HomeMy WebLinkAbout302583 08/31/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 358385
ONE CIVIC SQUARE GENERAL SHALE&BRICK CHECKAMOUNT: $********18.60*
CARMEL, INDIANA 46032 PO BOX 5825 CHECK NUMBER: 302583
CAROL STREAM IL 60197.5825 CHECK DATE: 08/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 182513319 18.60 CEMENT
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
GENERAL SHALE & BRICK ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 5825 IN SUM OF$ 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.
$18.60 _ 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
182513319 42-362.00 $18.60 1 hereby certify that the attached invoice(s),or 8/10/16 182513319 $18.60
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,August 23,2016
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
120
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
0010
General Shale
.. . . ...
................
.. ......... ... .......
............ .... ...
................
... . ....
: .+ .........
.:.::::.::.::
........
. ..
Invoice: 182513319 Invoice Date: 08/10/2016
Bill To: 279670 Customer P0: INLETS
CITY OF CARMEL
3400 W 131ST STREET Bill of Lading: 172764595
WESTFIELD IN 46074-8267 Goods Issue Date: 08/10/2016
Order: 320802997
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:-Custome-r—P- ekur--/-0-5-7- --- -
Material Material Description Quantity Price Value USD
Batch Number and Description
6099001047 ESSROC BRIXMENT GRAY TYPE S 75 LB BAG 2 BAG 9.30 18.60
Subtotal 18.60
TAX
TOTAL 18.60
X.
:::... ...
Bill To _...._......_.....,. _...,..,,,......................_.._......
279670
CITY OF CARMEL Bill of Lading: 172764595
3400 W 131ST STREET Date: 08/10/2016
WESTFIELD IN 46074-8267
Order Loc: Carmel
CARMEL IN
Sales Order: 320802997
Customer P0: INLETS
CITYOF CARMEL Telephone: (317) 733-2001
CITY
3400 W 131ST STREET
WESTFIELD IN 46074-8267 Shipper: GN
ICarmel
CARMEL N
057
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 2 BAG 150.00 LB
68.18 KG
TOTAL WEIGHT 150.00 LB
68.18 KG
Drivers Name Driver License No. and State
Trucking Company Dispatcher Name
Phone No.
DOT # Verified By