248362 08/1 2/1 5 CITY OF CARMEL, INDIANA VENDOR: 368798
ONE CIVIC SQUARE HARDING MATERIAL INC CHECK AMOUNT: $*****.*170.57*
CARMEL, INDIANA 46032 10151 HAGUE ROAD CHECK NUMBER: 248362
INDIANAPOLIS IN 46256 CHECK DATE: 08/12/15
t IiON GO
I
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 2177 170.57 OTHER EXPENSES
HM
DATE: 6'/18/2015
10151 Hague Road
Indianapolis, Indiana 46256 INVOICE: 2177
1-844-HARDING ICE**
www.HardingMaterialslnc.com
BILL TO: CAR210 SHIP TO:
CARMEL STREET DEPARTMENT
3400 W 131 st Street
CARMEL,IN 46074
(317)733-2001 Tax Juris: EX
- - . ORD DATE a._ _ _J
Item-# Ordered Shipped Description Unit Prc Ext. --
3320 3.09TN 3.09TN SURFACE MED 9.5MM 55.20 170.57
409
315994,989
Sales TIM Dqposit Tot2l
170:57 _»_ O.OQ �. �. �. _Wd ...� _: _ 0:00 _ _ _ . 170:57
A FINANCE CHARGE OF 11/2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE
OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS.CUSTOMER SHALL BE LIABLE PLEASE REMIT TO: 10151 HAGUE ROAD
FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256
INC.TO ENFORCE THE TERMS OF COLLECTION.
LASERaWSINESS FORMS,INC.(317)915-5000 1-8.5-27 FORM NO.BIN 025SF
VOUCHER # 152633 WARRANT# ALLOWED
368798 IN SUM OF $
HARDING MATERIALS/HMI
10151 HAGUE RD
INDIANAPOLIS, IN 46256
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2177 01-6200-06 $170.57
i
i
Voucher Total $170.57
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
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
368798
HARDING MATERIALS/HMI Purchase Order No.
10151 HAGUE RD Terms
INDIANAPOLIS, IN 46256 Due Date 8/5/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/5/2015 2177 $170.57
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