241333 01/22/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 204045
ONE CIVIC SQUARE MILESTONE CONTRACTORS, L P CHECKAMOUNT: $********60.18*
CARMEL, INDIANA 46032 PO BOX 635464 CHECK NUMBER: 241333
CINCINNATI OH 45263-5464 CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236300 93588 60.18 BITUMINOUS MATERIALS
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R Invoice
O-EAR-'
„y:_�=`�` 93588
Invoice#:
Milestone Contractors, L.P.
5950 S. Belmont Ave. Date: 12/31/14
Indianapolis, IN 46217 Cust PO#:
1
CITY OF CARMEL-STREET DEPT.
3400 W. 131ST STREET P.O. Box 635464
Please Remit to:
WESTFIELD, IN 46074 Cincinnati, OH 45263-5464
Plant 12 Customer No 1,936 For Billing questions,please call: 317-616-4876 Page 1 of 1
Date Ticket Description Quantity UM Unit Material Haul Tax Total
Price Amount Amount
12/17/14 22360H/ -9.5 SURFACE
514418 0.51 TON 59.00 30.09 0.00 30.09
*Subtotal* 0.51 TON 30.09 0.00 0.00 30.09
12/18/14 22360H/ -9.5 SURFACE
514447 0.51 TON 59.00 30.09 0.00 30.09
*Subtotal* 0.51 TON 30.09 0.00 0.00 30.09
TOTAL 1.02 60.18 0.00 0.00 60.1
Payment Due By: January 30,2015 Total: $ 6.0,18
Payment is due NEP/M.However, we reserve the right to file a Mechanics Lien Zpaymentis not received within 45 calendar days
from the last daymaterial waspurchased. Customer agrees topayinterestatthe rate of2%per month onallpastdue halances.
VOUCHER NO. WARRANT NO.
i
Milestone Contractors, L.P. ALLOWED 20
IN SUM OF$
P. O. Box 635464
Cincinnati, OH 45263-5464
$60.18
ON ACCOUNT OF APPROPRIATION FOR
i
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 93588 42-363.00 $60.18 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
1 )/V S
/F/i d a 2015
St�t�ieir�issiener
Title
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.
i
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
I
Date Number (or note attached invoice(s)or bill(s))
12/31/14 93588 $60.18
I
j
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