236191 08/19/14 CITY OF CARMEL, INDIANA VENDOR: 367666
® 't. ONE CIVIC SQUARE SAGAMORE READY MIX LLC CHECK AMOUNT: $*******549.00*
: ,=a CARMEL, INDIANA 46032 PO Box 6457' CHECK NUMBER: 236191
DEPT 272 CHECK DATE: 08/19/14
INDIANAPOLIS IN 46206
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 454900 549.00 CEMENT
SAGAMORE READY MIX, LLC REMIT TO :
9170 East 131st St - Fishers, IN 46038 PO Box 6457 - Dept #272
Phone: (317) 570-6201 - (888) 986-9293 Indianapolis, IN 46206
PAGE 1
CUSTOMER # 1351
Invoice Date 08-08-2014
Invoice Number 454900
CARMEL STREET DEPARTMENT Order Code 67
3400 W 131ST STREET Project Code
CARMEL IN 46074 Purchase Order
Job Number
DELIVERY LOCATION PAYMENT TERMS
521 CEDAR LAKE COURT DISC 10th TOTAL 20th AFTER DELIVERY MO
Ticket # Usage Product Product Quantity Price Extended
— - _----Code - -Description Amount
------------------------------------------------------------------------------------------------
833524 HANDCURB B6016 6 BAG STONE AIR 4.00 cy 118.50 474.00
833524 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 $14.00 FROM THIS INVOICE IF PAID BY Sep-10-2014.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
4.00 $549.00 $.00 $549.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sagamore Ready Mix, LLC
IN SUM OF$
PO Box 6457-Dept. #272
Indianapolis, IN 46206
549.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT
Board Members
2201 454900 I 42-362.001 $549.00 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
f
F day, August 15, 2014
Street Commissioner
Street Commissioner
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))
08/08/14 454900 $549.00
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
' 20
Clerk-Treasurer