240620 01/07/15 (9�
CITY OF CARMEL, INDIANA VENDOR: 368711
ONE CIVIC SQUARE BALLENGER STONE CHECKAMOUNT: $"*`*"570.00'
CARMEL, INDIANA 46032 9055 VAN DYKE ROAD CHECK NUMBER: 240620
LAURELIN 47024 CHECK DATE: 01/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 R4236000 37618 28693 570.00 CRUSHED LIMESTONE
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P'Ec VT. D i Bulldozing—Excavating—Pond Building
Phone(765)698-1267 or Res.698-2483
JAN 02 2015 9055 Van Dyke ltd.—Laurel, IN 4702
Contract No. !`3 C�� ®ate /Q- � 20J
Sold To C11_ ,
Address
Deliver To_ �— �� 3 �
Size 7 Gross9 C-SC� W
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WrCE Price
Indiana Law now requires us to advise you that
we have furnished these materials for use on Per 7o n
your premises and that we have a right to file a
on the premEses to enforce payment !O
9 1 r
Sub-total
Gravel Delivery
o Other
Charge to
Wei an
Tax
ruc i n g Co- Total
4 r�
Cash Charge On Acct. Finance charfee of 2.75%per month
on unpaid balance over 30 days.
Received By:
28693
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Ballenger Stone Terms
9055 Van Dyke Rd
Laurel, IN 47024
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
10/7/14 28693 Limestone for Central Park East trails 37618 $ 570.00
Total $ 570.00
1 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
Voucher No. Warrant No.
Ballenger Stone Allowed 20
9055 Van Dyke Rd
Laurel, IN 47024
In Sum of$
$ 570.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO#or Board Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
37618 F 28693 4236000 $ 570.00 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
January 2, 2015
Signature
$ 570.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund