250179 10/07/1 5 +W.C�gMR
�„ CITY OF CARMEL, INDIANA VENDOR: 369017
® 1 ONE CIVIC SQUARE COUNTY MATERIALS CORPORATION CHECK AMOUNT: $.....1,592.50'
r z° CARMEL, INDIANA 46032 PO Box CHECK NUMBER: 250179
�,;,�_pN�� MARATHON WI 54448-0100 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2594310-00 1,352.50 OTHER EXPENSES
651 5023990 2627260-00 240.00 OTHER EXPENSES
INVOICE
COUNTY(800) Fax: (715)443-3768
9P.O. BOX 100 `.IWOICEEDATE-,;;"'�>` ,;:'ORDER NO.--'
MATERIALS CORPORATION MARATHON,WI 54448-0100 09/28/15 09/28/15 2594310-00
_ P.O.'NO:,.`.:'' .PAGE'#";
57 kmi S15281 1 of 1
OUST#: 150021
CITY OF CARMEL
SHIP TO: CARMEL WASTE WATER TREATMENT
customer pick up
CITY OF CARMEL
CARMEL WASTE WATER TREATMENT
6ILLTO: 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280
. .
NO. ::.i,,r., .,,.' :.:� - 'ANDD DESCRIPTION � SHIPPED .:-UM ++(NET)�.;"'
1 784836CIN 1.00 EA 250.00 250.00
MH CONE 48"X 36
2 784824IN 3.00 EA 162.00 486.00
MH RISER 48"X 24"
4 7AR2406IN 9.00 EA 38.50 346.50
ADJ RING 24"X6"CONCRETE
7 7AR24041 N 9.00 EA 30.00 270.00
ADJ RING 24"X 4" CONCRE
Total 1352.50
Invoice Total 1352.50
INVOICE
COlIIIVTI(•(800)289-2569 Fax: (715)443-3768
P.O. BOX 100 SHIPPED- -: INVOICE OATEa,;„ w".''>>ORDER NO. .
MATERIALS CORPORATION MARATHON,WI 54448-0100 " 09/30/15 09/30/15 2627260-00
56 'wil S15489 1 of 1
CusT#: 150021
CITY OF CARMEL
SHIP TO: CARMEL WASTE WATER TREATMENT
customer pick up
CITY OF CARMEL
CARMEL WASTE WATER TREATMENT
BILL TO: 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN 46280
LINE PRODUCT OTY:. -;' OTY.''. ,r',':•"`:' UNIT' - "?:,• AMOUNT,";. [;.t
N0: ;AND DESCRIPTION •'.. SHIPPED,'' U/M' PRICE'` (NET)y"
' >..
1 7mast04 24.00 ROLL 10.00 240.00
ROPE MASTIC 1"X 14.5' ROLL, 8 ROLLS/BOX
Total 240.00
Invoice Total 240.00
bl. ov` ��
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
369017
COUNTY MATERIALS CORPORATION Purchase Order No.
PO BOX 100 Terms
MARATHON, WI 54448-0100 Due Date 9/30/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/30/2015 2594310-00 $1,352.50
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 # 156380 WARRANT # ALLOWED
369017 IN SUM OF $
COUNTY MATERIALS CORPORATION i
PO BOX 100
MARATHON, WI 54448-0100
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR °
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
2594310-00 01-7200-02 $1,352.50
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund