HomeMy WebLinkAbout234015 6 /25/2014 a° SAM
�/ �� CITY OF CARMEL, INDIANA VENDOR: 358385
t1. CHECK AMOUNT: $*******621.90*
.� ® z, ONE CIVIC SQUARE GENERAL SHALE& BRICK
f. ,_�; CARMEL, INDIANA 46032 PO BOX 5825 CHECK NUMBER: 234015
+y�..._l CAROL STREAM IL 60197-5825 CHECK DATE: 06/25/14
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 182059108 621.90 CEMENT
General Shale
Brick M W 0=ME
Building The American Dream®
:..
Invoice: 182059108 Invoice Date: 06/16/2014
Bill To: 279670 Customer P0: stock
CITY OF CARMEL
3400 W 131ST STREET Bill of Lading: 172282463
WESTFIELD IN 46074-8267 Goods Issue Date: 06/16/2014
Order: 317369608
Sales Rep: 399
Ship-To:
CITY OF CARMEL Order Loc.: Carmel
3400 W 131ST STREET CARMEL IN
WESTFIELD IN 46074-8267 Phone: 317-846-2566
Mode of Shipment: Customer Pickup _/--057
Material Material Description Quantity Price Value USD
Batch Number and Description
6099001046 ESSROC BRIXMENT GRAY TYPE N 50 BAG 8.55 427.50
6099010275 4 X 8 X 16 SOLID BLOCK 108 EA 1.80 194.40
Subtotal 621.90
TAX
TOTAL 621.90
LATE PAYMENT CHARGE of 1.5a PER MONTH.
VOUCHER NO. WARRANT NO.
General Shale and Brick ALLOWED 20
IN SUM OF$
P. O. Box 5825
Carol Stream, IL 60197-5825
$621.90
i
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/rITLE AMOUNT Board Members
2201 I 182059108 I 42-362.001 $621.90 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
ay June 20, 2014
VVV VV
Streat6GRID"MlIffioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
j
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))
06/16/14 182059108 $621.90
1 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