HomeMy WebLinkAbout260308 06/28/16 CITY OF CARMEL, INDIANA VENDOR: 367666
® ONE CIVIC SQUARE SAGAMORE READY MIX LLC CHECK AMOUNT: $*****4,228.50*
CARMEL, INDIANA 46032 PO BOX 6457 CHECK NUMBER: 260308
DEPT 272 CHECK DATE: 06/28/16
INDIANAPOLIS IN 46206
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 505295 526.50 CEMENT
601 5023990 505562 1,611.50 OTHER EXPENSES
601 5023990 505700 1,391.75 OTHER EXPENSES
601 5023990 505862 698.75 OTHER EXPENSES
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 6/20/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/20/2016 505862 $698.75
I hereby certify that the attached invoice(s), or bill(s) is (are)true and
correct and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
SAGAMORE READY MIX LLC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 6457 IN SUM OF$ 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.
$526.50 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
_505295 42-362.00 $526.50 1 hereby certify that the attached invoice(s),or 6/7/16 505295 $526.50
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
0
esday, ne 1 16
Stmet 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
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 06-07-2016
Invoice Number 505295
CARMEL STREET DEPARTMENT Order Code 89
3400 W 131ST STREET Project Code
CARMEL IN 46074 Purchase Order
Job Number 417-5216
DELIVERY LOCATION PAYMENT TERMS
WOODFIELD DR - CARMEL DISC 10th TOTAL 20th AFTER DELIVERY MO
Ticket # Usage Product - Product - Quantity ___ _ .Price _- Extended
Code Description Amount
------------------------------------------------------------------------------------------------
939535 WALK B6016 6 BAG STONE AIR 3.00 cy 128.50 385.50
939535 400 MINIMUM LOAD CHARGE 1.00 ea 120.00 120.00
939535 5015 GRACE MICROFIBER (BLUE) 3.00 ea 7.00 21.00
CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS
YOU MAY DEDUCT $10.50 FROM THIS INVOICE IF PAID BY Jul-10-2016.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
3.00 $526.50 $.00 $526.50
9170 EAST 131ST STREET
FISHERS, IN 46038-3545
(317.)570-6200 DISPATCH
(888)986-0294
h4l I
jl�11 ;j 11[111
,(317)570-6201 OFFICE AGAMORE �t,:E���,������If�I u�i. ��
(888)986-9203,- L11i
(317)570-6271 FAxREADY M I _j
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 afssu'me 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
939533
Date
L17
Ticket
Plant Order# tomer Number Project P.O.Number_
Tbe Job Name—Number
Aup 16
OV�glry6Atdress,
n� K _ 'CARMEL
,
old To
'DEPARTMENT J-j�3
U0 Ll 131ST STREET - GRAY RD SOUTH OF 146TH TO WOODFIELD DR TIE 2 BILKS, ON NS
01 TO STREET
IRNEL
f As reere entative of the customer, I authorize and assume responsibility for th addition of water to this concrete.
Received B ALSVP TEM
W VT SYS Time Due
b&ED
YES NO
Load No. Slump(+/-vAir Content(+/-2.5%) Meter Reading At Plant Meter Reading Upon Arrival Used For Ordered By
1 4
Quantity Quantity Quantity f Product
ThisLoad P dered D livered Code Product Description Units Unit Price Amount
U 3. 0
3 HGO 16 E BAG STONE AIR
11015 (RACE MICROFIBER (BLUE) (a
TU I f Ij, Q. I
.5Cq
tilINIMUM LOAD CHARGE SUB-TOTAL
Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Left Job -SALES TAX
111 1 197 BAYS, J q TICKET TOTAL
p 11� /�� ORDER TOTAL
J
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 # 1552
Invoice Date 06-13-2016
Invoice Number 505862
CITY OF CARMEL WATER DISTRIBUTION Order Code 139
3450 W 131ST STREET Project Code
CARMEL IN 46074 Purchase Order
Job Number MIKE-750-1938
DELIVERY LOCATION PAYMENT TERMS
116TH & HAVERSTICK DISC 10th TOTAL 20th AFTER DELIVERY MO
Ticket # -Usage -- -Product- - —Product -— -- ---Quantity-- - -Price Extendea-
Code Description Amount
------------------------------------------------------------------------------------------------
940841 STREET IB7016 INDOT CLASS C. BAG AIR STON 4.50 cy 134.50 605.25
940841 2030 1% HE 4.50 /y 3.00 13.50
940841 400 MINIMUM LOAD CHARGE 1.00 ea 80.00 80.00
CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS
YOU MAY DEDUCT $15.75 FROM THIS INVOICE IF PAID BY Jul-10-2016.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
