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Home My WebLink About304127 10/10/16 CITY OF CARMEL, INDIANA VENDOR: 367666 it ONE CIVIC SQUARE SAGAMORE READY MIX LLC CHECK AMOUNT: $*******785.25* CARMEL, INDIANA 46032 PO 60x 6457 CHECK NUMBER: 304127 DEPT 272 CHECK DATE: 10/10/16 INDIANAPOLIS IN 46206 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236200 514955 785.25 CEMENT VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) SAGAMORE READY MIX LLC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 6457 IN SUM OF$ 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. $785.25 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 514955 42-362.00 $785.25 1 hereby certify that the attached invoice(s),or 9/22/16 514955 $785.25 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, October 04, 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 L ' RFA DY 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 09-22-2016 Invoice Number 514955 CARMEL STREET DEPARTMENT Order Code 42 3400 W 131ST STREET Project Code CARMEL IN 46074 Purchase Order Job Number 317-417-5216 DELIVERY LOCATION PAYMENT TERMS 12584 BRANFORD ST (WEST CLAY) DISC 10th TOTAL 20th AFTER DELIVERY MO --Ticket#- —Usage PrOQUCt- —Product — _- --- --Quanthty -Pric-t�--Exterded Code Description Amount ------------------------------------------------------------------------------------------------ 959194 HANDCURB B6016 6 BAG STONE AIR 5.50 cy 128.50 706.75 959194 400 MINIMUM LOAD CHARGE 1.00 ea 40.00 40.00 959194 5015 GRACE MICROFIBER (BLUE) 5.50 ea 7.00 38.50 CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS YOU MAY DEDUCT $19.25 FROM THIS INVOICE IF PAID BY Oct-10-2016. THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT. Total Yards Sub Total Sales Tax INVOICE TOTAL 5.50 $785.25 $.00 $785.25 9170 East 131st Street Fishers,IN 46038-3545 (317)570-6200 Dispatch (888)986-9294 SAUA (317)570-6201 Office READY M f Dispatch MORE (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 PROMPTO 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 roadwav 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 damaqes 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 guaranteed, 4. Purchaser understands that concrete not cured accordinq to ACI 308 may only develop 50%of its desiqn strength, 5. Testinq of delivered concrete must be done by ACI Level 1 Concrete Testinq Technicians, 6. Do not apply de-icing compounds to exterior concrete during 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 959194 Date I VIII IIIIII VIII VIII III I I I IIII IIII 09122116 Plant I Order# Customer Number Project P.O.Number _ Job Name-Number 101 42 1351 1 317.417.5216 Sold To 12584 BRANFORD ST(WEST CLAY) CARMEL STREET DEPARTMENT 146TH ST W TO TOWNE RD S TO GLEBE ST(JUST S OF MAIN ST)E TO TRADD S TO RHETTSBURY E TO BRANFORD S TO 3400 W 131 ST STREET JOB representativeAs of •mer, I authorize and assume respobilityfor addition of • this concrete. Received Bv: WASHOUT SYSTEM Time Due YES NO 11:31 AM Load No. Slump(+1-1- Air Content(+1-1.5%) 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 5.50 yd 5.50 yd 5.50 yd 86016 6 BAG STONE AIR yd 5.50 ea 5.50 ea 5.50 ea 5015 GRACE MICROFIBER(BLUE) ea i SUB-TOTAL SALES TAX TICKET TOTAL Truck No. Delivered By Lek Plant Time Arrive Time Start Finish Pour Left Job 0232 Anthonv Gearlds ORDERTOTAL