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HomeMy WebLinkAbout240295 12/16/14 CITY OF CARMEL, INDIANA VENDOR: 358385 ® ONE CIVIC SQUARE GENERAL SHALE&BRICK CHECK AMOUNT: $********52.65* CARMEL, INDIANA 46032 PO BOX 5825 CHECK NUMBER: 240295 CAROL STREAM IL 60197-5825 CHECK DATE: 12/16/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236100 182169161 24.30 SAND 2201 4239011 182169919 28.35 SPECIAL DEPT SUPPLIES General Shale B r i c k M W M W ME Building The American Dream® Invoice: 182169161 Invoice Date: 12/03/2014 Bill To: 279670 Customer P0: Shop CITY OF CARMEL 3400 W 131ST STREET Bill of Lading: 172401892 WESTFIELD IN 46074-8267 Goods Issue Date: 12/03/2014 Order: 318 04 6195 Sales Rep: 399 Ship-To: CITY OF CARMEL Order Loc.: Carmel 3400 W 131ST STREET CARMEL IN WESTFIELD IN 46074-8267 Phone: 317-846-2566 Mode of Shipment: Customer Pickup / 057 Material Material Description Quantity Price Value USD Batch Number and Description 6099001047 ESSROC BRIXMENT GRAY TYPE S 1 BAG 9.45 9.45 6099008469 50 LB. OF SAND 3 BAG 4.95 14.85 Subtotal 24.30 TAX TOTAL 24.30 LATE PAYMENT CHARGE of 1.5% PER MONTH. 0010 General Shale Building The American Dream° Invoice: 182169919 Invoice Date: 12/.04/2014 Bill To: 279670 Customer P0: shop CITY OF CARMEL 3400 W 131ST STREET Bill of Lading: 172403301 WESTFIELD IN 46074-8267 Goods Issue Date: 12/04/2014 Order: 318046195 Sales Rep: 399 Ship-To: CITY OF CARMEL Order Loc.: Carmel 3400 W 131ST STREET CARMEL IN WESTFIELD IN 46074-8267 Phone: 317-846-2566 Mode of Shipment: Customer Pickup / 057 Material Material Description Quantity Price Value USD Batch Number and Description 6099001047 ESSROC BRIXMENT GRAY TYPE S 3 BAG 9.45 28.35 Subtotal 28.35 TAX TOTAL 28.35 LATE PAYMENT CHARGE of 1.56 PER MONTH. VOUCHER NO. WARRANT NO. ALLOWED 20 General Shale and Brick IN SUM OF$ P. O. Box 5825 Carol Stream, IL 60197-5825 $52.65 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 182169161 42-361.00 $24.30 1 hereby certify that the attached invoice(s), or 2201 182169919 42-390.11 $28.35 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 hursda?, ec er 11, 2014 Street 50mmissi4r Title lissiover 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)) 12/03/14 182169161 $24.30 12/04/14 182169919 $28.35 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