4.50 $698.75 $.00 $698.75
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 # 1552
Invoice Date 06-10-2016
Invoice Number 505700
CITY OF CARMEL WATER DISTRIBUTION Order Code 101
3450 W 131ST STREET Project Code
CARMEL IN 46074 Purchase Order
Job Number MIKE-750-1938
DELIVERY LOCATION PAYMENT TERMS
116TH & HAVERSTICK DISC 10th TOTAL 20th AFTER DELIVERY MO
Ticket # Usage Product Product Quantity Price Extended
Code Description Amount
------------------------------------------------------------------------------------------------
940497 STREET IB7016 INDOT CLASS C BAG AIR STON 9.50 cy 134.50 1,277.75
940497 2020 2a CALCIUM 9.50 /y 6.00 57.00
940497 2040 296 HE 9.50 /y 6.00 57.00
CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS
YOU MAY DEDUCT $33.25 FROM THIS INVOICE IF PAID BY Jul-10-2016.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
9.50 $1,391.75 $.00 $1,391.75
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 # 1552
Invoice Date 06-09-2016
Invoice Number 505562
CITY OF CARMEL WATER DISTRIBUTION Order Code 126
3450 W 131ST STREET Project Code
CARMEL IN 46074 Purchase Order
Job Number MIKE-750-1938
DELIVERY LOCATION PAYMENT TERMS
116TH & HAVERSTICK DISC 10th TOTAL 20th AFTER DELIVERY MO
Ticket #- Usage Product Product T Quantity Price Extended
Code Description Amount
------------------------------------------------------------------------------------------------
940215 STREET IB7016 INDOT CLASS C BAG AIR STON 5.50 cy 134.50 739.75
940215 2020 20 CALCIUM 5.50 /y 6.00 33.00
940215 2040 20 HE 5.50 /y 6.00 33.00
940229 STREET IB7016 INDOT CLASS C BAG AIR STON 5.50 cy 134.50 739.75
940229 2020 2. CALCIUM 5.50 /y 6.00 33.00
940229 2040 296 HE 5.50 /y 6.00 33.00
CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS
YOU MAY DEDUCT $38.50 FROM THIS INVOICE IF PAID BY Jul-10-2016.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
11.00 $1,611.50 $.00 $1,611.50
9170 EAST 131sT STREET k
FISHERS, IN 46038-3545
(317)-570-6200 DISPATCH -
(888)986-9294
(317)570-6201 OFFICE
SAG* AMORE
888 986-9293 , ry
(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.
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.
A 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 l 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
<s0°e9 Date
"Ill
"Ill
1'111
Ticket Nu Ire ."Ill 1,11111111111119 111�9-jun-16
PlantOrder# Customer Number Project P.O. umber Job Name—Number
5 1'6 1552 MIKE-750-1938
Sold To: Deliv ry re
:FTY JF CARMEL WATER DISTRIBUTIOl�' 1!6TH & HAVERSTICK
�'s21 W 1316T STREET N J. CORNER COME 1N FRON THE REST
»7Af� C�nr =-
ii
Mrljzn,111111111T, 1/ 1 / / 1
Received By: WASHOUT SYSTEM Time Due
L�'�o USED
YES NO
Load No. Slump(+i-r Air Content(+i-i.sq) Meter Reading At Plant Meter Reading Upon Arriva Used For Ordered By
2 4 STREET KERRI LOVEALL
Quantity Quantity Quantity Product Product Description Units Unit Price Amount
This"Load Ordered Delivered Code
5.55 11.V2 1.0 07016 INDOT CLASS C 1?45 Alit STO;4E !y
5.50 20210 t'% CALCIUM tz
5.50 2@40 '/ HE
�;. _ SUB-TOTAL
1 INID`UM LOAD CHARGE SALES TAX
Truck No. Delivered By Left Plant TimeArrrve Time Start FnishPour LeftJoti
143 3',154 CO`1AR9 TICKET TOTAL
ORDER TOTAL
CMICrAJ� . (fid' Cc.p .
VKJ 2GS
9170 EAST 131sT STREET y
FISHERS, IN 46038-3545
(317)570-6200 DISPATCH
(888)986-9294
SAGAMOR{E I ,�'�l! '�I�elf iI '1+r:I
(317).570-6201 OFFICE ,
(888)986-9293
(317)570-6271 FAX READY MI _ w d`
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 iio not guarantee the finishei's6rfaC6,result5 obtairie.d frorn this load-of concrete.Too many factors not under:our control can affect-the ultimate results.-
Gallons Added Meter Reading Slump Ticket Number
9 d
940215 Date
1 �I r '�-3tsR-1E
Ticket Nu le .. + v
1111111
Plant Order# Customer Number Project P.O.Number Job Name—Number
15 1'6 11552 MIKE-750-1935
Sold.To:. elivery Address:
r1TY OF CARI~IEL WATER DISTRIBUTICd i .GTH & FIAVERSTICK
;15 !-! 131ST STREI=T h�i I COD",717
As representative of the customer, I authorize and assume responsibility for the addition of water to this concrete.
