250585 10/21/15 CITY OF CARMEL, INDIANA VENDOR: 357193
b " ONE CIVIC SQUARE BEAVER GRAVEL CHECK AMOUNT: $*****'**35.00*
CARMEL, INDIANA 46032 16101 RIVER AVENUE CHECK NUMBER: 250585
NOBLESVILLE IN 46062 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 G1150637 35.00 OTHER EXPENSES
BEAVER
.4 A I e R f n L s Beaver Gravel Corp Invoice# G 1150637
16101 River Ave
Date 09/28/2015
Noblesville, IN 46062
317-773-0679 Page Page 1 of 1
Bill To: IShip To:
CITY OF CARMEL WASTE WATER PLANT
9609 HAZEL DELL PKWY WASTE PLANT
INDIANAPOLIS IN 46280
Ordered By Job Type Job Number S.O. No. P.O. Number Due Date
------- --------- - - ---- -- ---- - --—
68 10/28/15
Ticket.# ' Truck No. Product No. Product Description UOM Quantity Price Ext. Amount
169372 10 1 CARMEL DUMP CLEAN FILL DUMP FEES Each 1.00 35.00 35.00
Total SubTotal $ 35.00
Tons Sales Tax $ 0.00
Terms: All Accounts past due are subject to service charges at the rate of 1.5%per month.
1.00 INVOICE TOTAL $ 35.00
PLEASE REFERENCE INVOICE NUMBER WHEN MAKING PAYMENTS - THANK YOU!
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
025100
BEAVER GRAVEL CORP Purchase Order No.
16101 River Avenue Terms
Noblesville, IN 46060 Due Date 10/13/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/13/201! G1150637 $35.00
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 # 156472 WARRANT # ALLOWED
025100 IN SUM OF $
BEAVER GRAVEL CORP
16101 River Avenue
Noblesville, IN 46060
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
G1150637 01-7360-02 $35.00
Voucher Total $35.00
Cost distribution ledger classification if
claim paid under vehicle highway fund