HomeMy WebLinkAbout259176 05/31/16 (2) v.! �• CITY OF CARMEL, INDIANA VENDOR: 367666
ONE CIVIC SQUARE SAGAMORE READY MIX LLC CHECK AMOUNT: $**"'5,604.75•
CARMEL, INDIANA 46032 PO BOX 6457 CHECK NUMBER: 259176
DEPT 272 CHECK DATE: 05/31/16
INDIANAPOLIS IN 46206
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 502475 3,682.00 OTHER EXPENSES
2201 4236200 502887 771.00 CEMENT
2201 4236200 503592 1,151.75 CEMENT
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
SAGAMORE READY MIX LLC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 6457 IN SUM OF$ CITY OF CARMEL
DEPT 272 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46206 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$1,151.75 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
503592 42-362.00 $1,151.75 1 hereby certify that the attached invoice(s),or 5/18/16 503592 $1,151.75
2201 201 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
Tuesday, May 24,2016
oou j-
street Commlsolonor
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
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 05-18-2016
Invoice Number 503592
CARMEL STREET DEPARTMENT Order Code 32
3400 W 131ST STREET Project Code
CARMEL IN 46074 Purchase Order
Job Number JIM 417-5216
DELIVERY LOCATION PAYMENT TERMS
11974 COPPERFIELD DR DISC 10th TOTAL 20th AFTER DELIVERY MO
Ticket # - -Usage- - Product- - - Product - Quanti-ty— ---Price ---Extended- --
Code Description Amount
------------------------------------------------------------------------------------------------
935619 B6016 6 BAG STONE AIR 8.50 cy 128.50 1,092.25
935619 5015 GRACE MICROFIBER (BLUE) 8.50 ea 7.00 59.50
DOC_FMT_CODE_08.DOCG
YOU MAY DEDUCT $29.75 FROM THIS INVOICE IF PAID BY Jun-10-2016.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
8.50 $1,151.75 $.00 $1,151.75
9170 EAST 131sT STREET
FISHERS, IN 46038-3545
(317) 570-6200 DISPATCH
(888)986-9294 Ili����1.01i uf' l !
u i;I �; ,i,t
(317) 570-6201 OFFICE A GAMORE ; 01 t� : is
9 -9
(888) 86 293 S '
(317)570=6271 FAX READY M
DELIVERY TICKET
CAUTION:_FRESHLY MIXED CONCRETE,MORTAR OR GROUT MAY CAUSE SKIN INJURY.AVOID CONTACT WITH SKIN AND WASH EXPOSED SKIN AREAS PROMPTLY
WITH WATER.CONTAINS PORTLAND CEMENT IF ANY MIXTURE OF CEMENT GETS INTO'EYES,RINSE IMMEDIATELY AND REPEATEDLY WITH WATER AND GET
PROPER MEDICAL ATTENTION.SEE CEMENT BURN WARNING ON BACK OF TICKET.
KEEP CHILDREN AWAY FROM WET MIXES...
1. Customer is'responsible for suitable roadway into and out of place of material delivery,and proper wash out location. r
2. When delivery is requested off public roadways,customer assumes risk and is responsible for damages to sidewalks,driveway or other property.
3. We do not assume responsibility for slump,strength or quality of concrete when water or any other material is added by the purchaser or his representative,or
at their request. Due to the fact that concrete is made from natural materials,color consistency from load to load cannot be guaranteed.
4. Purchaser understands that concrete not cured according to ACI 308 may only develop 50%of its designed strength.
5. Testing of delivered concrete must be done by ACI Level 1 Concrete Testing Technicians.
6. Do not apply de-icing compounds to exterior concrete during its first winter.
7. We do not guarantee the finished surface results obtained from this load of concrete.Too many factors not under our control can affect the ultimate results.
Gallons Added Meter Reading Slump Ticket-Number
!-' +'r RP ..i :ail-- • �`j;lp'f1'". .,
ill
,. 1pp�' �J r ;, Date
}{lt..I7,�MN All
Ticket Number
Plant Order# Customer Number Project P.O.Number Job Name—Number
Sold To: Delivery Address_:
1 / 1 1 1 . 1/WITI 11 1 ./ 1 / 1 / MINN.
