244689 04/29/15 4'.a*qM CITY OF CARMEL, INDIANA VENDOR: 357076
!; ® ONE CIVIC SQUARE DELELLO &SONS ASHPHALT PAVING CHECK AMOUNT: $*****3,149.66*
_� CARMEL, INDIANA 46032 17306 WESTFIELD PARK ROAD CHECK NUMBER: 244689
+�,� WESTFIELD IN 46074 CHECK DATE: 04/29/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350400 38236 17492 3,149.66 ROAD REPAIRS
Delello & Sons Asphalfftving, Inc. Invoice
17306 Westfield Park Road
Westfield, IN 46074
Customer ID: CARMEL PARKS
Telephone(317) 867-4444 APR 2-® 2015 Invoice No.: 17492
Fax(317) 867-4447 �$ ;
Bill To: Job/Location:
ATTN:
Carmel Clay Parks Hazel Landing
1427 E. 116th Street
CARMEL, IN 46032
Customer Phone#: (317) 571-4142
Date Ship Via F.O.B. Terms
04/06/15 - Net 10
Purchase Order Number Job Date Sales Person Job Number
38236 04/06/15 Jacob Jordan TE15-39
Quantity Description Unit Price Amount
Grade Roadway Per Proposal
67.72 Tons#53 Limestone 15.50 1049.66
350 Hours Grader 6.00 2100.00
Invoice subtotal 3149.66
Invoice total 3149.66
1.5% FINANCE CHARGE WILL BE ADDED TO INVOICES OVER 30 DAYS--THANK YOU!
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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:
357076 Delello &Sons Asphalt Paving Inc. Terms
17306 Westfield Park Road
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/6/15 17492 Hazel Landing entry road repairs 38236 $ 3,149.66.
Total $ 3,149.66
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
i
Voucher No. Warrant No.
357076 Delello &Sons Asphalt Paving Inc. �, Allowed 20
17306 Westfield Park Road
Westfield IN 46074. f
I. In Sum of
$ , 3,149.66
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund I.
I,
PO#or -INVOICE NO: CCTWTITL AMOUNT ; Board Members
Dept#
38236 F 17492 4350400 $ 3;149;66, 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
April 23,_2015
1P
Signature,
77Fj7i,149.66 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
F