HomeMy WebLinkAbout258023 04/26/16 CITY OF CARMEL, INDIANA VENDOR: 367666
® „ ONE CIVIC SQUARE SAGAMORE READY MIX LLC CHECK AMOUNT: $*******407.50*
;• �Q CARMEL, INDIANA 46032 PO BOX 6457 CHECK NUMBER: 258023
DEPT 272 CHECK DATE: 04/26/16
INDIANAPOLIS IN 46206
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 500514 407.50 CEMENT
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))
04/06/16 500514 $407.50
2201 201
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
SAGAMORE READY MIX LLC
PO BOX 6457 IN SUM OF$
DEPT 272
INDIANAPOLIS, IN 46206
i
$407.50
5
ON ACCOUNT OF APPROPRIATION FOR
Street Department
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member:
500514 42-362.00 $407.50 1 hereby certify that the attached invoice(s), or
2201 I 201 I
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
Tuesda , April 12 201e7 n6
17 it h-JI tllv JI(m,4M
—"-,/ ' W
Stmet Commloploner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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 04-06-2016
Invoice Number 500514
CARMEL STREET DEPARTMENT Order Code 56
3400 W 131ST STREET Project Code
CARMEL IN 46074 Purchase Order
Job Number 317-503-2319
DELIVERY LOCATION PAYMENT TERMS
HARRISON DR & BRIARSTONE TR DISC 10th TOTAL 20th AFTER DELIVERY MO
Ticket-"# - Usage --- Product Product Quantity- -- Price Extended
Code Description Amount
------------------------------------------------------------------------------------------------
928870 FILL FFIN010 INDOT REMOVABLE FLOW FILL 5.00 cy 73 .50 367.50
928870 400 MINIMUM LOAD CHARGE 1.00 ea 40.00 40.00
CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS
YOU MAY DEDUCT $17.50 FROM THIS INVOICE IF PAID BY May-10-2016.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
5.00 $407.50 $.00 $407.50