inn
Received By: WASHOUT SYSTEM Time Due
USED
YES NO
Load No. Slump(+i-i, Air Content(+i.1.5q) Meter Reading At Plant Meter Reading Upon Arrival Used For Ordered By
fJ r {�
Quantity Quantity Quantity Product '
This Load. Ordered Delivered Code .Product Description Units Unit Price Amount
SUB-TOTAL
Truck No. Delivered By Left Plant Time ATj
me Start Finish Pour Left Job SALES TAX
TICKET TOTAL
'• '?`` 1 ` - ORDER TOTAL
i
nss:., tn►t.:a� r..��..,,e.r,..... D:..e Dim..+r,...,._ven.,.., rra....,e.r...,.._JIM--
MAIN OFFICE (317) 570-6201
A M DISPATCH (317) 570-6200
SAUA U RAE 9170 EAST 131 ST STREET
FISHERS, IN 46038
READY MIX WWW.SAGAMOREREADYMIX.COM
THE CONCRETE STORE SAGAMORE SAND AND GRAVEL
9170 EAST 131 ST STREET' 5001 E. 106TH STREET 8700 S. COUNTY ROAD 600 WEST
FISHERS- IN 46038 INDIANAPOLIS, IN 46280 ®ALEVILLE, IN 47334
(317) 570-6252
PLANT 1 11 PLANT 6 PLANT 22/23
9170 EAST 131 ST STREET 4550 S. HARDING STREET 16101 RIVER ROAD
FISHERS, IN 46038 INDIANAPOLIS, IN 46217 NOBLESVILLE, IN 46062
PLANT 2 PLANT 8 PLANT 24
2605 KENTUCKY AVE. 1408-ABRAHAM DRIVE 8553 STATE-ROAD 144
INDIANAPOLIS, IN 46221 ANDERSON, IN 46013 MOORESVILLE, IN. 46158
(765) 759-7111
PLANT 3 PLANT 9
4286 WHITELICK DRIVE 8700 S. COUNTY ROAD 60O WEST
WHITESTOWN, IN 46075 ®ALEVILLE, IN 47334'
(765) 759-7111
PLANT 4
5540 S. E3ELMONT AVE.
INDIANAPOLIS, IN 46221
WARNING:INJURIOUS TO EYES:CAUSES SKIN IRRITATION:READ THIS WARNING BEFORE USING:CONTAINS PORTLANC
CEMENT.
Contact with wet,unhardened concrete,mortar,cement or cement mixtures can cause skin irritation,severe chemical burns or serious
eye damage.Avoid contact with eyes and skin.Wear waterproof gloves,a fully buttoned, long-sleeve shirt,full length trousers and
tight-fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are
tight at the top and high enough to keep concrete from flowing into them. If you are finishing concrete,wear kneepads to,protect
knees.Wash wet concrete, mortar,cement or cement mixtures from your skin with fresh,clean water immediately after contact.
Indirect contact through clothing can be as serious as direct contact,so promptly rinse wet concrete, mortar,cement or cement
mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort. In case of eye contact, Flush
with plenty of water for at least 15 minutes.Consult a physician immediately. KEEP OUT OF REACH OF CHILDREN.USER AGREE:
TO CONVEY THIS WARNING TO ALL PERSONS WHOM MAY USE OR COME INTO CONTACT WITH WET(UNHARDENED)
CONCRETE, MORTAR,AND CEMENT OR CEMENT MIXTURES.
CRYSTALLINE SILICA CARCINOGENIC POTENTIAL:Concrete frequently contains crystalline silica in concentrations greater thar
0.1 percent, principally contributed by the aggregates. Respirable crystalline silica is classified by the International Agency for
Research on Cancer as a known human carcinogen and by the National Toxicology Program as'reasonably anticipated to be a
carcinogen".Crystalline silica in wet concrete is not respirable and does not pose a hazard when the concrete is in its plastic or
unhardened state.Once concrete has hardened,airborne dust generated by grinding,sawing,drilling, breaking, etc.,can lead to
potentially hazardous exposures to workers and appropriate respiratory protection precautions should betaken.
VOUCHER # 165298 WARRANT # ALLOWED
367666 IN SUM OF $
SAGAMORE READY MIX, LLC
PO BOX 6457 - DEPT#272
INDIANAPOLIS, IN 46206
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
502475 01-7200-02 $3,682.00
Voucher Total $3,682.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
367666
SAGAMORE READY MIX, LLC Purchase Order No.
PO BOX 6457 - DEPT#272 Terms
INDIANAPOLIS, IN 46206 Due Date 5/9/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/9/2016 502475 $3,682.00
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
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 # 1551
Invoice Date 05-01-2016
Invoice Number 502475
CITY OF CARMEL WASTE WATER PLANT Order Code 1
9609 HAZELDELL PKWY Project Code
INDIANAPOLIS IN 4628.0 Purchase Order PO# 516067-EMERGENCY
Job Number D. JARVIS
DELIVERY LOCATION PAYMENT TERMS
126TH ST & HAZEL DELL DISC 10th TOTAL 20th AFTER DELIVERY MO
Ticket # Usage Product Product Quantity Price Extended
Code Description Amount
----------------------------------------------------------------------------7---------------
50116-1 40116800 6 BAG ST AE 296 CAL 2'a HE 4.00 cy 140.50 562.00
50116-2 FF002 FLOWABLE FILL REG SET 8.00 cy 73.50 588.00
50116-3 FF002 FLOWABLE FILL REG SET 8.00 cy 73.50 588.00
50116-3 7031 EMERGENCY OPEN PLANT 1.00 ea 1,500.00 1,500.00
50116-3 7033 EMERGENCY EXCESS TRUCK TIM 4.44 ea 100.00 444.00
YOU MAY DEDUCT $70.00 FROM THIS INVOICE IF PAID BY Jun-10-2016.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
20.00 $3,682.00 $.00 $3,682.00
9170 EAST 131#'STREET
FISHERS, IN 46038=3545
(317)570-6200,DISPATCH r 3 °'
(888)986:,9294' z i I ,t
(317)570-6201`OFFICE A GAM, ORE �>>� �� �t� t .�I ,<<<«� i ��! f �►�I �s�
888 986-9293- ,
(317)570=6211 FAx
READY M I y �`
6CLIVERY TICKET
CAUTION:FRESHLY MIXED CONCRETE,MORTAR OR GROUT MAY.`CAUSE SKIWINJURY.AVOID CONTACT WITH AND WASH EXPOSED SKIN AREAS PROMPTLY•
WITH WATER.CONTAINS PORTLAND'CEMENT IF ANY.MIXTURE:OF-CEMENT GETS INTO EYES,RINSE IMMEDIATELY AND REPEATEDLY WITH WATER AND GET
PROPER MEDICAL ATTENTION.SEE CEMENTBURN'WARNING.ON BACK OF•TICKET.
KEEP.CHILDREN AWAY FROM WET MIXES.
1. Customer is:responsible for suitable roadway,!nto and out oPplace of-material delivery,-and proper wash`Out.location. '
2. When delivery is requested off public roadways,customer;assumes risk and is responsible for damages to sidewalks,driveway or other property.
3. We do not assume responsibility for slump,strengthTor qu i�y of-.concrete when water or any other materia1 1 l is added by the purchaser or his representative,or
at their request:`Due to the fact that conc•rete is made fro natural materials,color consistency from load to load'cannot be guaranteed. -
4. Purchaser understands that concrete not cured according txr�S ACI 308 may only develop 50%of its desigrAd strehgth.
5. Testing of delivered concrete mustbe done by ACI Level 1 Gbncrete Testing Technicians. rr,*
r•
6. Do not apply de ficin 'compounds to exterior concrete during•its first winter. -
7.''vVe do riot guarantthe finished surface results"obtatnedlfro is oad of concrete Too many factors not"u`rider ouf`control can a ec 't eiltfm'afe results:�jf4'
Gallons Added Meter Reading Slump Tiket Number
Date •.. _
B,a
Ticket Number -+ ` I�1
P-134t Order,# Customer Number Project P.O.Number Job Name-Number
_T
Sold To: Delivery Address:
... I ,
Received By: WASHOUT SYSTEM Time Due
USED
YES NO
Load No. Slump +i•1 Air Content(+i-1.5q) Meter qeading At Plant Meter Reading Upon Arrive Used For Ordered By
Quantity .Quantity Quantity Product Product Description Units Unit Price Amount
This Load Ordered Delivered Code
4o 0'11 4• 4 0,; 4011GB099
SUB-TOTAL
Truck No. Delivered By Left Plant Time Arrive Time Start Fanish Pour'• Lett Job SALES TAX
TICKET TOTAL
FF5 ORDER TOTAL
+ l 3,q , y
t r ,
«
t 43• a!
