252615 12/15/15 01 r CggMf
CITY OF CARMEL, INDIANA VENDOR: 00350164
ONE CIVIC SQUARE F E HARDING ASPHALT CO, INC CHECK AMOUNT: $********85.56*
i�. ?� CARMEL, INDIANA 46032 10151 HAGUE ROAD CHECK NUMBER: 252615
+M��TON�� INDIANAPOLIS IN 46256 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 3928 85.56 OTHER EXPENSES
10151 Hague Road DATE: 9/2/2015
Indianapolis, Indiana 46256 INVOICE: 3928
1-844-HARDING ICE**
HARDING MATERIALS INC. www.HardingMaterialsinc.com
BILL TO: CAR210 SHIP TO:
CARMEL STREET DEPARTMENT
3400 W 131st Street
CARMEL,IN 46074
(317)733-2001 Tax Juris: EX
_
ORD-DATE TERMS _Net,30 __
Item# Ordered Shipped Description Unit Prc Ext.
3320 1.55TN 1.55TN SURFACE MED 9.5MM 55.20 85.56
409
Sa es ,
Deposit Tot, I
85:56 --- 0.00 __ _ __ _ ., __ ,�.___m�_ �.,. �.,._ ___-0:00-- __.__ ��.__- .--85:56-
A FINANCE CHARGE OF 1'/2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE
OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD
FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256
INC.TO ENFORCE THE TERMS OF COLLECTION.
LASER BUSINESS FORMS,INC.(317)915-5000 1-8.5-27 FORM NO.BIN 025SF
VOUCHER # 156832 WARRANT # ALLOWED
1
0002 IN SUM OF $
F.E. HARDING ASPHALT CO
10151 HAGUE RD
INDIANAPOLIS, IN 46256
1
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
' 1
3928 01-7200-02 $85.56
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1
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Voucher Total $85.56
Cost distribution ledger classification if
claim paid under vehicle highway fund
,I
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
i
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
0002
F.E. HARDING ASPHALT CO Purchase Order No.
10151 HAGUE RD Terms
INDIANAPOLIS, IN 46256 I Due Date 12/9/2015
r
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
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12/9/2015 3928 $85.56
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}
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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