250719 10/21/15 �C*A
�`� `y� CITY OF CARMEL, INDIANA VENDOR: 369970
G.: -�
® ONE CIVIC SQUARE INDIANA BRICK CORPORATION CHECK AMOUNT: $*****6,339.96*
s._ CARMEL, INDIANA 46032 734 EAST 169TH STREET CHECK NUMBER: 250719
�,,.,_,.-'? WESTFIELD IN 46074 CHECK DATE: 10/21/15
` ltUN Gp.
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 80988 6,339.96 CEMENT
Indiana Brick Corporation Invoice
734'East 169th Street Invoice Number:
Westfield, IN 46074 80988
Invoice late:
(317) 896-1600 10/05/15
Pagc: 1
Sold To: Ship To:
Carmel Street Department Carmel Street Department
3400 W 131st St 3400«/ 131st St
Westfield, IN 46074 Boyd Piercy
Westfield, IN 46074
CARMELSTREET Purchase Order Number Terms
.-\my Lunn F 5.00%-25th/Net Next EOMI
Sales Person ID Shipping Method Shi Date Due Date
P
( Bruce L}7on Steve S. 10/05/15 11/30/15
Quantity z Item Number Description Unit Price Amount
5170 19BEL2REGI\fEN" Regimental Full Paver 0.7740 4001.58
21/4x4x8
Chamfered&Lugged
930 19BEI_.2\\%I-IE_\TFII 8x8x2 1/4" \\/heat6eld Paver 2.7000 2511.00
Chamfered
1 DELIP7=?RYCHG DeliveiN Charge 150.0000 150.00
NOT DISCOUNTABLE
IS T_1\z\131_.E
Deduct$I� .( �� if paid by H 41/�.
Please Pay from Invoice. Subtotal 6662.58
Sales Tax 0.00
Check No.
Total Due 6662.58
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))
10/05/15 80988 $6,339.96
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Brick Corporation
IN SUM OF $
734 East 169th Street
Westfield, IN 46074
$6,339.96
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 I 80988 I 42-362.001 $6,339.96 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
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claim paid motor vehicle highway fund