�eee__ w___a____ _�____ r•� �:Gt.✓ wi'__rr�____ v _ _ ^., w__5-.. "; ..____
MAIN OFFICE (317) 570=6201
SAGAMORE
DISPATCH (317) 570-6200
® 0170 EAST 131 ST STREET
READY
v FISHERS, IN 46038
READY MIX WWW.SAGAMOREREADYMIX.COM
THE CONCRETE STORE PA SAGAMORE SAND AND GRAVEL
9170 EAST 131 ST STREET 5001 E. 106TH STREET 8700 S. COUNTY ROAD 600 WEST
FISHERS, IN 46038 INDIANAPOLIS, IN 46284 DALEVILLE, IN 47334
(317.) 570-6252
PLANT 1/11 ' • -PLANT 6 PLANT 22/23
9170 EAST 131 ST STREET 4550 S. HARDING STREET 16101 RIVER ROAD
FISHERS, IN 46438 INDIANAPOLIS, IN 46217 NOBLESVILLE, IN 46062
PLANT 2 PLANT 8 PLANT 24
2605 KENTUCKY AVE. 1408"ABRAHAM DRIVE 8553 STATE ROAD 144
INDIANAPOLIS, IN 46.221 ANDERSON, IN 46013 MOORESVILLE, IN 46158
(765) 759-7111
PLANT 3 PLANT 9
4286 WHITELICK DRIVE 8700 S. COUNTY ROAD 600 WEST
WHITESTOWN, IN 46075 DALEVILLE, IN 47334
(765) 759-7111
PLANT 4
5540 S. BELMONT AVE.
INDIANAPOLIS, IN 46221
WARNING: INJURIOUS TO EYES:CAUSES SKIN IRRITATION: READ THIS WARNING BEFORE USING:CONTAINS PORTLANI
CEMENT.
Contact with wet;unhardened concrete,mortar,cement or cement mixtures can cause skin irritation,severe chemical burns or seriou
`eye damage.Avoid contact with eyes and skin.Wear waterproof gloves,a fully buttoned, long-sleeve shirt,full length trousers and
tight-fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are
tight at the top and high enough to keep concrete from flowing into them. If you are finishing concrete,wear kneepads to protect
knees. Wash wet concrete, mortar, cement or cement mixtures from your skin with fresh,clean water immediately after contact.
Indirect contact through clothing can be as serious as direct contact, so promptly rinse wet concrete, mortar,cement or cement
mixtures from clothing.-Seek immediate medical attention if you have persistent or severe discomfort. In case of eye contact, Flusl
with plenty of water for at least 15 minutes.Consult a physician immediately. KEEP OUT OF REACH OF CHILDREN.USER AGREE;
TO CONVEY THIS WARNING TO ALL PERSONS WHOM MAY USE OR COME INTO CONTACT WITH WET(UNHARDENED)
CONCRETE, MORTAR,AND CEMENT OR CEMENT MIXTURES.
CRYSTALLINE SILICA CARCINOGENIC POTENTIAL:Concrete frequently contains crystalline silica in concentrations greater tha
0.1 percent, principally contributed by the aggregates. Respirable crystalline silica is classified by the International Agency for
Research on Cancer as a known human carcinogen and by the National Toxicology Program as"reasonably anticipated to be a
carcinogen". Crystalline silica in wet concrete is not respirable and does not pose a hazard when the concrete is in its plastic or
unhardened state. Once concrete has hardened, airborne dust generated by grinding,sawing, drilling, breaking, etc.,can lead to
potentially hazardous exposures to workers and appropriate respiratory protection precautions should be taken.
Z ,; �. ,
9170 EAST REET
FISHERS, IN 46038-3545
(317)570-6200:DISPATCH .'Nfr"; i
I i E 't l�f li J, h 11 i+' �
(888)986-9294'
(317)570-6201 OFFICE AGA MORE �!�"1 }}!'f 1�4!}'1=�;�;i��li !{''���t�':j L!�s`} �;�
(888)986-9293
(317)570-6271.FAX READY MI
@
DELIVERY TICKET
CAUTION:FRESHLY MIXED CONCRETE,MORTAR OR GROUT MAY CAUSE SKIN INJURY.AVOID CONTACT WITH SKIN AND WASH EXPOSED SKIN AREAS PROMPTLY
WITH WATER.CONTAINS PORTLAND CEMENT IF ANY MIXTURE OF CEMENT GETS INTO EYES,RINSE IMMEDIATELY AND REPEATEDLY WITH WATER AND GET
PROPER MEDICAL ATTENTION.SEE CEMENT BURN WARNING ON BACK OF TICKET.
KEEP CHILDREN'AWAY FROM WET MIXES.
1. Customer is responsible for suitable roadway into and out of place of material delivery,and proper wash out location.
2. When delivery" is,requested off public roadways,customer assumes risk and is responsible for damages to sidewalks,driveway or other property.
3. W6 do not dssume'responsibility for slump,strength or quality of concrete when water or any other material is added by the purchaser or his representative,or:
at their request. Due to the fact that concrete is made from natural materials,color consistency from load to load cannot be guaranteed.
4,. Purchaser understands that concrete not cured 6ccbrcling.to k6l'308 may only develop 50%of its designed strength.
