HomeMy WebLinkAbout303530 09/26/16 +ur.C4A,y
J�/ f• CITY OF CARMEL, INDIANA VENDOR: 367666
ONE CIVIC SQUARE SAGAMORE READY MIX LLC CHECK AMOUNT: $*****1,062.75*
s =� CARMEL, INDIANA 46032 PO BOX 6457 CHECK NUMBER: 303530
DEPT 272 CHECK DATE: 09/26/16
INDIANAPOLIS IN 46206
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 513392 1,062.75 CEMENT
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
SAGAMORE READY MIX LLC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 6457 IN SUM OF$ 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.
$1,062.75 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
513392 42-362.00 $1,062.75 I hereby certify that the attached invoice(s),or 9/7/16 513392 $1,062.75
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
Tuesday, September 13,2016
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
AMOREn,
READY M I
REMIT TO:
9170 East 131st St - Fishers, IN 46038 PO Box 6457 - Dept #272 PAGE 1
Phone: (317) 570-6201 - (888) 986-9293 Indianapolis, IN 46206
CUSTOMER # 1351
Invoice Date 09-07-2016
Invoice Number 513392
CARMEL STREET DEPARTMENT Order Code 44
3400 W 131ST STREET Project Code
CARMEL IN 46074 Purchase Order
Job Number JIM-417-5216
DELIVERY LOCATION PAYMENT TERMS
9645 GREENTREE DR. , CARMEL DISC 10th TOTAL 20th AFTER DELIVERY MO
ticket # Usage Product Product Quantity Price--E kte n de d
Code Description Amount
------------------------------------------------------------------------------------------------
956249 HANDCURB IB6016 INDOT CLASS A BAG AIR STON 6.50 cy 128.50 835.25
956249 500 EXCESS UNLOADING TIME > 60 91.00 ea 2.00 182.00
956249 5015 GRACE MICROFIBER (BLUE) 6.50 ea 7.00 45.50
CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS
YOU MAY DEDUCT $22.75 FROM THIS INVOICE IF PAID BY Oct-10-2016.
THIS REFLECT ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
6.50 $1,062.75 $.00 $1,062.75
�k
9170 East 131st Street
Fishers,IN 46038-3545
(317)570-6200 Dispatch AGAMORE t/ 1
(888)986-9294
(317)570-6201 Office READY M I
(888)986-9293
(317)570-6271 Fax
DELIVERY TICKET
"'AUTION: 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 delivery is 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,strenqth 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 quaranteed.
4. Purchaser understands that concrete not cured according to ACI 308 may only develop 50%of its design strength,
5. Testinq of delivered concrete must be done by ACI Level 1 Concrete Testinq Technicians.
6. Do not apply de-icinq compounds to exterior concrete durinq first winter.
7. We do not quarantee 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 956249
I VIII 111111 VIII VIII III I I I IIII IIII Date
09107116
I
Plant Order# Customer Number Project P.O.Number Job Name•Number
101 44 1351 JIM•417.5216
Sold To 9645 GREENTREE DR.,CARMEL
CARMEL STREET DEPARTMENT 96TH ST W OF TOWNE RD TO GREEN-TREE DR,TN TO T,TR TO JOB.—MULTIPLE STOPS>>>
3400 W 131ST STREET
i
As representative of the customer, I authorize and assum,6 responsibility for the addition of water to this concrete.
Received Bv: I WASHOUT SYSTEM Time Due
YES NO 10:26 AM
Load No. Slump(+/_1^ Air Content(+/ 1.5 o Meter Reading at Plant Meter Reading Upon Arrival Used For Ordered By
1 3.00 HANDCURB
Quantity Quanitity Quanitity Product Product Descripition Units Unit Price Amount
This Load Ordered Delivered Code
6.50 CY1 6.50 CY1 6.50 CY 1B6016 CLS A INDOT AIR CYDS
6,50 ea 6,50 ea 6.50 ea 5015 GRACE MICROFIBER(BLUE) ea
i
I
I _
SUBTOTAL
SALESTAX
i TICKET TOTAL
Truck No. Delivered By Left Plan7 Time Arrive Time Start Finish Pour Lek Job
0621 David A Cole I I I ORDER TOTAL
rial Design Qty Required Batched %Var%Moisture Actual Wat 9/7/16 9: 53
D 1330 Ib 9028 Ib 9000 lb -0.31% 4.24%A 382 Ib
)NEAP 1725 Ib 11326 Ib 11260 Ib -0.58% 1.00%M 113 Ib
GH 564 Ib 3666 Ib 3640 Ib -0.71%
ER 30.5 gl 137.6 gl 138.4 gl 0.43% 1155.0 Ib
6 oz 41 oz 40 oz -2.32%
UCER 17 oz 111 oz 111 oz 0.45%
OVER 6 oz 36 oz 36 oz -1.10%