251658 11/18/15 C4N .
CITY OF CARMEL, INDIANA VENDOR: 204045
ONE CIVIC SQUARE MILESTONE CONTRACTORS, L P CHECK AMOUNT: $******""58.71'
a CARMEL, INDIANA 46032 PO BOX 635464 CHECK NUMBER: 251658
CINCINNATI OH 45263-5464 CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236300 99325 58.71 BITUMINOUS MATERIALS
Invoice
T 04 Pr
Invoice #: 99325
Milestone Contractors, L.P.
5950 S. Belmont Ave. Date: 10/28/15
Indianapolis, IN 46217 Cust PO#:
1
CITY OF CARMEL- STREET DEPT.
3400 W. 131 ST STREET P.O. Box 635464
Please Remit to:
WESTFIELD, IN 46074 Cincinnati, OH 45263-5464
Plant 12 Customer No 1,936 For Billing questions, please call: 317-616-4876 Page 1 of 1
Date Ticket Description Quantity UM Unit Material Haul Tax Total
Price Amount Amount
F0/,
12/155 22360H/ -9.5 SURFACE
527384 1.03 TON 57.00 58.71 0.00 58.71
*Subtotal* 1.03 TON 58.71 0.00 0.00 58.71
TOTAL 1.03 58.71 0.00 0.0 58.7
Payment Due By: November 27, 2015 Total: $ 558.71
Paymentis due NET/M.However, we reserve the right to K7e a Mechanics Lien ifpayment is notreceived within 45 calendardays
from the last day material waspurchased. Customer agrees topayinterest at the rate of 24S permonth on allpastdue balances.
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))
10/28/15 99325 $58.71
1 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
Milestone Contractors, L.P.
IN SUM OF $
P. O. Box 635464
Cincinnati, OH 45263-5464
$58.71
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 I 99325 I 42-363.001 $58.71 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
F)jr/hursda NoW eZ; 015
Stt4e'rt,fOoIn'missio erg
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund