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240987 01/13/15 ;• CITY OF CARMEL, INDIANA VENDOR: 00350164 d ONE CIVIC SQUARE F E HARDING ASPHALT CO, INC CHECK AMOUNT: $**.....541.79* CARMEL, INDIANA 46032 10151 HAGUE ROAD CHECK NUMBER: 240987 INDIANAPOLIS IN 46256 CHECK DATE: 01/13/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236300 STREET 541.79 BITUMINOUS MATERIALS STATEMENT r. ri;. '`°� TM •+ 5145 East 96th Street Indianapolis,Indiana 46240 (317)849-9666 www.hardingasphalt.com I ACCOUNT NO. CARMEL STREET DEPARTMENT CAR210 I I STATEMENT DATE 3400 W. 131ST ST. i CARMEL, IN 46074 12/31/14 i. I I i DATE REFERENCE CHARGES CREDITS BALANCE 12/02/14 115211 60.00 60.00 12/03/14 115222 111.84 171.84 12/04/14 115230 38.45 210.29 12/09/14 115275 41.36 251.65 12/11/14 115306 37.86 289.51 12/15/14 115336 86.21 375.72 12/16/14 115353 54.81 430.53 12/19/14 115386 38.45 468.98 12/22/14 115406 34.95 503.93 12/23/14 115424 37.86 541.79 �j v r � - u 3 4 a fi 0-30 DAYS 31-60 DAYS 61-90 DAYS OVER ACCUM. BALANCE 90 DAYS FINANCE CHG. DUE 541.79 .00 .00 -.00 .00 541.79 . i ANALYSIS OF BALANCE DUE A FINANCE CHARGE OF 11/2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. y LASER BUSINESS FORMS INC. (317)915-5000 F] F1 [ja 0 10151 Hague Road DATE: 12/22/14 _ n 0 Indianapolis, Indiana 46256 1-844-HARDING O=- 15406 GZ' .tcJitt, Iii LctiEc=:C LtLc• WWWHardingMaterialslnacom ** INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE (317) 733-2001 Tax Juris : 0001 INDIANA 1 St -Ord Date .Shp Date ., Ship Via Sub Acct .. Cust Ord # .,Slsman ,Clk Terms CpPg 1 Item # Ordered Shipped D e s c r i ip t i o n Unit Prc Ext . INVOICE INVOICE INVOICE INVOICE 10397 12SR . 60 . 60 L2 SURFACE#303M 58 . 25 34 . 95 TN P I Sales Tax Freight Misc CD Deposit Cash CD TOTAL 34 . 95 34 . 95 A FINANCE CHARGE OF 11/2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256 INC.TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS,INC.(317)915-5000 1-8.5-27 FORM NO.BIN 025SF 10151 Hague Road DATE: 12/23/14 Indianapolis, Indiana 46256 1-844-HARDING INVOICE: 115424 C'ilut e'%Ci V!ti'u�:ir�'riic_'C� Grip_ www.Harding Materialslnc.com ** INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE (317) 733-2001 Tax Juris : 0001 INDIANA 1 St Ord Date Shp Date Ship Via Sub Acct Cust Ord # .Slsman .Clk . Terms Cppg 01 .12/23Z14 12/23/1 Iteffi- # Ordered Shipped D e s c r i t i o n Unit Prc Ext. INVOICE INVOICE INVOICE INVOICE 10450 12SR . 65 . 65 12 SURFACE#303M 58 . 25 37 . 86 TN P Sales Tax Freight Misc CD Deposit Cash CD TOTAL 37 . 86 37 . 86 A FINANCE CHARGE OF 11/2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS.CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256 INC.TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS,INC.(317)915-5000 1-8.5-27 FORM NO.BIN 025SF 10151 Hague Road DATE: 12/04/14 h Indianapolis, Indiana 46256 1-844-HARDING INV IOE: 11.523_ l!�!c r,c iris; C�� cica` lite www.HardingMaterialslnc.com ** INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE (317) 733-2001 Tax Juris : 0001 INDIANA 1 St ,Ord Date Shp Date , Ship Via Sub Acct Cust Ord # ..Slsman Clk; Terms Cppg 01 12/04 14 . 12/04/1 NE STH 0201 Item # Ordered Ship-pe D e s c r i 1D t i o n Unit Prc Ext. INVOICE INVOICE INVOICE INVOICE 309604 12SR . 