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HomeMy WebLinkAbout239518 11/25/14 o`/ • CITY OF CARMEL, INDIANA VENDOR: 358385 1 ONE CIVIC SQUARE GENERAL SHALE&BRICK CHECK AMOUNT: $«"•"«•««17 10« f, a CARMEL, INDIANA 46032 PO BOX 5825 CHECK NUMBER: 239518 CAROL STREAM IL 60197-5825 CHECK DATE: 11/25/14 lipN tp DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4239011 182160453 17.10 SPECIAL DEPT SUPPLIES I _ _ General Shale B rickM 0==MM Building The American Dream® Invoice: 182160453 Invoice Date: 11/13/2014 Bill To: 279670 CITY OF CARMEL Bill of Lading: 172393341 3400 W 131ST STREET Goods Issue Date: 11/13/2014 WESTFIELD IN 46074-8267 Order: 317981702 Sales Rep: -399 Ship-To: Order Loc.: Carmel CITY OF CARMEL CARMEL IN 3400 W 131ST STREET Phone: 317-846-2566 WESTFIELD IN 46074-8267 Mode of Shipment: Customer Pickup / '057 - - Material Material Description Quantity Price Value USD Batch Number and Description 6099001046 ESSROC BRIXMENT GRAY TYPE N 2 BAG 8.55 17.10 Subtotal 17.'10 TAX TOTAL 17.10 LATE PAYMENT CHARGE of 1.5o PER MONTH. VOUCHER NO. WARRANT NO. ALLOWED 20 General Shale and Brick IN SUM OF$ P. O. Box 5825 Carol Stream, IL 60197-5825 $17.10 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 I 182160453 I 42-390.11 I $17.10 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 F I y, 0 tuber 21, 2014 Str&ejeb h i I fgper Title i Cost distribution ledger classification if I' 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)) 11/13/14 182160453 $17.10 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