HomeMy WebLinkAbout240961 01/13/15 ,qMf. CITY OF CARMEL, INDIANA VENDOR: 369017
d ONE CIVIC SQUARE COUNTY MATERIALS CORPORATION CHECK AMOUNT: $......"820.00*
�., CARMEL, INDIANA 46032 PO BOX CHECK NUMBER: 240961
MARATHON WI 54448-0100 CHECK DATE: 01/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2483262-00 820.00 OTHER EXPENSES
369oi�
INVOICE
®� �• (800) 289-2569 Fax: (715) 443-3768
P.O. BOX 100 SHIPPED INVOICE DATE ORDER NO.
MATERIALS CORPORATION MARATHON, WI 54448-0100 12/16/14 12/16/14 2483262-00
P.O.N0. PAGE#
57 cse S14655 1 of 1
COST u: 150021
WINDING WAY
SHIP TO: 14-5014
CARMEL IN 46280
CITY OF CARMEL
CARMEL WASTE WATER TREATMENT
BILL TO: 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280
LINE PRODUCTQTY. QTY. UNIT AMOUNT
NO. AND DESCRIPTION SHIPPED U/M PRICE (NET)
1 7specm 1 . 00 EA 820. 00 820. 00
SPECIAL MANHOLE
structure 1
' a
1-3',adl.:ring
1-48" .c(5ne -
1-48"mhpb36 0 .hole) ,
1-48" rg . . ,
3 rolls kent seal
Total 820. 00
Invoice Total 820. 00
O
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
369017
COUNTY MATERIALS CORPORATION Purchase Order No.
PO BOX 100 Terms
MARATHON, WI 54448-0100 Due Date 12/30/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201, 2483262-00 $820.00
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
Date Officer
VOUCHER # 146370 WARRANT # ALLOWED
369017 IN SUM OF $
COUNTY MATERIALS CORPORATION
PO BOX 100
MARATHON, WI 54448-0100
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
i
PO# INV# ACCT# AMOUNT Audit Trail Code
2483262-00 01-7200-02 $820.00
Voucher Total $820.00
Cost distribution ledger classification if
claim paid under vehicle highway fund