242832 03/03/15 �, ,• CITY OF CARMEL, INDIANA VENDOR: 367666
ONE CIVIC SQUARE SAGAMORE READY MIX LLC CHECK AMOUNT: $*****1,255.50*
CARMEL, INDIANA 46032 PO BOX 6457 CHECK NUMBER: 242832
DEPT 272 CHECK DATE: 03/03/15
INDIANAPOLIS IN 46206
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 469047 1,255.50 CEMENT
SAGAMORE READY MIX, LLC REMIT TO :
9170 East 131st St - Fishers, IN 46038 PO Box 6457 - Dept #272
Phone: (317) 570-6201 - • (888) 986-9293 Indianapolis, IN 46206
PAGE 1
CUSTOMER # 1550
Invoice Date 02-10-2015
Invoice Number 469047
CITY OF CARMEL Order Code 28
3450 W. 131ST STREET Project Code
CARMEL IN 46074 Purchase Order
Job Number
DELIVERY LOCATION PAYMENT TERMS
PRIMO & OLIVER - HAYDEN RUN DISC 10th TOTAL 20th AFTER DELIVERY MO
Tidket # Usage Product Product Quantity Price Extended
Code Description Amount
----------------- ------------------------------------------------------------------------------
861850 WALK B6036 6 BAG PEA GRAVEL AIR 9.00 cy 121.50 1, 093.50
861850 2040 20 HE 9.00 /y 6.00 54.00
861850 5015 GRACE MICROFIBER (BLUE) 9.00 ea 7.00 63.00
861850 7001 WINTER CHARGE 9.00 /y 5.00 45.00
CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS
YOU MAY DEDUCT $31.50 FROM THIS INVOICE IF PAID BY Mar-10-2015.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBXC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
9.00 $1,255.50 $.00 $1,255.50
VOUCHER NO. WARRANT.NO.
ALLOWED 20
Sagamore Ready Mix, LLC
IN SUM OF$
PO Box 6457-Dept. #272
i
Indianapolis, IN 46206
$1,255.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 I 469047 I 42-362.001 $1,255.50 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
m y 20151
ree Tommissioner
i
Title
Cost distribution ledger classification if
l
claim paid motor vehicle highway fund
i�
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
i
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
02/10/15 469047 $1,255.50
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
, 2.0
Clerk-Treasurer