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