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HomeMy WebLinkAbout239361 11/19/14 +ur.CAgM ,F• CITY OF CARMEL, INDIANA VENDOR: 367666 ONE CIVIC SQUARE SAGAMORE READY MIX LLC CHECK AMOUNT: $*******368.63* x, ?� CARMEL, INDIANA 46032 PO Box 6467 CHECK NUMBER: 239361 DEPT 272 CHECK DATE: 11/19/14 INDIANAPOLIS IN 46206 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236200 463527 368.63 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 D - - o ce ate 11 05 2014 Invoice Number 463527 CARMEL STREET DEPARTMENT Order Code 104 3400 W 131ST STREET Project Code CARMEL IN 46074 Purchase Order JIM 417-5216 Job Number DELIVERY LOCATION PAYMENT TERMS MERCHANT SQUARE DR DISC 10th TOTAL 20th AFTER DELIVERY MO Ticket # Usage Product Product Quantity Price`- Extended Code— --Description_-- - — -- ou--nt-- ------------------------------------------------------------------------------------------------ 851581 EXTERIOR BG036 6 BAG PEA GRAVEL AIR 2.25 cy 118.50 266.63 851581 400 MINIMUM LOAD CHARGE 1.00 ea 75.00 75.00 851581 5015 GRACE MICROFIBER (BLUE) 2.25 ea 7.00 15.75 851581 7001 WINTER CHARGE 2.25 /y 5.00 11.25 CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS YOU MAY DEDUCT $7.88 FROM THIS INVOICE IF PAID BY Dec-10-2014. THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT. Total Yards Sub Total Sales Tax INVOICE TOTAL 2.25 $368.63 .00 $368.63 VOUCHER NO. WARRANT NO. ALLOWED 20 Sagamore Ready Mix, LLC IN SUM OF$ PO Box 6457-Dept. #272 Indianapolis, IN 46206 $368.63 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members, 2201 I 463527 I 42-362.001 $368.63 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 Fr ! mber 14, 2014, 1 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)) 11/05/14 463527 $368.63 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