5. Testing of delivered concrete must be done by ACI Level 1 Concrete Teiting Technicians.
6. Do not apply de-icing compounds to exterior concrete during its first winter.
7. We do not guarantee the finished surface results obtained from this load;of-concrete.Too many factors not under our control can,affect the ultimate results,
Gallons Added Meter Reading Slump Ticket Number
Illil��l 1111111 mlll'11611pillpil 11,111 till 1111 Date
L 8
1 Ticket Number
Plapt Order OC.sftomer Number Project P.O.Number Job Name—Number
Sold To: Delivery Address:
CA 7 Lzo—L—_
WASHOUT
SYSTEM
USED
YES NO
Received By: mw77 Time Due
WASHOUT SYSTEM
USED
YES NO
Load No. Slump(+/.I' Air Content Meter Reading At Plant Meter Reading Upon Arriva Used For Ordered
By
Quantity Quantity Quantity Product
This Load Ordered Delivered Code Product Description Units Unit Price Amount
FFIN0115 yd3
fi
SUB-TOTAL
SALES TAX
Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Left Job
�Zjoe_ ;t . TICKET TOTAL
ORDER TOTAL
UL 0�
I
MAIN OFFICE (317) 570-6201
. �/C.�e�( �� � DISPATCH (317) 570-6200
9170 EAST 131 ST STREET
FISHERS, IN 46038
READY MIX WWW.SAGAMOREREADYMIX.COM
THE CONCRETE STORE PLANT 5 SAGAMORE SAND AND GRAVEL
9170 EAST 131 ST STREET 5001 E. 106TH STREET 8700 S. COUNTY ROAD 600 WEST
FISHERS, IN 46038 INDIANAPOLIS, IN 46280 , DALEVILLE, IN 47334
(317) 570-6252
PLANT 1 11 PLANT 6 PLANT 22/23
9170 EAST 131 ST STREET 4550 S.-HARDING STREET 16101 RIVER ROAD . .
FISHERS, IN 46038 INDIANAPOLIS, IN 46217 NOBLESVILLE, IN 46062''
PLANT 2 PLANT 8 PLANT 24
2605 KENTUCKY AVE. 1408 ABRAHAM DRIVE 8553 STATE ROAD 144
INDIANAPOLIS, IN 46221 ANDERSON, IN 46013 MOORESVILLE, IN 46158
(765) 759-7111
PLANT 3 PLANT 9
4286 WHITELICK DRIVE 8700 S. COUNTY ROAD 600 WEST
WHITESTOWN, IN 46075 DALEVILLE, IN 47334'
(765) 759-7111
PLANT 4
5540 S. BELMONT AVE.
INDIANAPOLIS, IN 46221
WARNING: INJURIOUS TO EYES:CAUSES SKIN IRRITATION:READ THIS WARNING BEFORE USING:CONTAINS PORTLAN[
CEMENT.
Contact with wet,unhardened concrete,mortar,cement or cement mixtures can cause skin irritation,severe chemical burns or serious
eye damage.Avoid contact with eyes and skin.Wear waterproof gloves,a fully buttoned, long-sleeve shirt,full length trousers and
tight-fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are
tight at the top and high enough to keep concrete from flowing into them. If you are finishing concrete,wear kneepads to protect
knees.Wash wet concrete,mortar, cement or cement mixtures from your skin with fresh,clean water immediately after contact.
Indirect contactthrough clothing can be as serious as direct contact,so promptly rinse wet concrete, mortar,cement or cement
mixtures from clothing.Seek immediate medical attention if you have persistent or severe discomfort. In case of eye contact, Flus1
with plenty of water for at least 15 minutes.Consult a physician immediately. KEEP OUT OF REACH OF CHILDREN.USER AGREE;
TO CONVEY THIS WARNING TO ALL PERSONS WHOM MAY USE OR COME INTO CONTACT WITH WET('UNHARDENED)
CONCRETE, MORTAR,AND CEMENT OR CEMENT MIXTURES.
CRYSTALLINE SILICA CARCINOGENIC POTENTIAL:Concrete frequently contains crystalline silica in concentrations greater that
0.1 percent, principally contributed by the aggregates. Respirable crystalline silica is classified by the International Agency for
Research on Cancer as a known human carcinogen and by the National Toxicology Program as"reasonably anticipated to be a
carcinogen". Crystalline silica in wet concrete is not respirable and does not pose a hazard when the concrete is in its plastic or
unhardened state. Once concrete has hardened,airborne dust generated by grinding,sawing,drilling, breaking, etc., can lead to
potentially hazardous exposures to workers and appropriate respiratory protection precautions should be taken.
9170 EAST 131v STREET
FISHERS, IN 4608-3545
(317)570-6200 DISPATCH
(317) 570-6201.-O' FFICE
(888)986=9294,;
.SAG' AMORE )I i!)i i`)! U)� f�{1} �!� )1 Cil if f. � I;'I i �. ,3,,:1 I ��� �.
