249191 09/09/15 CITY OF CARMEL, INDIANA VENDOR: 358786
® 1 ONE CIVIC SQUARE BOTTAMILLER LLC CHECK AMOUNT: $*******400.00*
CARMEL, INDIANA 46032 9800 N GRAY ROAD CHECK NUMBER: 249191
•, .,oN. INDIANAPOLIS IN 46280 CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 6995 400.00 OTHER EXPENSES
®ttamiller LLC INVOICE
9800 N. Gray Road
Indianapolis, IN 46280 DATE INVOICE#
317-844-8800 8/13/15 6995
317-844-8834 Fax
BILL TO DELIVERED
CITY OF CARMEL SAME
CARMEL WASTEWATER UTILITY DUMPED AT WASTE WATER TREATMENT
9609 HAZEL DELL PARKWAY PLANT
INDIANAPOLIS, IN 46280
P.O. NO. TERMS DUE DATE SHIP DATE SHIP VIA ORDERED BY
NET 30 DAYS 9/12/15 8/12/15 962 JEFF
QTY ITEM DESCRIPTION RATE AMOUNT
1 PTS PULVERIZED TOPSOIL 400.00 400.00
PRICES SUBJECT TO CHANGE WITHOUT NOTICE .total
$400.00
*Unpaid balance subject to a late charge of 1 1/2% per month
on the outstanding balance.
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
350418
BOTTAMILLER LLC Purchase Order No.
9800 N. Gray Road Terms
Indianapolis, IN 46280 Due Date 8/27/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/27/2015 6995 $400.00
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 # 156179 WARRANT# ALLOWED
350418 IN SUM OF $
BOTTAMILLER LLC
9800 N. Gray Road
Indianapolis, IN 46280
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
6995 01-X293-0G $400.00
i
Voucher Total $400.00
Cost distribution ledger classification if
claim paid under vehicle highway fund