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HomeMy WebLinkAbout253198 01/11/16 CITY OF CARMEL, INDIANA VENDOR: 367666 .;, ® 3I• ONE CIVIC SQUARE SAGAMORE READY MIX LLC CHECK AMOUNT: $*******240.00* CARMEL, INDIANA 46032 PO BOX 6457 CHECK NUMBER: 253198 DEPT 272 CHECK DATE: 01111/16 INDIANAPOLIS IN 46206 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236200 495189 240.00 CEMENT SAGAMORE READY MIX, LLC REMIT TO : 9170 East 131st St - Fishers, IN 46038 PO Box 6457 - Dept #272 Phone: (317) 570-6201 » (888) 986-9293 Indianapolis, IN 46206 PAGE 1 CUSTOMER # 1351 Invoice Date 12-15-2015 Invoice Number . 495189 CARMEL STREET DEPARTMENT Order Code RB133121515 3400 W 131ST STREET Project Code CARMEL IN 46074 Purchase Order Job Number DELIVERY LOCATION PAYMENT TERMS CUSTOMER PICK UP DISC 10th TOTAL 20th AFTER DELIVERY MO Ticket # U_ sage _ Product Product_ Quantity _ _ _.Prise _Extended Gae Description Amount ------------------------------------------------------------------------------------------------ 917120 8050 2X2X6 CONCRETE BLOCK 6.00 ea 40.00 240.00 CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS Total Yards Sub Total Sales Tax INVOICE TOTAL 0.00 $240.00 $.00 $240.00 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 Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s) or bill(s)) 12/15/15 495189 $240.00 2201 201 I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 SAGAMORE READY MIX LLC PO BOX 6457 IN SUM OF$ DEPT 272 INDIANAPOLIS, IN 46206 $240.00 ON ACCOUNT OF APPROPRIATION FOR PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member: 495189 -I42-362.00 I $240.00 1 hereby certify that the attached invoice(s), or 2201 201 Prior Year 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 J ^� Thursd 0ecerr1ber 3 #15 � b StreetCommissioner Cost distribution ledger classification if claim paid motor vehicle highway fund