236674 09/03/14 CITY OF CARMEL, INDIANA VENDOR: 367666
ONE CIVIC SQUARE SAGAMORE READY MIX LLC CHECK AMOUNT: $*******344.63*
AGAM
CARMEL, INDIANA 46032 PO BOX 6457 CHECK NUMBER: 236674
DEPT 272 CHECK DATE: 09/03/14
INDIANAPOLIS IN 46206
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 456718 344.63 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 08-27-2014
Invoice Number 456718
CARMEL STREET DEPARTMENT Order Code 123
3400 W 131ST STREET Project Code
CARMEL IN 46074 Purchase Order
Job Number
DELIVERY LOCATION PAYMENT TERMS
HAWTHORNE DR W & DRIFTWOOD DR DISC 10th TOTAL 20th AFTER DELIVERY MO
Ticket._#- Usage Product Product Quantity Price Extended-
---Code
xtended--- Code--- - --Description-" --- - - -- --- --- - -- -- —Amount
------------------------------------------------------------------------------------------------
837285 WALK B6036 6 BAG PEA GRAVEL AIR 1.75 cy 118.50 207.38
837285 400 MINIMUM LOAD CHARGE 1.00 ea 125.00 125.00
837285 5015 PROFIBER 100 (BLUE) 1.75 ea 7.00 12.25
CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS
YOU MAY DEDUCT $6.13 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
1.75 $344.63 $.00 $344.63
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sagamore Ready Mix, LLC
IN SUM OF$
PO Box 6457-Dept. #272
Indianapolis, IN 46206
$344.63
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#1 Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
2201 I 456718 I 42-362.001 $344.63 I 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
Tues Se 014
L
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
t
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.
I,
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08/27/14 456718 $344.63
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