(888)986-9293_ L . -T
(317) 570-6271"PAx READY M I@
DELIVERKTICKET
CAUTION:FRESHLY MIXED CONCRETE,MORTAR OR GROUT MAY CAUSE SKIN INJURY.AVOID CONTACT WITH SKIN AND WASH EXPOSED SKIN AREAS PROMPTLY
WITH WATER.CONTAINS PORTLAND CEMENT IF ANY MIXTURE OF CEMENT GETS INTO EYES,RINSE IMMEDIATELY AND REPEATEDLY WITH WATER AND GET
PROPER MEDICAL ATTENTION.SEE CEMENT BURN WARNING ON BACK OF TICKET.
KEEP CHILDREN AWAY FROM WET MIXES.
1. Customer is responsible for suitable roadway into and out of place of material deliv4ry,and,proper washout location.
?.,.When delivery is,reqtes,tel.qff public.,rQad oyso;ustompyqs� mes risk.and is pe ponsIbIplor.damages to.sidewaIks,driveway or other property
3. We do not assume responsibility for slump,strength or quality of concrete wheniwaier or any'other material is added by the purchaser or his representative,or
at their request. Due to the fact that concrete is made from natural materials,c,oldr consistency from load to load cannot be guaranteed.
4. Purchaser understands that concrete not cured according to ACI 308 may only develop 50%of its designed strength.
5. Testing of delivered concrete must be done by ACI Level I Concrete Testing Technicians.
6. Do not apply de-icing compounds to exterior concrete during its first winter.
7. We do not guarantee the finished surface results obtained from this load of concrete.Too many factors not under our control can affect the ultimate results.
Gallons Added Meter Reading Slump Ticket Number
Date
• �I��II� r�I 1illl Ir��l!�r�I��f��� ��II �� �I��0��
Ticket Number
Plant Order# Customer Number Project P.O.Number Job Name—Number
T
Sold To: ✓ Del'very Address:
-S
W-ma nanT.N.I. 111,1. .11m man upwas
Received By: WASHOUT SYSTEM Time Due
USED
YES NO
Load No. Slump(+/-ill Air Content(+/-i.5T.) Meter Reading At Plant 'Meter Reading Upon Arriva Used For Ordered By
Quantity Quantity Quantity Product Product Description" Units Unit Price Amount
This Load Ordered Delivered Code
8.0T FFIN010 FLOW Lt_, yd3
rl
SUB-TOTAL
Truck No. Delivered By Le t Time Arrive Tirt Finish me Start Pour LeftJobSALES TAX
vu TICKET TOTAL
0 ORDER TOTAL
^
'
MAIN OFFICE 1
Mr% DISPATCH (317) 570-6200
SAGAMOKE 9170 EAST 131 ST STREET
FISHERS, IN 46038
READY MUX@ WWW.SAGAMOREREADYM\X.COM
.
THE CONCRETE STORPLAbIT 5 SAGAMORE SAND AND GRAVEL
9170 EAST � .
131STSTREET
5001P. 106yHSTREET 8700 S. COUNTY ROAD 600WEST
FISHERS, IN ' INDIANAPOLIS, IN 46280 []ALEV|LLE.,IN 47334
(317) 570-6252
PLANT 1/11 PLANT 6 PLANT 22/23
. 9170 FAST 131STSTREET 4550 S. HARDV46STREET 16101 RIVER ROAD
FISHERS; IN 46038 INDIANAPOLIS, IN 46217 NO8LBSVILLE. IN 46062
PLANT 2 PLANT 8 PLANT 24
' .
2605 KENTUCKY AVE. 1408ABRAHAM DRIVE 8553 STATE ROAD 144
INDIANAPOLIS, IN 46221 ANDERSON, IN 46013 MOORESVLLE' IN 46158
� /765\ 759-7111
PLANT 3 PLANT 9,
4286 WHITELICK DRIVE 8700 S.
'CoUNT'*Y'ROAD 600 WEST
--' '
` IN 46075 DALEVILLE, IN 47334 `
(7165) 759-711j
.
LANT 5540 S. BELMONTAVE.
INDIANAPOLIS, IN 46221
�
-
WARNING:INJURIOUS TOEYES:CAUSES SKIN IRRITATION:READ THIS WARNING BEFORE USING:CONlAJNSPORTLAN|
CEMENT.
