233344 06/04/14 Q
CITY OF CARMEL, INDIANA VENDOR: 367666
ONE CIVIC SQUARE SAGAMORE READY MIX LLC CHECK AMOUNT: $*****."806.50'
CARMEL, INDIANA 46032 9170 EAST 131ST ST CCHECK HECK NUMBER: 233 4/44
FISHERS IN 46038
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 446427 376.00 OTHER EXPENSES
2201 4236200 446428 430.50 CEMENT
SAGAMORE READY MIX., LLC
9170 East 131ot .Street Fishers, IN 46038
Phone:. (317) 570-6201 (Q88) 986-9293
PAGE 1
CUSTOMER # 1350
Invoice Date 0.5-20-2014
Invoice. Number 4'46427
CARMEL WATERDISTRIBUTION Order Code 12
345"0 W 131ST ST Project Code
WESTFIELD- IN 46074 Purchase. Order
Job Number
DELIVERY LOCATION PAYMENT TERMS
1171,7 WINDPOINTE PASS DISC 10th TOTAL 26th AFTER DELIVERY MO
Ticket 4 Usage, Product Product Quantity Price. 'Ektended
Code Description Amount
8.1654;5 DRIVEWAY B6016 6 .BAG: -STONE AIR 2.D9 cy 11:8.50 2'37.0,0
816;54:5 400 MINIMUM LOAD CHARGE 1.:00 ea 125.;00 i.1'5.:.00
816545 5015 PROFIBER I00 (BLUE) 2.00 ea 7.00 14.00
.CONTACT MARLYS BURRIS AT. (317) 570-6226-, FOR ANY BILLING QUESTIONS
YOU MAY DEDUCT $7..00 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 Tax INVOICE TOTAL
2.:00 $376.00 $.,00 ;$37"6'.0.0
VOUCHER # 138133 WARRANT # ALLOWED
367666 IN SUM OF $
SAGAMORE READY MIX, LLC
9170 EAST 131ST STREET
FISHERS, IN 46038
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
446427 01-7200-02 $376.00
Voucher Total $376.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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, LLC Purchase Order No.
9170 EAST 131ST STREET Terms
FISHERS, IN 46038 Due Date 5/28/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/28/2014 446427 $376.00
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
SAGAMORE READY MIX, LLC
9170 East 131st Street - Fishers, IN 46038
Phone: (317) 570-6201 - (888) 986-9293
PAGE 1
CUSTOMER # 1351
Invoice Date 05-20-2014
Invoice Number 446428
CARMEL STREET DEPARTMENT Order Code 119
3400 W 131ST STREET Project Code
CARMEL IN 46074 Purchase Order
Job Number
DELIVERY LOCATION PAYMENT TERMS
WOODFIELD DR & WOODFIELD CIRCLE DISC 10th TOTAL 20th AFTER DELIVERY MO
ricket__#- Usage Product _Product_ __. __ _ Quantity _ _ _ Price__ Extended
Code Description Amount
------------------------------------------------------------------------------------------------
816642 HANDCURB B6036 6 BAG PEA GRAVEL AIR 3.00 cy 118.50 355.50
816642 400 MINIMUM LOAD CHARGE 1.00 ea 75.00 75.00
CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS
YOU MAY DEDUCT $11.24 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 Tax INVOICE TOTAL
3.00 $430.50 $3 .14 $460.64
N,o �ox-
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sagamore Ready Mix, LLC
IN SUM OF$
9170 E. 131st Street
Fishers, IN 46038
$430.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 I 446428 I 42-362.001 $430.50 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
6"%. - Vida)qay 30, 2014
reg Sommissi n r
rag
C)MMiSRinnnr
i
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
05/20/14 446428 $430.50
I
i
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