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Home My WebLink About259542 06/14/16 coq 4% '�� CITY OF CARMEL, INDIANA VENDOR: 358385 ONE CIVIC SQUARE GENERAL SHALE& BRICK CHECK AMOUNT: $*******594.00* r.. �_� CARMEL, INDIANA 46032 Po Box 5825 CHECK NUMBER: 259542 9M'�rox"EO'` CAROL STREAM IL 60197-5825 CHECK DATE: 06/14/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236200 182465500 360.00 CEMENT 2201 4236200 1824655499 90.00 CEMENT 2201 4236200 182466643 144.00 CEMENT VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) GENERAL SHALE & BRICK ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 5825 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CAROL STREAM, IL 60197-5825 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $594.00 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 182465500 42-362.00 $360.00 1 hereby certify that the attached invoice(s),or 5/31/16 182465500 $360.00 2201 201 2201 201 182465499 42-362.00 $90.00 bill(s)is(are)true and correct and that the 5/31/16 182465499 $90.00 2201 1 1 201 1materials or services itemized thereon for 2201 201 182466643 42-362.00 $144.00 6/1/16 182466643 $144.00 2201 201 which charge is made were ordered and 2201 201 received except Tuesday,June 07,2016 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 0010 General Shale . ................................. .................. ................ ....... .......... ....... . ...................... . . ................... ..................... . ........................... ... ....................... ..................... ........ ........... ...................X:....... ...... ..................... ........ . ...... . . . ............... ................................................ Invoice: 182465500 Invoice Date: 05/31/2016 Bill To: 279670 Customer P0: INLET TRUCK CITY OF CARMEL 3400 W 131ST STREET Bill of Lading: 172714633 WESTFIELD IN 46074-8267 Goods Issue Date: 05/31/2016 Order: 320392220 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 Material Material Description Quantity Price Value USD Batch Number and Description 6099001046 ESSROC BRIXMENT GRAY TYPE N 40 BAG 9.00 360.00 Subtotal 360.00 TAX TOTAL 360.00 LATE PAYMENT CHARGE of 1.5o 'PER MONTH. PLEASE RETURN THIS PORTION WITH YOUR PAYMENT Accnt#: Customer Name Invoice-Date Invoice Amount Due 279670 CITY OF CARMEL 05/31/2016 182465500 360.00 Remit To: GENERAL SHALE BRICK, INC PO Box 5825 CAROL STREAM IL 60197-5825 Terms: Up to 06/30/2016 without deduction 0010 General Shale yy:: U.. ��::{:;.%;:i iSi:: :::::::::'iiiiis<:::::;ii3i;:;>::;:`: :::iii::i::>::::'::'::::::i:�;: :::::•'i::i::::i::::iii?::::::::>:: :::i;: i:V:4"1.;.`..,::<: :::::::':::::::::::::``::::::i::::::i::i::::::i::::':::i:::::::::::ii:::::'':::?:2::::::i::i:`•3i;::::::<:::<:ii'2:`•:'•i?: ................................................ Invoice: 182465499 Invoice Date: 05/31/2016 Bill To: 279670 Customer P0: INLET TRUCK CITY OF CARMEL 3400 W 131ST STREET Bill of Lading: 172714120 WESTFIELD IN 46074-8267 Goods Issue Date: 05/31/2016 Order: 320392220 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 Material Material Description Quantity Price Value USD Batch Number and Description 6099001046 ESSROC BRIXMENT GRAY TYPE N 10 BAG 9.00 90.00 Subtotal 90.00 TAX TOTAL 90.00 LATE PAYMENT CHARGE of 1.511 PER MONTH. PLEASE RETURN THIS PORTION WITH YOUR PAYMENT Accnt#: Customer Name Invoice-Date Invoice Amount Due 279670 CITY OF CARMEL 05/31/2016 182465499 90.00 Remit To: GENERAL SHALE BRICK, INC PO Box 5825 CAROL STREAM IL 60197-5825 Terms: Up to 06/30/2016 without deduction 0010 General Shale X. ........... :.:.::..::� ::.::.:.:::.;.:.............::.:::. ..... .:.:::.:::.;:.:.:::.:.:::.::::::.:.:::.::.:.:::::.:..:::.::.::.::::::::::::::::::;:::::::::::::.: Invoice: 182466643 Invoice Date: 06/01/2016 Bill To: 279670 Customer P0: INLET REPAIRS CITY OF CARMEL 3400 'W 131ST STREET Bill of Lading: 172715056 WESTFIELD IN 46074-8267 Goods Issue Date: 06/01/2016 Order: 320401527 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 Material- Material Description Quantity Price Value USD Batch Number and Description 6099000573 CONCRETE BRICK 360 EA 0.40 144.00 Subtotal 144.00 TAX TOTAL 144.00 LATE PAYMENT CHARGE of 1.5% PER MONTH. PLEASE RETURN THIS PORTION WITH YOUR PAYMENT Accnt#: Customer Name Invoice-Date Invoice Amount Due 279670 CITY OF CARMEL 06/01/2016 182466643 144.00 Remit To: GENERAL SHALE BRICK, INC PO Box 5825 CAROL STREAM IL 60197-5825 Terms: Up to 07/01/2016 without deduction 0010 General Shale REFERENCE CONDITIONS ON BACK Building The he American Dream Biu To: 279670 CITY OF CARMEL Bill of Lading: 172714633 3400 W 131ST STREET Date: 05/31/2016 WESTFIELD IN 46074-8267 Order Loc: Carmel CARMEL IN Sales Order: 320392220 Customer PO: INLET TRUCK Ship-To: Telephone: (317) 733-2001 CITY OF CARMEL 3400 W 131ST STREET Shipper: GESH WESTFIELD IN 46074-8267 IN Carmel 057 CARMEL N Mode of Shipment: Customer Pickup r BRICK STCC 32 511 Directions: Material Description Order Quantity Weight Batch e 6099001046 ESSROC BRIXMENT GRAY TYPE N 40 BAG 2,800.00 LB 1,272.73 KG TOTAL WEIGHT 2,800.00 LB 1,272.73 KG Drivers Name Driver License No. and State Trucking Company Dispatcher Name =� Phone No. DOT # verified By F L f ' I ' 0010 General Shale REFERENCE CONDITIONS ON BACK Building mThe American Dre :>:>< :: »>: :»::::>::::,;.::::>:>:.>::»>:>:::•:::.>: jD ::. Bill To: 279670 CITY OF CARMEL Bill of Lading: 172714120 3400 W 131ST STREET Date: 05/31/2016 WESTFIELD IN 46074-8267 ` Order Loc: Carmel CARMEL IN Sales Order: 320392220 Customer PO: INLET TRUCK Ship-To: Telephone: (317) 733-2001 CITY OF CARMEL 3400 W 131ST STREET WESTFIELD IN 46074-8267 Shipper: GN ICarmel 057 CARMEL N Mode of Shipment: Customer Pickup BRICK STCC 32 511 Directions: Material Description Order Quantity Weight Batch 6099001046 ESSROC BRIXMENT GRAY TYPE N 10 BAG 700.00 LB 318.18 KG r TOTAL WEIGHT 700.00 LB 318.18 KG Drivers Name Driver License No. and State Trucking Company Dispatcher Name Phone No. DOT # Verified By Y 0010 General Shale REFERENCE CONDITIONS ON BACK Building The American e can Dream :.;:::::::::i::i:Yv:i:::•.y;i::n:;.:::.�•;.is%i?i'::i::•:::i::::::::::.y.'y:; i:;}:[;I:i?i?::'•`'C»::::`:::iiii'.�:.iiiiii}::ii?iiiiii}}j Bill To: 279670 CITY OF CARMEL Bill of Lading: 172715056 3400 W 131ST STREET Date: 06/01/2016 WESTFIELD IN 46074-8267 Order Loc: Carmel CARMEL IN Sales Order: 320401527 Ship-To: Customer PO: INLET REPAIRS CITY OF CARMEL Telephone: (317) 733-2001 3400 W 131ST STREET WESTFIELD IN 46074-8267 Shipper: GN ICarmel 057 CARMEL N Mode of Shipment: Customer Pickup BRICK STCC 32 511 Directions: Material Description Order Quantity Weight Batch 6099000573 CONCRETE BRICK 360 EA 1,800.00 LB 818.18 KG TOTAL WEIGHT 1,800.00 LB 818.18 KG Drivers Name Driver License No. and State Trucking Company Dispatcher Name Phone No. DOT # verified By