66 . 66 12 SURFACE#303M 58 . 25 38 . 45 TN P Sales Tax Freight . Misc CD Deposit Cash CD TOTAL 38 . 45 38 .45 • A FINANCE CHARGE OF 11/2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256 INC.TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS,INC.(317)915-5000 1-8.5-27 FORM NO,BIN 025SF 10151 Hague Road DATE: 12/03/14 0 Indianapolis, Indiana 46256 1-844-HARDING INVOICE: 115222 C;}c ocG:. ; liGc c-'C°iic_'1 laic '^ww.HardingMaterialslnc.com ** INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE (317) 733-2001 Tax Juris : 0001 INDIANA 1 St .;Ord Date, Shp Date, Ship Via Sub Acct Cust Ord #. Slsman Clk Terms - CpPq 01 -12/03/14 .-12/03/11. 0 ; 00 NET 15TH P; 0201 Item # Ordered Ship-pe D e s c r i P t i o n Unit Prc Ext . INVOICE INVOICE INVOICE INVOICE 309582 12SR 1 . 92 1 . 92 12 SURFACE#303M 58 . 25 111 . 84 TN P Sales . Tax Freight , Misc CD Deposit Cash CD TOTAL 111 . 84 111 . 84 A FINANCE CHARGE OF 1'/2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS.CUSTOMER SHALL BE LIABLE PLEASE REMIT TO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256 INC.TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS,INC.(317)915-5000 1-8.5-27 FORM NO.BIN 025SF 10151 Hague Road DATE: 12/02/14 FIR1 Indianapolis, Indiana 46256 1-844-HARDING INVOICE: 11 211 111=t'c`it%tl ti`iE ktt'tfic_�L ftio, ""'HardingMaterialslnc.com ** INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE (317) 733-2001 Tax Juris : 0001 INDIANA 1 St Ord Date Shp Date , Ship Via Sub Acct Cust Ord # : Slsman Clk., Terms CpPq 01 12 02 14 12/02/1 Item # Ordered Shipped D e s c r i P t i o n Unit Prcl Ext . INVOICE INVOICE INVOICE INVOICE 09476 12SR 1 . 03 1 . 03 12 SURFACE4303M 58 . 25 60 . 00 TN P I Sales Tax Freight Misc CD Deposit Cash CD TOTAL 60 . 00 60 . 00 • A FINANCE CHARGE OF 11/2% PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256 INC.TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS,INC.(317)915-5000 1-8.5-27 FORM NO.BIN 025SF 10151 Hague Road DATE: 12/09/14 _ LrtIndianapolis, Indiana 46256 0 1-844-HARDING - 0I-CE-: 2-7-5 Lac '^ww.HardingMaterialsInc.com ** INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE (317) 733-2001 Tax Juris : 0001 INDIANA 1 St :,Ord Date ..Shp Date , Ship Via Sub Acct E Cust .Ord #- Slsman:.Clk Terms Cppg Item # Ordered Shipped D e s c r i P t i o n Unit Prcl Ext . INVOICE INVOICE INVOICE INVOICE 309720 12SR . 71 . 71 12 SURFACE#303M 58 . 25 41 . 36 TN P Sales Tax Freight Misc CD Deposit Cash CD TOTAL. 41 . 36 41 . 36 • A FINANCE CHARGE OF 11/2% PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256 INC.TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS,INC.(317)915-5000 1-8.5-27 FORM NO.BIN 025SF n -F] 10151 Hague Road DATE: 12/11/14_ Indianapolis, Indiana 46256 1-844-HARDING Q=E-: 11 S-106 www.HardingMaterialsinc.com ** INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE (317) 733-2001 Tax Juris : 0001 INDIANA 1 St, Ord Date Shp Date, Ship Via Sub Acct .. Cust .Ord .#..-Slsman .Clk . Terms Cppg 01, 12/=14112 /11/14 —Item - -- — Ordered Slid-piped -D—e s -c r i p t i o n Unit Pr Ext . INVOICE INVOICE INVOICE NVOICE 309823 12SR . 65 . 65 12 SURFACE#303M 58 . 