242504 02/24/15 CITY OF CARMEL, INDIANA VENDOR: 369135
d ONE CIVIC SQUARE CRAFCO INC CHECK AMOUNT: $*****2,044.90*
CARMEL, INDIANA 46032 PO 13OX 741089 CHECK NUMBER: 242504
ATLANTA GA 30374-1089 CHECK DATE: 02/24/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 10163489 2,044.90 CEMENT
IFmit to:
Crafco, enc. •
,M 420 N Roosevelt Ave ti So 741089
Chandler Az 85226 (G 303r74-1089 9 Date 2/1 Invoice No. 10163489
63489
PAVING hWNTENANCE SUPPLY (888) 594-7674
A Division of Crafco,Inc Order No. 00016509
Shipper ID S0164671
Serviced by: Evansville, IN Order Type Direct Shipment
(812)424-3400 Customer ID CARMCITY
BILL TO: SHIP TO:
City of Carmel Street Department City of Carmel Street Department
3400 W. 131 Street 3400 W. 131 Street
CARMEL, IN 46074 CARMEL, IN 46074
' PAGE 1
F.O.B.POINT SHIP VIA BUYER NAME CUSTOMERP.O.NO.
Origin SAIA
ORDER DATE TERMS� SALES PERSON SITE
2/5/2015 Net 30 Days Mark Collins 940
PART NUMBER
UNITS -wrySHIPPED � QTYBO PRICE DISC% EXT.PRICE
CRA34969-2 EA 56.00 0.00 32.9500 0.00 1,845.20
HP-Concrete Cold Patch
Notes:
I
All Past Due Accounts Shall Bear Interest At 1.5%Per Month From Invoice Due Date Until Paid.
A $30.00 Service Charge Will Be Added To Your Account For Checks Returned From The Bank .
Resale No: Sales Total 1,845.20
Project Exempt No.: EX Shipping&Handling 199.70
Project ID:
Project Location: N Misc.Charges 0.00
Tax Total 129.16
2,174.06
Cash/Checks Paid#t
Credit Card Paid
Less Paid Amount 0.00
• 2,174.06
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))
02/10/15 10163489 $2,044.90
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Crafco, Inc.
IN SUM OF$
PO Box 741089
Atlanta, GA 30374-1089
$2,044.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 10163489 42-362.00 $2,044.90 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
ThuFsdayiebruary 19, 2015
Lew
Street Comrniisioner
S-%;: t vE�
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund