248971 08/26/15 a d.C�g,M_
CITY OF CARMEL, INDIANA VENDOR: 359282
® "s'r ONE CIVIC SQUARE PAVER'S INC CHECK AMOUNT: $ "`**"528.00"
:' CARMEL, INDIANA 46032 2900 NORTH 900 EAST CHECK NUMBER: 248971
'Mr oN BROWNSBURG IN 46112 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4235000 15221 528.00 BUILDING MATERIAL
PAVERS, Inc. Invoice
2900 North 900 East -
Date Invoice#
Brownsburg, IN 46112
8/6/2015 15221
Bill To Ship To
City Of Carmel Street Dept City Of Carmel Street Dept
3400 West 131st Street 3400 West 131st Street
Westfield,IN 46074 Westfield,IN 46074
P.O. Number Terms Rep Ship Via F.O.B. Project
Due on receipt BER 8/6/2015 Will Call BB
Quantity Item Code Description Price Each Amount
160 Mission 8 CM Mission 8 CM 3.30 528.00T
0.00% 0.00
Thank you for your business.
Total $528.00
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))
08/06/15 15221 $528.00
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
Pavers, Inc.
IN SUM OF $
2900 North 900 East
Brownsburg, IN 46112
$528.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 15221 I 42-350.001 $528.00 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
1) 0urs August 20, 2015
4
Street Comfnv sioner
Street om ii9 pner
Cost distribution ledger classification if
claim paid motor vehicle highway fund