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HomeMy WebLinkAbout238103 10/15/14 CITY OF CARMEL, INDIANA VENDOR: 358385 is ® 2i• ONE CIVIC SQUARE GENERAL SHALE& BRICK CHECK AMOUNT: $********57.60* ,� CARMEL, INDIANA 46032 PO BOX 5825 CHECK NUMBER: 238103 9''��r'ori E°. CAROL STREAM IL 60197-5825 CHECK DATE: 10/15/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236200 182131673 57.60 CEMENT 0010 General Shale Building The American Dream Invoice: 182131673 Invoice Date: 09/30/2014 Bill To: 279670 Customer P0: SHOP CITY OF CARMEL 3400 W 131ST STREET Bill of Lading: 172362393 WESTFIELD IN 46074-8267 Goods Issue Date: 09/30/2014 Order: 317804963 Sales Rep: 399 Ship-To: CITY OF CARMEL Order Loc.: Carmel 3400 W 131ST STREET CARMEL IN WESTFIELD IN 46074-8267 Phone: 317-846-2566 Mode of Shipment: Customer Pickup / 057 Material Material Description Quantity Price Value USD Batch Number and Description 6099010275 4 X 8 X 16 SOLID BLOCK 32 EA 1.80 57.60 Subtotal 57.60 TAX TOTAL 57.60 LATE PAYMENT CHARGE of 1.56 PER MONTH. VOUCHER NO. WARRANT NO. General Shale and Brick ALLOWED 20 IN SUM OF$ P. O. Box 5825 Carol Stream, IL 60197-5825 $57.60 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members 2201 182131673 I 42-362.001 $57.60 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 Thu ay, 014 ' S�t �i�R41�r 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)) 09/30/14 182131673 $57.60 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