HomeMy WebLinkAbout259679 06/14/16 f Coq
CITY OF CARMEL, INDIANA VENDOR: 367666
ONE CIVIC SQUARE SAGAMORE READY MIX LLC CHECK AMOUNT: $*****1,084.00*
CARMEL, INDIANA 46032 PO BOX 6457 CHECK NUMBER: 259679
M,ITON COQ DEPT 272 CHECK DATE: 06/14/16
INDIANAPOLIS IN 46206
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 504175 1,084.00 CEMENT
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
SAGAMORE READY MIX LLC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER_
PO BOX 6457 IN SUM OF$ 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.
$1,084.00 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
504175 42-362.00 $1,084.00 1 hereby certify that the attached invoice(s),or 5/24/16 504175 $1,084.00
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
Tuesday, May 31,2016
6 � .
met COMMi-g @14e;
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
120
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 05-24-2016
Invoice Number 504175
CARMEL STREET DEPARTMENT Order Code 55
3400 W 131ST STREET Project Code
CARMEL IN 46074 Purchase Order
Job Number JIM 417-5216
DELIVERY LOCATION PAYMENT TERMS
849 BENNETT CT DISC 10th TOTAL 20th AFTER DELIVERY MO
Ticket # Usage Product Product Quantity Price Extended
Code Description Amount
------------------------------------------------------------------------------------------------
936875 B6016 6 BAG STONE AIR 8.00 cy 128.50 1, 028.00
936875 5015 GRACE MICROFIBER (BLUE) 8.00 ea 7.00 56.00
DOC_FMT_CODE_08.DOCG
YOU MAY DEDUCT $28.00 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
8.00 $1,084.00 $.00 $1,084.00
9170 EAST 131sT STREET
FISHERS, IN 46038-3545
(317)570-6200 DISPATCH
(888)986-9294
(888)986-9293 OFFICE
MORE
317 570-6201SAGA
,
(317)570-6211 FAx r READY M I Lg
r
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. 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 `�-' Tic3ketNumber
1{�II � 9i � I� 94�� Ili9l�9� �i1{ � El9R i � Date
24-flay-l6
Ticket Number
Plant Order# � Custo er Number Project P.O.Number Job Name—Number
1 55 135 T J Ii 1 417-15216
Sold To: . Delivery/address: _
G4�Stt;t! STREET IlEN RT!�.� 1V1 FJ4'� 1=L-l;stit IT CT
3400 0 131ST STREET . GR;; RIDGE RD SOF146TH SST TO OENTN TT fill, E.TO BEiI;:VTT GT RT TO
JOE
o
Received By: WASHOUT SYSTEM Time Due
USED .
YES NO
Load No. Slum /-ill Air Content(+i-1.5q) Meter Reading At Plant Meter Reading Upon Arrival Used For Ordered By
1 1 06.1��t. HEMD URB
Quantity- Quantity Quantity Product Product Description Units Unit Price Amount
Thisoad Ordered.. De
Delivered Co
'�, 130 dot;J D60IG. 6 MG STC:±L AIR yd3
8.10121 t41CR0F10R (BLUE) ea
m . -
SUB-TOTAL
Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Left Job SALES TAX
18s [21274, GREEN, L � � TICKET TOTAL
�( �(� ORDER TOTAL