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HomeMy WebLinkAbout238678 10/28/14 yu!.F9gy CITY OF CARMEL, INDIANA VENDOR: 367666 3 ONE CIVIC SQUARE SAGAMORE READY MIX LLC CHECK AMOUNT: $***""1,337.50* CARMEL, INDIANA 46032 PO BOX 6457 CHECK NUMBER: 238678 DEPT 272 CHECK DATE: 10/28/14 INDIANAPOLIS IN 46206 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236200 461659 1,337.50 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 10-17-2014 Invoice Number 461659 CARMEL STREET DEPARTMENT Order Code 72 3400 W 131ST STREET Project Code CARMEL IN 46074 Purchase Order Job Number DELIVERY LOCATION PAYMENT TERMS LAKE FOREST PARKWAY & PURSEL LN DISC 10th TOTAL 20th AFTER DELIVERY MO Ticket #_ _Usage __ Product Product Quantity Price Extended ---- Code --Descr-iptior_--------------- — -------Amount--. ------------------------------------------------------------------------------------------------ 847686 HANDCURB B6036 6 BAG PEA GRAVEL AIR 9.00 cy 118.50 1, 066.50 847686 500 EXCESS UNLOADING TIME > 60 104.00 ea 2.00 208.00 847686 5015 GRACE MICROFIBER (BLUE) 9.00 ea 7.00 63.00 CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS YOU MAY DEDUCT $31.50 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 9.00 $1,337.50 $.00 $1,337.50 VOUCHER NO. WARRANT NO. Sagamore Ready Mix, LLC ALLOWED 20 IN SUM OF$ PO Box 6457-Dept. #272 Indianapolis, IN 46206 $1,337.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members 2201 I 461659 I 42-362.00 j $1,337.50 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 c o e 4, 2014 i sLg�(�ijrpmiccinnarr Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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 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)) 10/17/14 461659 $1,337.50 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