Contact with wet,unhardenodoonomt .mortar,oementoroemontmixtunmoonoounaakininitation.oeveechomimdb4mooroohou
eye damage.Avoid contact with eyes and skin.Wear waterproof gloves,a fully buttoned, long-sleeve shirt,full length trousers anc
tight-fiffing eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are
tight at the top and high enough to keep concrete from flowing into them. If you are finishing oonorete,wear kneepads to protect
hnoeo.YVaohwetooncrete. mbrtar, cementorcehhentmixturbufhimybursk/nwdhhnoh. o)eanwaterimmod/e1s|yofterrontaot.
Indirect contact through clothing can be as serious as direct contact,so promptly rinse wetconcrete, mortar,cement orcement
mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort. In case of eye contact, Flust
with plenty of water for at least 15 minutes.Consult a physician immediately. KEEP OUT OFREACH[}pCHILDREN.USER AGREE/
TO CONVEY THIS WARNING TC)ALL PERSONS WHOM MAY USE QBCOME INTO CONTACT WITH WET(UNH&RDENED)
CONCRETE, MORTAR,AND CEMENT ORCEMENT MIXTURES.
CRYSTALLINE SILICA CARCINOGENIC POTENTIAL:Concrete frequently contains crystalline silica in concentrations greater tha
0.1 percent, principally contributed by the aggregates. Respirable crystalline silica is classified by the International Agency for
Research on Cancer as a known human carcinogen and by the National Toxicology Program as"reasonably anticipated to be a
carcinogen". Crystalline silica in wet concrete is not respirable and does not pose a hazard when the concrete is in its plastic or
unhardened state,Once concrete has hardened, airborne dust generated by grinding,sawing, drilling, breaking, etc., can lead to
potentially hazardous exposures to workers and appropriate respiratory protection precautions should be taken.
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
SAGAMORE READY MIX LLC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 6457 IN SUM OF$ CITY OF CARMEL
DEPT 272 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46206 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$771.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
502887 42-362.00 $771.00 1 hereby certify that the attached invoice(s),or 5/2/16 502887 $771.00
2201 201 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
Tue d , M ,2016
Street Commissioner
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
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 05-02-2016
Invoice Number 502887
CARMEL STREET DEPARTMENT Order Code 13
3400 W 131ST STREET Project Code
CARMEL IN 46074 Purchase Order
Job Number STEVE 503-2319
DELIVERY LOCATION PAYMENT TERMS
9755 RANDAL DR DISC 10th TOTAL 20th AFTER DELIVERY MO
Ticket # Usage Product,-- Product" - Quantity-- ----Price --Extended- --
Code Description Amount
------------------------------------------------------------------------------------------------
932910 BG016 6 BAG STONE AIR 6.00 cy 128.50 771.00
DOC_FMT_CODE_08.DOCG
YOU MAY DEDUCT $21.00 FROM THIS INVOICE IF PAID BY Jun-10-2016.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
6.00 $771.00 $.00 $771.00
9170 EAST 131ST STREET
FISHERS, IN 46038-3545
(317)570-6200 DISPATCH
(888)986-9294
( I !
317) 570-6201 GAMORE OFFICE
SA ' :u i, 1 I !,;�t 'I if
(888)986-9293 L., IAi I
(317)570-6271 FAX READY M I@
DELIVERY TICKET
CAUTION:FRESHLY MIXED CONCRETE,MORTAR OR GROUT MAY CAUSE SKIN:!NJURY.AVOID CONTACT WITH SKIN AND WASH EXPOSED SKIN AREAS PROMPTLY,
WITH WATER.CONTAINS PORTLAND CEMENT IF ANY MIXTURE OF CEMENT GETS INTO EYES,RINSE IMMEDIATELY AND REPEATEDLY WITH WATER AND GET
PROPER MEDICAL ATTENTION.SEE CEMENT BURN WARNING ON BACK OF TICKET.
KEEP CHILDREN AWAY FROM WET MIXES.
1. Customer is responsible for suitable roadway into and out of place of material delivery,and proper wash out location.
2. When delivery is requested off public roadways,customer assumes risk and is responsible for damages to sidewalks,driveway or other property.
3. We do not assume responsibility for slump,strength or quality of concrete when water or any other material Is added by the purchaser or his representative,or
at their request..Due to the fact that concrete is made from natural materials,color consistency from load to load cannot be guaranteed.,
4. Purchaser understands that concrete not cured according to ACI 308 may only develop 50%of its designed strength.
5. Testing of delivered concrete-must be done by ACI Level I Concrete Testing Technicians.
6. Do not apply de-icing compounds to'exterior concrete during its first winter.
7. We do not guarantee the finished surface results obtained from this load of concrete.Too many factors not under our control can affect the ultimate results.
