HomeMy WebLinkAbout255785 03/01/1 �! ,• CITY OF CARMEL, INDIANA VENDOR: 358385
® '} ONE CIVIC SQUARE GENERAL SHALE& BRICK CHECK AMOUNT: $*******205.20*
CARMEL, INDIANA 46032 PO BOX 5825 CHECK NUMBER: 255785
CAROL STREAM IL 60197.5825 CHECK DATE: 03/01/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 182397239 205.20 CEMENT
0010 �b
General Shale a�
Building The American Dream®
X.
Invoice: 182397239 Invoice Date: 02/02/2016
Bill To: 279670 Customer P0: guilford/ 116th
CITY OF CARMEL
3400 W 131ST STREET Bill of Lading: 172642759
WESTFIELD IN 46074-8267 Goods Issue Date: 02/02/2016
Order: 319799853
Sales Rep: 399
Ship-To:
CITY OF CARMEL Order-Loc.: Carmel
3400 W 131ST STREET CARMEL IN
WESTFIELD IN 46074-8267 Phone: 317-846-2566
Mode of Shipment: Customer Pickup / 057 T I
Material Material Description Quantity Price Value USD
Batch Number and Description
6099010275 4 X 8 X 16 SOLID BLOCK 108 EA 1.90 205.20
Subtotal 205.20
TAX
TOTAL 205.20
LATE PAYMENT CHARGE of 1.5o PER MONTH.
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))
02/02/16 182397239 $205.20
2201 201
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
GENERAL SHALE& BRICK ALLOWED 20
PO BOX 5825 IN SUM OF$
CAROL STREAM, IL 60197-5825
$205.20
ON ACCOUNT OF APPROPRIATION FOR
Street Department
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT
_ Board Member
I 182397239 I 42-362.00 I $205.20 1 hereby certify that the attached invoice(s), or
2201 201
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
Tu&%,CFUfflarybY,r2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund