251006 11/04/15 W�*q
*R CITY OF CARMEL, INDIANA VENDOR: 358786
ONE CIVIC SQUARE BOTTAMILLER LLC CHECK AMOUNT: $*****1,180.00*
�� CARMEL, INDIANA 46032 9800 N GRAY ROAD CHECK NUMBER: 251006
.y,__oN.�o.` INDIANAPOLIS IN 46280 CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 7228 1,180.00 OTHER EXPENSES
1
®ttamiller LLC INVOICE
9800 N. Gray Road
Indianapolis, IN 46280 DATE INVOICE#
317-844-8800 10/11/15 7228
317-844-8834 Fax
BILL TO DELIVERED
CITY OF CARMEL UTILITIES CARMEL WATER DEPARTMENT
3450 WEST 131ST STREET CUSTOMER PICKED UP
CARMEL, IN 46074
P.O. NO. TERMS DUE DATE SHIP DATE SHIP VIA ORDERED BY
NET 15 DAYS 10/26/15 10/7/15 716-3921
QTY ITEM DESCRIPTION RATE AMOUNT
30 PTS PULVERIZED TOP SOIL - TRUCK #70 20.00 600.00
29 PTS PULVERIZED TOPSOIL -TRUC #145 20.00 580.00
W�
PRICES SUBJECT TO CHANGE WITHOUT NOTICE Total
$1,180.00
*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 RD Terms
INDIANAPOLIS, IN 46280 Due Date 10/27/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/27/201,' 7228 $1,180.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance�with ICp 5-11-10-1.6
'p/3,24
Date Officer
VOUCHER # 153388 WARRANT # ALLOWED
350418 IN SUM OF $
BOTTAMILLER LLC
9800 N GRAY RD
INDIANAPOLIS, IN 46280 r
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
7228 01-6200-06 $1,180.00
Voucher Total $1,180.00
Cost distribution ledger classification if
claim paid under vehicle highway fund