HomeMy WebLinkAbout238495 10/21/2014 �AqM CITY OF CARMEL, INDIANA VENDOR: 367666
4..
ONE CIVIC SQUARE SAGAMORE READY MIX LLC CHECK AMOUNT: $*******603.75*
r. is CARMEL, INDIANA 46032 PO BOX 6457 CHECK NUMBER: 238495
9y�*oN DEPT 272 CHECK DATE: 10/21/14
INDIANAPOLIS IN 46206
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
609 5023990 460499 603.75 OTHER EXPENSES
I
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 # 1350
Invoice Date 10-02-2014
Invoice Number 460499
CARMEL WATER DISTRIBUTION Order Code 50
3450 W 131ST ST Project Code
WESTFIELD IN 46074 Purchase Order BT101214-A
Job Number
DELIVERY LOCATION PAYMENT TERMS
HAZEL DELL SOUTH OF 106TH DISC 10th TOTAL 20th AFTER DELIVERY MO
Ticket- # Usage Product_ _Product Quantity Price Extended
Code _ Description Amount
------------------------------------------------------------------------------------------------
845254 CAISSON P4516 4500 PSI STONE AIR 4.50 cy 117.50 528.75
845254 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 $15.75 FROM THIS INVOICE IF PAID BY Nov-10-2014.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
__ 4.50 $603.75 $.00 $603.75
VOUCHER # 142036 WARRANT # ALLOWED
367666 IN SUM OF $
SAGAMORE READY MIX, LLC
PO BOX 6457-DEPT#272
INDIANAPOLIS, IN 46206
Carmel Water Utility tilI
ON ACCOUNT OF APPROPRIATION FOR ;1
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
460499 07-1052-12 $603.75 d
W II
I
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f
i
Voucher Total $603.75
Cost distribution ledger classification if `
claim paid under vehicle highway fund
1
i
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
367666
SAGAMORE READY MIX, LLC Purchase Order No.
PO BOX 6457-DEPT#272 Terms
INDIANAPOLIS, IN 46206 Due Date 10/13/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/13/201, 460499 $603.75
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
Date O cer