245610 05/20/15 CITY OF CARMEL, INDIANA VENDOR: 367666
® 'r ONE CIVIC SQUARE SAGAMORE READY MIX LLC CHECK AMOUNT: $*****2,599.75*
CARMEL, INDIANA 46032 Po Box 6457 CHECK NUMBER: 245610
DEPT 272 CHECK DATE: 05/20/15
INDIANAPOLIS IN 46206
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 472603 2,094.25 OTHER EXPENSES
2201 4236200 474290 505.50 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 # 1551
Invoice Date 04-21-2015
Invoice Number 472603
CITY OF CARMEL WASTE WATER PLANT Order Code 8
9609 HAZELDELL PKWY Project Code
INDIANAPOLIS IN 46280 Purchase Order
Job Number JOE 716-3905
DELIVERY LOCATION PAYMENT TERMS
136TH & DITCH DISC 10th TOTAL 20th AFTER DELIVERY MO
" TlCCet"-}u _—_i5ayc_ -Product _ -Pr Oduct-_ Q antit-y Price _Extended_
Code
Description Amount
------------------------------------------------------------------------------------------------
869581 FILL FFIN010 INDOT REMOVABLE FLOW FILL 9.00 cy 68 .50 616.50
869588 FILL FFIN010 INDOT REMOVABLE FLOW FILL 9.00 cy 68.50 616.50
869605 STREET B6016 6 BAG STONE AIR 6.50 cy 121.50 789.75
869605 2020 296 CALCIUM 6.50 /y 5.00 32.50
869605 2040 2% HE 6.50 /y 6.00 39.00
CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS
YOU MAY DEDUCT $85.75 FROM THIS INVOICE IF PAID BY May-10-2015.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
24.50 $2,094.25 $.00 $2,094.25
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
367666
SAGAMORE READY MIX, LLC Purchase Order No.
PO BOX 6457 - DEPT#272 Terms
INDIANAPOLIS, IN 46206 Due Date 5/12/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/12/2015 472603 $2,094.25
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
Date Officer
VOUCHER # 155500 WARRANT # ALLOWED
367666 IN SUM OF $
SAGAMORE READY MIX, LLC
PO BOX 6457 - DEPT #272 i
INDIANAPOLIS, IN 46206
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
7.Zt�C, UL
472603 01-7.282-06 $2,094.25
Voucher Total $2,094.25 1
Cost distribution ledger classification if
claim paid under vehicle highway fund
,
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 # 1351
Invoice Date 05-08-2015
Invoice Number 474290
CARMEL STREET DEPARTMENT Order Code 26
3400 W 131ST STREET Project Code
CARMEL IN 46074 Purchase Order 3 STOPS
Job Number
DELIVERY LOCATION PAYMENT TERMS
CLAY TERRACE BLVD DISC 10th TOTAL 20th AFTER DELIVERY MO
Ticket # Usage Product Prnriuct Quantity Price Extended
Code Description amount__
------------------------------------------------------------------------------------------------
872888 CB CURBS B6036 6 BAG PEA GRAVEL AIR 3 .00 cy 121.50 364.50
872888 400 MINIMUM LOAD CHARGE 1.00 ea 120.00 120.00
872888 5015 GRACE MICROFIBER (BLUE) 3 .00 ea 7.00 21. 00
CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS
YOU MAY DEDUCT $10.50 FROM THIS INVOICE IF PAID BY Jun-10-2015.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
3.00 $505.50 $.00 $505.50
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))
05/08/15 474290 $505.50
1 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
Sagamore Ready Mix, LLC
IN SUM OF $
PO Box 6457-Dept. #272
Indianapolis, IN 46206
$505.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
2201 I 474290 I 42-362.001 $505.50 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
tt.r 15
u'Cut treet Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund