233032 05/28/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 357076
ONE CIVIC SQUARE DELELLO &SONS ASHPHALT PAVING CHECK AMOUNT: $*****9,687.55*
CARMEL, INDIANA 46032 17306 WESTFIELD PARK ROAD CHECK NUMBER: 233032
WESTFIELD IN 46074 CHECK DATE: 05/28/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350400 36870 16991 9,687.55 PAVING REPAIRS
Delello & Sons Asphalt Paving, Inc. Invoice
17306 Westfield Park Road
Westfield, IN 46074
FMAY
IVED Customer No.: CARMELCLAYPA
Telephone(317) 867-4444 2914 Invoice No.: 16991
Fax(317) 867-4447
Bill To:
ATTN:
Carmel Clay Parks Department Additional Central Park Repairs
1235 Central Park Drive East
CARMEL, IN 46032
Customer Phone#: (317) 710-5671
Date Ship Via F.O.B. Terms
05/01/14 1 Net 10
- —Purchase Order Number —T--Order Date Sales Person Job/Truck Number
05/01/14 Jacob Jordan TE14-53
Quantity Description Unit Price Amount
1 Carmel Central Park Asphalt Repairs per proposal 9687.55 9687.55
Invoice subtotal 9687.55
Invoice total 9687.55
I IAS-4— cit -- 43Gu- -DO
1.5% FINANCE CHARGE WILL BE ADDED TO INVOICES OVER 30 DAYS--THANK YOU!
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Delello & Sons Asphalt Paving Inc. Terms
17306 Westfield Park Road
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
5/1/14 16991 Asphalt repairs Central Park 36870 $ 9,687.55
Total $ 9,687.55
1 hereby certify that the attached invoice (s),or bills 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.
Delello &Sons Asphalt Paving Inc. Allowed 20
17306 Westfield Park Road
Westfield, IN 46074
In Sum of$
$ 9,687.55
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT
36870 16991 4350400 $ 9,687.55 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
22-May 2014
it
i
Signature
$ 9,687.55 Accounts Payable Coordinator
Cost distribution ledger classification if I Title
I claim paid motor vehicle highway fund II
I