Received;By: WASHOUT SYSTEM Time Due
00-- SED
YES NO
Load No. Slump(+i-i Air Content(+i-1.sq) Meter Reading At Plant Meter Reading Upon Arrival Used For Ordered By
1 4 STREET KERRI LOVEALL
Quantity Quantity Quantity . Product Product Description Units Unit Price Amount
This Load Ordered Delivered Code
5.50 11.00 5.50 :B7016 3 idOOT CLASS C BRP AIR STO°"'E t'y
5.50 i 102 MI. CPLCIUTA *Z
5.50
r•
SUB-TOTAL
t INit;!'kl LL" d I i3E SALES TAX
Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Left Job-
38 13149 t4ILBER, {'I ' TICKET TOTAL
ORDE,R.TOTAL
Mac] Gad . T
nu:,.., wws r.. a .. .r od..- nd..-.a r v,.n
9170 EAST 131sT STREET i
FISHERS, IN 46038-3545
(317)570-6200 DISPATCHr;
(888)986-9294
(317)570-6201 OFFICE' SA GAM' 0RE
888 986-9293
(317)570-6271 FAX 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.
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 cle-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
940141Y7 Date
- -16
mb
Tic ketNuer c3 ill e'{ rY 7 , �O- ��1r
Plant pp tt•� Order# a Customer Number Project P.O.Number fy_ Job Name—Number
t.l d4�d {L•-1(.. �I�f i'S1r—i�LR—�1Js�
Sold To: Delivery Address:
FDN' 1, L t�`1TEF' L.9F1?JT1?'4 HEI[H u k.1q'r113T1Ci'
-SO U 13t ST STREET. CURE FI'`l t=f M1 THE t:!EST
V 707`O ErisT -
-Received By: WASHOUT SYSTEM Time Due
'°``USED
YES NO
Load No. Slump(+i-i' Air Content(+i-i.sq) Meter Reading At;Plant ]MeterftadingUponArriva Used For, Ordered By
i ' ' '.. -'•� t -
_7
K Rp
Quantity Quantity Quantity Product Product Description Units Unit Price _Amount
This Load Ordered Delivered Code
wy
TZ
a
SUB-TOTAL
Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Left Job SALES TAX
L'�26 S.1;iI .!_'l, R
C/_ 1. TICKET TOTAL
ORDER TOTAL .
kL t,,.N� 41- Z7GS''
Y Vti' r
Office-White Cnctnmer Cnnv-Rhie Plant Cnnv_Yallnw Cuetnmar rnn,._Grnnn
9170 EAST 131sT STREET
FISHERS, IN 46038-3545f
.(317)570-6200 DISPATCH
.(888)986-9294 4 I
(317)570-6201 OFFICE'.r` SAG' AMORE I �� !.JI
(888)986-9293 , a a
x•;� � 6� x_-
(317)570-6271 FAx M
DELIVERY TICKET
CAUTION:FRESHLY MIXED CONCRETE,MORTAR OR GROUT MAY.'PAUSE 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. i
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 Slumps, Ticket Number
�.
� � ���g r�r Date
r I N-ill ill �I �!��,IISun-9� (�
Ticket Number �� 4 t%1 8 I. I
Plant Order# Customer Number Project P.O.Number Job Name—Number
5 139 552 PIKE-7510-1931H
v,
Sold To: t t ' r zv�� Delivery Address;
;ITY-C• ! . �L U,-ITER DI'STMT?UT W': 116,H ;9 HAVER123f%Cu
1F50 W 131ST GT'r;'ET P!i CEO R1'F ,- C I FROM IIHE WEST
DikS
- roll I
Received By:, WASHOUT SYSTEM Time Due
YES NO
Load No. Slump(+r-i Air Content(+i-i._5%) Meter Reading At Plant Meter Reading Upon ArrivaJ Used For Ordered By
1 G STREET :MR''.. L(jVEP,
Quantity Quantity Quantity Product product Description Units Unit Price Amount
This Load Ordered De ivered Code
4.Jct A: :;:, 4, ` D7016 ;NDOT CLASS C L' G XIP S.!!i;s�
Q
_ ti$r�zr ll;Z 'I C1� ClfGr -SUB-TOTAL
Truck No: /'j Delivered By Left Plant Time Arrive Time Start Finish Pour Left Job SALES TAX
jJU E11-P iii!i1SGi�13 v f - TICKET TOTAL '
ORDER TOTAL
nffieo.whifo Cne#nmcr Cnnu-Rhin PIan4 Cnnv_3 Vollnw Cue#rimer Cnnu-r.rccn