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HomeMy WebLinkAbout302252 08/22/16 �4q±, CITY OF CARMEL, INDIANA VENDOR: 367666 Pb ONE CIVIC SQUARE SAGAMORE READY MIX LLC CHECK AMOUNT: $*****'*993.75* ?� CARMEL, INDIANA 46032 PO Box 6457 CHECK NUMBER: 302252 DEPT 272 CHECK DATE:. 08/22/16 INDIANAPOLIS IN 46206 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236200 510890 993.75 CEMENT VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) SAGAMORE READY MIX LLC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 6457 IN SUM OF$ 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. $993.75 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 510890 42-362.00 $993.75 1 hereby certify that the attached invoice(s),or 8/8/16 510890 $993.75 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 Monday,August 15,2016 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 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 08-08-2016 Invoice Number 510890 CARMEL STREET DEPARTMENT Order Code 122 3400 W 131ST STREET Project Code CARMEL IN 46074 Purchase Order Job Number 317-417-5216 DELIVERY LOCATION PAYMENT TERMS SMOKEY RIDGE CIRCLE DISC 10th TOTAL 20th AFTER DELIVERY MO Ticket-# Usage Product Product _ - Quantity Price Extended Code Description Amount ------------------------------------------------------------------------------------------------ 951243 EXTERIOR C4016 4000 PSI 20o ASH STONE AIR 7.50 cy 125.50 941.25 951243 5015 GRACE MICROFIBER (BLUE) 7.50 ea 7.00 52.50 CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS YOU MAY DEDUCT $26.25 FROM THIS INVOICE IF PAID BY Sep-10-2016. THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT. Total Yards Sub Total Sales Tax INVOICE TOTAL 7.50 $993.75 $.00 $993.75 9170 East 131st Street Fishers,IN 46038-3545 SAGAMORE , (317)570-6200 Dispatch (888)986-9294 (317)570-6201 Office READY MI@ (888)986-9293 (317)570-6271 Fax DELIVERY TICKET CAUTION: FRESHLY MIXED CONCRETE,MORTAR OR GROUT MAY CAUSE SKIN INJURY,AVOID CONTACT WITH SHIN AND WASH EXPOSED AREAS PROMPTLI NITH WATER,CONTAINS PORTLAND CEMENT,IF ANY MIXTURE OF CEMENT GET INTO EYES,RINSE IMMEDIATELY AND REPEATEDLY WITH WATER AND GET 'ROPER 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 washout location. 2. When delivervis requested off public roadways,customer assumes risk and is responsible for damages to sidewalks,driveways or other property 3. We do not assume responsibilitiy 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 design strength. 5. Testing of delivered concrete must be done by ACI Level 1 Concrete Testing Technicians. 6. Do not apply de-icinq compounds to exterior concrete during 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 Numb, Ticket Number 951243 I VIII 111111 VIII VIII III I I I!III Date 08108/16 08108116 Plant Order#. Customer Number Project P.O.Number Job Name-Number 01 122 1351 317.417-5216 Sold To SMOKEY RIDGE CIRCLE CARMEL STREET DEPARTMENT CAREY RD N OF SMOKEY ROW RD TO DRIFTWOOD TIW TO SMOKY RIDGE DR TIS TO CIRCLE 3400 W 131ST STREET As representative of the customer, I authorize and assume responsibility for the addition of water to this concrete. Received Bv: WASHOUT SYSTEM Time Due YES NO 11:10 AM Load No. Slump(41° Air Content(+1-1.5%) Meter Reading at Plant Meter Reading Upon Arrival Used For Ordered By 1 3.00 EXTERIOR Quantity Quanitity Quanitity Product Product Descripition Units Unit Price Amount This Load Ordered Delivered Code 7.50 yd 7.50 yd 7.50 yd C4016 4000 STONE AIR yd 7.50 ea 7.50 ea 7.50 ea 5015 GRACE MICROFIBER(BLUE) ea SUB-TOTAL SALES TAX TICKET TOTAL Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Left Job 0297 1 GATHMAN.D ORDER TOTAL 1 l