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244568 04/21/15 '; CITY OF CARMEL, INDIANA VENDOR: 00350596 3 3i ONE CIVIC SQUARE RIETH-RILEY CONSTRUCTION CO INC CHECK AMOUNT: S"'•""883.30` ?q; CARMEL, INDIANA 46032 PO Box 276 CHECK NUMBER: 244568 'M,«oN-'. INDIANAPOLIS IN 46206 CHECK DATE: 04/21/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236300 9220618 883.30 BITUMINOUS MATERIALS RIETH-RILEY RIETH-RILEY CONSTRUCTION CO. I 1 2 KENTUCKY AVE. PLANT (325) INVOICE 9 D N P.O. BOX 276 1 1 INDIANAPOLIS, IN 46206 6 6 Page 1 of 1 100th ANNI.VIRSW 100% Employee Owned Company www.rieth-riley.com Invoice: 9220618 ! BILL TO: Invoice Date: 4/8/2015 CARMEL STREET DEPARTMENT Customer Number: 222181 3400 W. MAIN STREET CARMEL , IN 46074 Job Number: 63200157 Plant Number: 325 __I_ _ TERMS: NET ON RECEIPT Customer P.O.: -- -- --- - ---- - - - -- i— I -----------Material------------ -----Freight------ Other Tax ate Ticket Product Description Qty Rate Amount Rate Amount Charges Fees Amount Total 18/2015 1319859 UPM COLD MIX 8.03 110.00 883.30 0.00 0.00 0.00 0.00 0.00 883.30 ubtotal 8.03 Ton $883.30 $0.00 $0.00 $0.00 $0.00 $883.30 ivoice Total 8.03 $883.30 $0.00 $0.00 $0.00 $0.00 $883.30 Total Invoice ----- > $883.30 } THANK YOU FOR YOUR BUSINESS (317)634-5561 A Service Charge of 1-1/2 % (18 %Annual Rate) will be made on all account balances not paid, according to the terms stated. Please make all checks payable to: RIETH-RILEY CONSTRUCTION CO., INC. ! For electronic payment,please e-mail Dru Buck at dbucknarieth-riley.com for more information. If you would prefer to receive an electronic copy of your invoice through e-mail,please contact your local Rieth-Riley office. VOUCHER NO. WARRANT NO. ALLOWED 20 Rieth Riley IN SUM OF$ P. O. Box 276 Indianapolis, IN 46206 i $883.30 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department i PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members, 2201 j 9220618 42-363.00 $883.30 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except d UW �$M® A�9�13mi9 eri�r — Street Commissioner 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 I Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 04/08/15 9220618 $883.30 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