HomeMy WebLinkAbout302134 08/22/16 CITY OF CARMEL, INDIANA VENDOR: 358385
.j; ® ,;• ONE CIVIC SQUARE GENERAL SHALE&BRICK CHECK AMOUNT: $*******450.00*
CARMEL, INDIANA 46032 PO BOX 5825 CHECK NUMBER: 302134
CAROL STREAM IL 60197-5825 CHECK DATE: 08/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 182511395 450.00 CEMENT
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
GENERAL SHALE & BRICK ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 5825 IN SUM OF$ 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.
$450.00 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
182511395 42-362.00 $450.00 1 hereby certify that the attached invoice(s),or 8/8/16 182511395 $450.00
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
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
0010
General Shale
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Invoice: 182511395 Invoice Date: 08/08/2016
Bill To: 279670 Customer PO: INLETS
CITY OF CARMEL
3400 W 131ST STREET Bill of Lading: 172762805
WESTFIELD IN 46074-8267 Goods Issue Date: 08/08/2016
Order: 320789197
Sales Rep: 399
Ship-To:
Job: CALLED IN BY RON Order Loc.: Carmel
CITY OF CARMEL CARMEL IN
3400 W 131ST STREET Phone: 317-846-2566
WESTFIELD IN 46074-8267
Mode of Shipment: Customer -Pickup / 057
Material Material Description Quantity Price Value USD
Batch Number and Description
6099001046 ESSROC BRIXMENT GRAY TYPE N 50 BAG 9.00 450.00
Subtotal 450.00
TAX
TOTAL 450.00
LATE PAYMENT CHARGE of 1.5% PER MONTH.
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,,.,,.,... .,,.............,,..,,..
Bill To: 279670 ,..,_..............
CITY OF CARMEL Bill of Lading: 172762805
3400 W 131ST STREET Date: 08/08/2016
WESTFIELD IN 46074-8267
Order Loc: Carmel
CARMEL IN
Sales Order: 320789197
Customer P0: INLETS
Ship-To: Telephone: (317) 733-2001
Job: CALLED IN BY RON
CITY OF CARMEL Shipper: GESH Carmel
3400 W 131ST STREET CARMEL IN
WESTFIELD IN 46074-8267 Mode of Shipment: Customer Pickup
057
BRICK STCC 32 511
Directions:
Material Description Order Quantity Weight
Batch
6099001046 ESSROC BRIXMENT GRAY TYPE N 50 BAG 3,500.00 LB
1,590.91 KG
TOTAL WEIGHT 3,500.00 LB
1,590.91 KG
Drivers Name Driver License No. and State
Trucking Company Dispatcher Name
Phone No.
DOT # Verified By