25 37 . 86 TN p I Sales Tax Freight Misc CD Deposit Cash CD - TOTAL 37 . 86 37 . 86 e A FINANCE CHARGE OF 11/2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMIT T0: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256 INC.TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS,INC.(317)915-5000 1-8.5-27 FORM NO.BIN 025SF . O 10151 Hague Road DATE: 12/15/14 "D Indianapolis, Indiana 46256 1-844-HARDING INVOICE: 115336 www.HardingMaterialslnc.com ** INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE (317) 733-2001 Tax Juris : 0001 INDIANA 1 St ,Ord Date_.;Shp Date :, Ship Via Sub Acct : Cust Ord # .,Slsman . Clk Terms CpPa 01 12/15/14 ,,12/15/1 0 00 NET 15TH P 0201 Item - Ordered Shipped D e s c r i t i o n Uriit- Prc Ext . INVOICE INVOICE INVOICE I OICE 10163 12SR 1 . 48 1 . 48 12 SURFACE#303M 58 . 25 86 . 21 TN P Sales Tax Freight Misc CD Deposit Cash CD TOTAL 86 . 21 86 . 21 A FINANCE CHARGE OF 11/2% PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMIT T0: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256 INC.TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS,INC.(317)915.5000 1-8.5-27 FORM NO.BIN 025SF 0 10151 Hague Road DATE: 12/16/14 1 I Indianapolis, Indiana 46256 0 1-844-HARDING rLV_0-I-CE_:^11-5353 Gti_ri ii�u; [t'i ,tt%%i ais [ is www.HardingMaterialsinc.com ** INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE (317) 733-2001 Tax Juris : 0001 INDIANA 1 St :Ord Date Shp Date. Ship Via Sub Acct Cust Ord # �Slsman :Clk • Terms CpP.g . 01 . 12/16/14 12/16 14 . Item .l Ordered Shi ed D e s c r i t i o n Unit Prc Ext . INVOICE INVOICE INVOICE =VOICE 10249 11BDR . 97 . 97 11 BINDER#660 56 . 50 54 . 81 TN p Sales Tax Freight Misc CD Deposit Cash CD TOTAL 54 . 81 54 . 81 A FINANCE CHARGE OF 1112% PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256 INC.TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS,INC.(317)915-5000 1-8.5-27 FORM NO.BIN 025SF n Fi ,[d o 10151 Hague Road DATE: 12/19/14_ n _ 0 Indianapolis, Indiana 46256 1-844-HARDING INVOICE-: I S18� Nzwci'[L't i Ct'tu i c c 0 -GGi�• ^�^�^ HardingMaterialsinc.com ** INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE (317) 733-2001 Tax Juris : 0001 INDIANA 1 St Ord Date Shp Date Ship Via Sub Acct Cust Ord # Slsman Clk. Terms Cppg 01 12/19/14 12-/1-9/14 Item Ordered Shipped D e s c r i p t i o n Unit Prc Ext . INVOICE INVOICE INVOICE NVOICE 310355 12SF . 66 . 66 12 SURFACE FINE#302 58 . 25 38 . 45 TN p Sales Tax Freight Misc CD Deposit Cash CD TOTAL 38 . 45 38 .45 A FINANCE CHARGE OF 11/2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256 INC.TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS,INC.(317)915-5000 1-8.5-27 FORM NO.BIN 025SF 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)) 01/07/15 $541.79 1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ' 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 F. E. Harding Asphalt IN SUM OF$ 10151 Hague Road Indianapolis, IN 46256 $541.79 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#lrITLE AMOUNT Board Members 2201 42-363.00 $541.79 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 6 U" n, , 2015 StFe t G;ffleieR Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund