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