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HomeMy WebLinkAbout244483 04/21/15 CITY OF CARMEL, INDIANA VENDOR: 358385 �n. CHECK AMOUNT: $*******474.75* .,. ® ONE CIVIC SQUARE GENERAL SHALE& BRICK CARMEL, INDIANA 46032 PO BOX 5825 CHECK NUMBER: 244483 *eroN :? CAROL STREAM IL 60197-5825 CHECK DATE: 04/21/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236200 182224290 47.25 CEMENT 2201 4236200 182224291 427.50 CEMENT 0010 General Shale Building The American Dream® ...................................... ...... ................. ><>>> ><> >> >> Invoice: 182224290 Invoice Date: 04/10/2015 Bill To: 279670 Customer P0: INLETS CITY OF CARMEL 3400 W 131ST STREET Bill of Lading: 172461501 WESTFIELD IN 46074-8267 Goods Issue Date: 04/10/2015 Order: 318462649 Sales Rep: 399 Ship-To: CITY OF CARMEL Order Loc.: Carmel 3400 W 131ST STREET CARMEL IN WESTFIELD IN 46074-8267 Phone: 317-846-2566 Mode of Shipment: Customer Pickup / 057- - - -- Material Material Description Quantity Price Value USD Batch Number and Description 6099001047 ESSROC BRIXMENT GRAY TYPE S 5 BAG 9.45 47.25 Subtotal 47.25 TAX TOTAL 47.25 LATE PAYMENT CHARGE of 1.5o PER MONTH. PLEASE RETURN THIS PORTION WITH YOUR PAYMENT Accnt#= Customer Name Invoice-Date Invoice Amount Due 279670 CITY OF CARMEL 04/10/2015 182224290 47.25 Remit To: GENERAL SHALE BRICK, INC PO Box 5825 CAROL STREAM IL 60197-5825 Terms: Take discount of $0.95 If paid on or before 05/10/2015 NET 45 DAYS. 0010 General Shale Building The American Dream® Invoice: 182224291 Invoice Date: 04/10/2015 Bill To: 279670 Customer P0: INLET REPAIR CITY OF CARMEL 3400 W 131ST STREET Bill of Lading: 172461976 WESTFIELD IN 46074-8267 Goods Issue Date: 04/10/2015 Order: 318462999 Sales Rep: 399 Ship-To: CITY OF CARMEL Order Loc.: Carmel 3400 W 131ST STREET CARMEL IN WESTFIELD IN 46074-8267 Phone: 317-846-2566 -_ `— Mode of-Shipment:-Customer Fickup /-057 -6L Material Material Description Quantity Price Value USD Batch Number and Description 6099001046 ESSROC BRIXMENT GRAY TYPE N 50 BAG 8.55 427.50 Subtotal 427.50 TAX TOTAL 427.50 LATE PAYMENT CHARGE of 1.5o PER MONTH. PLEASE RETURN THIS PORTION WITH YOUR PAYMENT Accnt#: Customer Name Invoice-Date Invoice Amount Due 279670 CITY OF CARMEL 04/10/2015 182224291 427.50 Remit To: GENERAL SHALE BRICK, INC PO Box 5825 CAROL STREAM IL 60197-5825 Terms: Take discount of $8.55 If paid on or before 05/10/2015 NET 45 DAYS. VOUCHER NO. WARRANT NO. General Shale and Brick ALLOWED 20 IN SUM OF$ P. O. Box 5825 Carol Stream, IL 60197-5825 $474.75 ,I ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 182224290 42-362.00 $47.25 I hereby certify that the attached invoice(s), or 2201 182224291 42-362.00 $427.50 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 ri ay, 17, 2015 ,U 6UAdl Street Commissio 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. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 04/10/15 182224290 $47.25 04/10/15 182224291 $427.50 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 , 20 Clerk-Treasurer