Gallons Added Meter Reading , -Slump Ticket Number
2 '
1111110111!IN{SJL'`��i11 1111 11,1111NI'll 1,"MDate
13 2 , 1 13,
Ticket Number 6
Plant. Order# Customer Number Project P.O.Number Job Name—Number
1 13 1351
Sold To: Delivery Address:
775 -
M'i!-'CL STFZEET 975 J foli dl Ft
-
"If," TO J
3 14 C'9 !1 1318T SYRMT 9G114 moi' U OF YO PYINDeLL r1r,' ACM(SS (
[MIT 1INITA- 0 -13,111 9 JUMs R97TUTA
Received By: WASHOUT SYSTEM -Time Due
USED 09:27
YES� IQN )
Load No. Slump(+/-11Air Content(+/-:L.5%) Meter Reading At Plant Meter Reading Upon Arr"'a Used For Ordered By
I
3 06.Oro I VEt_!P14y
Quantity Quantity Quantity Product Product Description Units Unit Price Amount
This Load Ordered Delivered Code
G.1010 rs oC.00 216016 r.BAG SKNE ap, yd3
SUB-TOTAL
Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Left Job LES TAX
2 1. TICKET TOTAL
24 0 15073 UEST, q
ORDER TOTAL•
nM- wk;+_ d'-. Ph— 01nn+ VM1^.., f—+-..f'-' C--
MAIN OFFICE (317) 570-6201
DISPATCH (317) 570-6200
4SA,C` A
UJI-Am"KE 9170 EAST 131 ST STREET
FISHERS, IN 46038
READY MIX@ WWW.SAGAMOREREADYMiX.COM
JbEf,DNLaETE 5TQRE ELMLE SAGAMORE SAND AND GRAVEL
9170 EAST 131 sT STREET 5001 F. 106171-1 STREET 8700 S. COUNTY ROAD 600 NEST
FISHERS, IN 46038 INDIANAPOLIS, IN 46281 DALEVILLE, IN 47334
(31 1) 51-0-6252
PLANT 1 11 PLANT 6 PLANT 22123
9170 EAST 131 ST STREET 4550 S. HARDING STREET 16101 RIVER LOAD
FISHERS, IN 46038 INDIANAPOLIS, IN 46217 NOBLESVILLE, IN 46062
PLANT 2 PLANT 8 PLANT 24
2605 KENTUCKY AVE. 1408 ABRAHAM DRIVE 8553 STATE ROAD 144
INDIANAPOUS, IN 46221 . ANDERSON, IN 46013 MOORESVILLE, IN 46158
(765) 759-7111
PLANT 3 PLANT 9
4286 WHITELICK DRIVE 8700 S. COUNTY ROAD 00'WEST
WiITESTOWN, IN 46075 DALEVILLE, IN 47334
(765) 759-7111
PLANT 4
5540 S. BELMONT AVE.
INDIANAPOLIS, IN 46221
WARNING: INJURIOUS TO EYES:CAUSES SKIN IRRITATION:READ THIS WARNING BEFORE USING:CONTAINS PORTLANI
CEMENT.
Contact with wet,unhardened concrete,mortar,cement or cement mixtures can cause skin irritation,severe chemical burns or seriou
eye damage. Avoid contact with eyes and skin. Wear waterproof gloves,a fully buttoned, long-sleeve shirt, full length trousers and
tight-fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are
tight at the top and high enough to keep concrete from flowing into them. If you are finishing concrete,wear kneepads to protect
knees.Wash wet concrete, mortar,cement or cement mixtures from your skin with fresh, clean water immediately after contact.
Indirect contact through clothing can be as serious as direct contact,so promptly rinse wet concrete, mortar, cement or cement
mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort. In case of eye contact, flus€
with plenty of water for at least 15 minutes-.Consult a physician immediately.KEEP OUT OF REACH OF CHILDREN.USER AGREE!
TO CONVEY THIS WARNING TO ALL PERSONS WHOM MAY USE OR COME INTO C0NTACT WITH WET(UNHARDENED)
CONCRETE, MORTAR,AND CEMENT OR CEMENT MIXTURES.
CRYSTALLINE SILICA CARCINOGENIC POTENTIAL:Concrete frequently contains crystalline silica in concentrations greater tha,
0.1 percent, principally contributed by the aggregates. Respirable crystalline silica is classified by the International Agency for
Research on Cancer as a known human carcinogen and by the National Toxicology Program as"reasonably anticipated to be a
carcinogen". Crystalline silica in wet concrete is not respirable and does not pose a hazard when the concrete is in its plastic or
unhardened state. Once concrete has hardened,airborne dust generated by grinding, sawing, drilling, breaking, etc.,can lead to
potentially hazardous exposures to workers and appropriate respiratory protection precautions should be taken.