HomeMy WebLinkAbout300988 07/25/16 �q� CITY OF CARMEL, INDIANA VENDOR: 358385
ONE CIVIC SQUARE GENERAL SHALE&BRICK CHECK AMOUNT: $*******465.00*
r. _�; CARMEL, INDIANA 46032 PO BOX 5825 CHECK NUMBER: 300988
9.y`y�TON..�. CAROL STREAM IL 60197-5825 CHECK DATE: 07/25/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 182486129 465.00 CEMENT
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GENERAL SHALE& BRICK
Po Box 5825 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CAROL STREAM, I L 60197-5825 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Payee
$465.00
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
182486129 42-362.00 $465.00 1 hereby certify that the attached invoice(s),or 6/29/16 182486129 $465.00
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,July 12,2016
Dave Huffman
Director
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
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Invoice: 182486129 Invoice Date: 06/29/2016
Bill To: 279670 - Customer P0: STREET DEPT
CITY OF CARMEL
3400 W ,131ST STREET Bill of Lading: 172736050
WESTFIELD IN 46074-8267 Goods Issue Date: 06/29/2016
Order: 320571334
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
6099001047 ESSROC BRIXMENT GRAY TYPE S 75 LB BAG 50 BAG 9.30 465.00
Subtotal 465.00
TAX
TOTAL 465.00
LATF PAVMP..NT .(T-TAP('F of 1 F% DWP: MnA7TT7
0010
General Shale REFERENCE CONDITIONS ON BACK
Building The American Dreams .....
":
Bill To: 279670
CITY OF CARMEL Bill of Lading: 172736050
3400 W 131ST STREET Date: 06/29/2016
WESTFIELD IN 46074-8267
Order Loc: Carmel
CARMEL IN
Sales Order: 320571334
Customer PO: STREET DEPT
Ship-To:
Telephone: (317) 733-2001
CITY OF CARMEL
3400 W 131ST STREET
WESTFIELD IN 46074-8267 Shipper: G
IN
Carmel
057 CARMEL N •�•
Mode of Shipment: Customer Pickup,.
BRICK STCC 32 511
Directions:
Material Description Order Quantity ; 'Weight
Batch
6099001047 ESSROC BRIXMENT GRAY TYPE S 75 LB BAG 50 BAG 3,750.00 LB
1,.704.55 KG
TOTAL WEIGHT 3,750.00 LB
1,704.55 KG
Drivers Name Driver License No. and State
Trucking Company Dispatcher Name`
Phone No. '
DOT # verified By J '
0010
General Shale REFERENCE CONDITIONS ON BACK
Building 9
Idln The American Dream
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Bill To: 279670
CITY OF CARMEL Bill of Lading: 172736050
3400 W 131ST STREET Date: 06/29/2016
WESTFIELD IN 46074-8267
Order Loc: Carmel
CARMEL IN
Sales Order: 320571334
Customer PO: STREET DEPT
Ship-To: Telephone: (317) 733-2001
CITY OF CARMEL
3400 W 131ST STREET
WESTFIELD IN 46074-8267 Shipper: GESH Carmel
057 CARMEL IN
Mode of Shipment: Customer Pickup ,
BRICK STCC 32 511
Directions:
Material Description Order Quantity Weight
Batch
6099001047 ESSROC BRIXMENT GRAY TYPE S 75 LB BAG 50 BAG 31750.00 LB
j-',,7,04.5 5 KG
TOTAL WEIGHT 3,750.00 LB <(
1,704.55 KG
Drivers Name Driver License No. and State
Trucking Company Dispatcher Name
Phone No.
DOT # Verified By
R