HomeMy WebLinkAbout233742 06/18/14 CITY OF CARMEL, INDIANA VENDOR: 358385
ONE CIVIC SQUARE GENERAL SHALE& BRICK CHECK AMOUNT: $*******133.00*
CARMEL, INDIANA 46032 PO CAROL 5825 IL 60197-5825 CHECK NUMBER: 233742
CHECK DATE: 06/18/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 182053393 133.00 CEMENT
I
General Shale
B r 1 c k M W 0 W ME
Building The American Dream®
:::i:::i ::i :::::::::
Invoice: 182053393 Invoice Date: 06/06/2014
Bill To: 279670 Customer PO: brick repairs
CITY OF CARMEL
3400 W 131ST STREET Bill of Lading: 172277676
WESTFIELD IN 46074-8267 Goods Issue Date: 06/06/2014
Order: 317347220
Sales Rep: 399
Ship-To:
CITY OF CARMEL Order Loc.: Carmel
3400 W 131ST STREET CARMEL IN
WESTFIELD IN 46074-8267 Phone: 317-846-2566
------ - Node of Shipment: Custromer.Pickup /_ 057 _
Material Material Description Quantity Price Value USD
Batch Number and Description
6099032391 POLYSWEEP POLYMERIC SAND - GRAY 7 EA 19.00 133.00
Subtotal 133.00
TAX
TOTAL 133.00
LATE PAYMENT CHARGE of 1.596 PER MONTH.
VOUCHER NO. WARRANT NO.
ALLOWED 20
General Shale and Brick
IN SUM OF$
P. O. Box 5825
Carol Stream, IL 60197-5825
$133.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
2201 I 182053393 I 42-362.001 $133.00 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
9. All Mida , 1 14
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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))
06/06/14 182053393 $133.00
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