICE ��I 12SF Z; O1 1. 01 12 �°°SURFACE FINE#302 57 . 50 ' '�58.,08 TN P " ° E £ � I I � � L .Gz i3 fl e °?T 7:' � N x ° n z - I„ I. , e ° , _ Sales L- Tax r.F `ic�ht Msc ¢CD- - •-Deposit - - --Cashil D -TOTAL 58 : 08 ° .... 58 'E0,8 4 I e A FINANCE CHARGE OF 11/2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE OF 18%WILL BE INCURRED ON ALLPAST DUE AMOUNTS.CUSTOMER SHALL BE LIABLE PLEASE REMIT TO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTIORAND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256 INC.TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS,INC. 317 915-5000 1-8.5-27,FORM,NO.BIN 025SF VOUCHER NO. WARRANT NO. ALLOWED 20 F. E. Harding Asphalt IN SUM OF $ 10151 Hague Road Indianapolis, IN 46256 $2,511.07 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members 2201 I I 42-363.001 $2,511.07 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 ii y 16, 2014 Street rS6ja9t'iBl6WWssioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund i Prescribed by State Board of Accounts City Form No.201 (Rev.1995) 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. t Payee Purchase Order No. r. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 05/14/14 $2,511.07 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