257088 04/05/16 @_4aq
'% \ CITY OF CARMEL, INDIANA VENDOR: 357193
® s,j ONE CIVIC SQUARE BEAVER GRAVEL CHECK AMOUNT: $*******175.00*
r, ?� CARMEL, INDIANA 46032 16101 RIVER AVENUE CHECK NUMBER: 257088
�.y,�TON�O'` NOBLESVILLE IN 46062 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 G 1156280 175.00 BUILDING REPAIRS & MA
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))
03/07/16 G 1156280 $175.00
2201 201
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
BEAVER GRAVEL
16101 RIVER AVENUE IN SUM OF$
NOBLESVILLE, IN 46062
$175.00
ON ACCOUNT OF APPROPRIATION FOR
Street Department
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Member
G 1156280 I 43-501.00 I $175.00 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
Tues y, March 5,
VWW'*
Street C-mmissinner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
BEAVER
M n T c a ' >> ? S Beaver Gravel Corp 4`,Invoice"# ` G 1156280
i rT.
16101 River Ave Date 03/07/2016
Noblesville, IN 46062
t rPia e
317-773-0679 9 Page 1 of 1
JL
Bill To: IShip To:
CARMEL STREET DEPARTMENT
3400 W 131ST STREET CARMEL
CARMEL IN 46074
Ordered By Joti:.Type P:O, Nurnber Due°Date
Job Number S O. No
79 416116 .
_ Ticket# Truck,No '.,Product,No.._ z'Product Description :; UOM•, • Quantity,.'-- Price Ext. Amount
885317 216 carmel DUMP CLEAN FILL DUMP FEES Each 2.00 35.00 70.00
885318 211 carmel DUMP CLEAN FILL DUMP FEES Each 1.00 35.00 35.00
885319 215 carmel DUMP CLEAN FILL DUMP FEES Each 2.00 35.00 70.00
�r3Uf'�
i;:Total SubTotal $ 175.00
Tons $ales TAk $ 0.00
Terms: All Accounts past due are subject to service charges at the rate of 1.5%per month.
5.00 :INVOICE TOTAL $ 175.00
PLEASE REFERENCE INVOICE NUMBER WHEN MAKING PAYMENTS-THANK YOU!