246257 06/17/15 ��..4�,xb
,;� CITY OF CARMEL, INDIANA VENDOR: 365699
j; �) ONE CIVIC SQUARE CONCRETE MIXER SUPPLY CHECK AMOUNT: $********77.18*
s. _� CARMEL, INDIANA 46032 1721 CORNELL DRIVE CHECK NUMBER: 246257
+,;y___,,.' OLEAN NY 14760 CHECK DATE: 06/17/15
��ON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 L0527006 77.18 OTHER EXPENSES
CONCRETE MIXER SUPPLY
11� 1721 CORNELL DRIVE -' � '
NVOICE
OLEAN, NY 14760 Invoice Number: 'L052706
O O
Invoice Date: :May 28,2015
Page: 1
Duplicate
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Voice: 877-254-0715 Fax: 716-701-6747
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CITY OF CARMEL WWTP CITY OF CARMEL WWTP J1
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
L' INDIANAPOLIS, IN 46280 INDIANAPOLIS, IN 46280
x r'+L:r�3.f$ �. ks s txy; : ^sa.sdr 9SC� 5u �a rnY � tare� >TaMiMc
CITY OF CARMEL JEFF COPPER S15151 1% 10 Net 30 Days
' Sales Rep'!D „� ` �'�`���� � S gypping Method z tiPSl�tjp Date � � �� Que�Date�
MIKE JONES UPS5/28/15 6/27/15
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Quantity Item `tk
PF,
UElIP3lcer �►1a lnt
1.00 W1003 McNEILUS FLOPPERASSEMBLY400150830 62.001 6200
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Subtotal 62.00
I
' Sales Tax
Freight 15.18
Total Inv . 77.18 '
j • oice Amount
Payment/Credit Applied
TOTAL AMOUNT DUE
Thank you for ordering from Concrete Mixer Supply. Remember to visit our website at
www.concretemixersupply.com. For parts returns - please contact your salesman and get prior approval -. a
copy of the sales-order must accompany return parts.
VOUCHER # 155657 WARRANT# ALLOWED
365699 IN SUM OF $
CONCRETE MIXER SUPPLY I
1721 CORNELL DRIVE
OLEAN, NY 14760
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
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PO# INV# ACCT# AMOUNT Audit Trail Code
L052706 01-7502-06 $77.18
1
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Voucher Total $77.18
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
F
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
365699
CONCRETE MIXER SUPPLY Purchase Order No.
1721 CORNELL DRIVE Terms
OLEAN, NY 14760 Due Date 6/4/2015
Invoice Invoice Description
Date Number (or note attached (nvoice(s) or bill(s)) Amount
6/4/2015 L052706 $77.18
i
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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
2-11
Date Officer