HomeMy WebLinkAbout303713 09/30/16 CITY OF CARMEL, INDIANA VENDOR: 358385
ONE CIVIC SQUARE GENERAL SHALE& BRICK CHECK AMOUNT: $*******"68.00
s. CARMEL, INDIANA 46032 PO BOX 5825 CHECK NUMBER: 303713
9M�roN CAROL STREAM IL 60197-5825 CHECK DATE: 09/30/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 182541046 68.00 OTHER EXPENSES
VOUCHER# 162835 WARRANT# ALLOWED
358385 IN SUM OF $
GENERAL SHALE BRICK
PO BOX 5825
CAROL STREAM, IL 60197-5825
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
182541046 01-6200-06 68.00
Voucher Total 68.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
358385
GENERAL SHALE BRICK Purchase Order No.
PO BOX 5825 Terms
CAROL STREAM, IL 60197-5825 Due Date 9/27/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/27/2016 182541046 68.00
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
Date Officer
Inerts' Shale:
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Invoice: 182541046 Invoice Date: 09I2Z/2t?J 6
Bill To:2791670. Customer PO:'. WATER DEPARTMENT'
CITY OF CARMEL
3400 W 131ST STREET Bill.of Lading: 17279354.0
WESTFIELD IN 46074-.82:_67 Goods Issuebate: 09121/20.16.
Order: 3'209:990:0'4
Sales Rep :399
Ship-To;
Job; MIKE• Order Loc.: _Carmel
CITY OF CARMEL CARMEL IN
34.0.0 W 1'31ST STREET Phone: 311-846-2.566
WrsTFtELD ZN 46074-8267
Mode of Sihipment: .Customer Pickup f '0;57
Material Material Description Quantity Price Value USD.
.Batch Number and Description
642860,5980. P%B-WELLINGTON TU!,MLED'"21_:1/4 .MODULAR 136'. EA 500.:00 68:.,00
$2,25 ger.':1,SFT::
Subtotal
TAX
.TOTAL 68:;0:"Q1
LATE PAYMENT CHARGE of 1.55 PER MONTH.
PLEASE RETURN THIS PORTION WITH YOUR PAYMENT'
Accnt#: Customer Name Invoice-Date Invoice: Amount .Due
27900 C'IT'Y OF CARMEL" 09/21/2016 182541046 68.00
ROnllt,TO. GENERAL SHALE BRICK; INC
PO Box .5,825
CAROL STREAM IL 64197-,5825
Teitns qp. to 10 2'IIJ 16 withdut deduction
0010
General Shale
id"':.......... ::::::::::
C3 >> rrt ...: ...:::.::::.:...................................
Bill To: 279670 ;;:•:<:;;:•:>;::;:c:;::;;
.......................................................................... .........
CITY OF CARMEL
3400 W 131ST STREET Order / Date: 320999008 09/15/2016
WESTFIELD IN 46074-8267 Customer P0: WATER DEPARTMENT
Mode of Shipment: Customer Pickup
Ship From: GESH Carmel
CARMEL IN
Ship-To:
Job: MIKE. Sales Rep: 399 Unassigned Ret Acct
CITY OF CARMEL Unassigned ,
3400 W 131ST STREET
WESTFIELD IN 46074-8267
USA
Directions:
Material Material Description Currency . USD
Batch Number and Description
Quantity Price Unit Value
[010] 6028005980 P/B WELLINGTON TUMBLED 2-1/4 MODULAR
714.000 LB
136 EA 500.00 USD / 1, 000 EA 68.00
Subtotal 68.00
TAX
TOTAL 68.00
TOTAL WEIGHT 324.55 KG
714.00 LB
V
V-