HomeMy WebLinkAbout304681 10/31/16 CITY OF CARMEL, INDIANA VENDOR: 195575
/® �, ONE CIVIC SQUARE MARTIN MARIETTA AGGREGATES CHECK AMOUNT: $*******895.62*
;. ,�� CARMEL, INDIANA 46032 PO BOX 93186 CHECK NUMBER: 304681
�dj��TON�p.� CHIGAGO IL 60673.3186 CHECK DATE: 10/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236000 18854421 98.91 GRAVEL
2201 4236000 18911465 239.49 GRAVEL ,
651 5023990 18913081 557.22 OTHER EXPENSES
VOUCHER # 166441 WARRANT # ALLOWED
195575 IN SUM OF $
MARTIN MARIETTA AGGREGATES -IL
PO BOX 93186
CHICAGO, IL 60673-3186
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
10634527 01-7203-06 557.22
4511'
Voucher Total 557.22
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
195575
MARTIN MARIETTA AGGREGATES-IL Purchase Order No.
PO BOX 93186 Terms
CHICAGO, IL 60673-3186 Due Date 10/21/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/21/201( 10634527 557.22
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
Page 1 of 1
Martin
NlC!rie:Acta " FOR BILLING-QUESTIONS PLEASE CALL'
P.O.Box 30013 317-573-4460
Raleigh,NC 27622-0013
Visit eRocks at www.martinmadetia.com JOB NAME:MISC JOB TAX EXEMPT TRK
SOLD TO: 001703 002639 SHIP TO:
CITY OF CARMEL SEWER DEPT MISCELLANEOUS JOB EXEMPT TRUCK
9609 HAZEL DELL PKWY PU-S16561 -SEWAGE PLANT 96TH&HAZEL DE
INDIANAPOLIS IN 46280 Indianapolis IN 46240
PAYMENT TERMS: NET 30 DAYS-AIR
Order No. Customer PO Dest. Job No. Dist Business Business Unit Name Cust.No. Invoice Invoice No.
No. No. Unit Date
10634527 SO 816561 005 888802 11 25102 North Indianapolis Quarry 740551 10/13/16 18913081
Ship Date Product Description Quantity UM Unit Price Material Freight Freight Taxes& TOTAL
Car/Barge No. No. Amount Rate Amount Fees
10/11/16 0400 4 -
1007126 13.96 TN 22.95 320.38 320.38
1007221 10.32 TN 22.95 236.84 236.84
`SUBTOTAL' 24.28 557.22 557.22
n
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TOTAL 24.28 557.22 557.22
INVOICE TOTAL' `:` $557 22`:
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
MARTIN MARIETTA AGGREGATES ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 93186
IN SUM OF$ CITY OF CARMEL
'
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CH I GAGO, IL 60673-3186 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$239.49 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
18911465 42-360.00 $239.49 1 hereby certify that the attached invoice(s),or 10/13/16 18911465 $239.49
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, October 24, 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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Page 1 of 1
Martin
r...l_irj`Al
to FOR BILLING QUESTIONS PLEASE CALL,
P.O.Box 30013 317-573-4460 °
Raleigh,NC 27622-0013
Visit eRocks at www.martinmarietta.com JOB NAME:MISC JOB TAXABLE TRK
SOLD TO: 001617 002491 SHIP TO:
CITY OF CARMEL-STREET DEPARTMENT MISCELLANEOUS JOB TAXABLE TRUCK
3400 W 131ST STREET SHOP
WESTFIELD IN 46074 Indianapolis IN 46240
PAYMENT TERMS: NET 30 DAYS-AIR
Order No. Customer PO Dest. Job No. Dist Business Business Unit Name Cust.No. Invoice Invoice No.
No. No. Unit Date
10634937 SO 001 888801 11 25103 Carmel Sand 231877 10/13/16 18911465
Ship Date Product Description Quantity UM Unit Price Material Freight Freight Taxes& TOTAL
Car/Barna No. No. Amount Rate Amount Fees
—10/11/1fi- -0939 -FILL SAND — _ ---
530374 7.42 TN 12.80 94.98 94.98
*SUBTOTAL* 7.42 94.98 94.98
10/12/16 0939 FILL SAND
530384 11.29 TN 12.80 144.51 144.51
*SUBTOTAL* 11.29 144.51 144.51
D
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0
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TOTAL 18.71 239.49 239.49
i+G -
y INVOICE TOTAL p $239 49,"
tee+ D * Ticket#: 530384
Sold To: 231877 Job#: 888801 0o E7:OOAM-NOON
25103 Carmel Sand
Martin CARMEL CITY OF-STREET DEPARTMENT M MONDAY-FRIDAY
M c r etto 3400 W 131ST STREET SAT CLOSED/SUN
WESTFIELD IN 46074 40
Date: 10/12/16 Time: 10:49 PO No: Job/Dest.Information
Truck: COC210 CARMEL STREET DEPT MISC JOB TAXABLE TRK
Hauler: MISCELLANEOUS JOB TAXABLE TRUCK
HaulRate: SHOP
ti
Sr
Lot# - x
Lds Today To Date Lbs Tons Cash Sale 3
Quantity Quantity Gross: (2) 52,000 26.00 Matl$
Job: 1 11.29 275.40 Tare: (2) 29,420 14.71 Tax $ IN r D
Dest: 1 11.29 18.71 Net: 22,580 11.29 Haul$ 4 n
> Z
Product Number: 0939 Payment Recvd By: h
Desc: FILL SAND Total$ - 5
Sec.Product: QTY: 11.29 Ton Max GVW: 52,000.00 'r
Additional Information: Weighperson: KRISS
Q#982083 SOURCE#2303 9
e
Driver: Customer:
Martin Marietta Materials Standard Tenns and Conditions apply(copy available at Site Office)..............
Ticket#: 530384
Sold To: 231877 Job#: 888801 001 Sold From: 25103 Carmel Sand
Martin CARMEL CITY OF-STREET DEPARTMENT 7:OOAM-4:OOPM MONDAY-FRIDAY
' Marietta 3400 W 131ST STREET 7:OOAM-NOON SAT CLOSED/SUN
WESTFIELD IN 46074 #317-846-8540
Date: 10/12/16 Time: 10:49 PO No: Job/Dest.Information i>
Truck: COC210 CARMEL STREET DEPT MISC JOB TAXABLE TRK
Hauler: MISCELLANEOUS JOB TAXABLE TRUCK
HaulRate: SHOP
z
Lot#
a
Lds Today To Date Lbs Tons Cash Sale
Quantity Quantity Gross: (2) 52,000 26.00 Matl$ D _y
Job: 1 11.29 275.40 Tare: (2) 29,420 14.71 Tax $ IN 6 M
M D
Dest: 1 11.29 18.71 Net: 22,580 11.29 Haul$ v >
C ;0Payment Recvd By:
Product Number: 0939 � Z
ra �
Desc: FILL SAND Z
Total$ - 2
Sec.Product: QTY: 11.29 Ton Max GVW: 52,000.00 Z
Additional Information: Weighperson: KRISS
Q#982083 SOURCE#2303
Driver: Customer:
Martin Marietta Materials Standard Terms and Conditions apply(copy available at Site Office).
TickTickett 530384
Sold To: 231877 Job#: 888801 not Sold From: 25103 Carmel Sand
/! '��Martin CARMEL CITY OF-STREET DEPARTMENT 7:00AM-4:0013M MONDAY-FRIDAY
✓. r'1?Ct. 3400 W 131ST STREET 7:OOAM-NOON SAT CLOSED/SUN
WESTFIELD IN 46074 #317-846-8540
Date: 10/12/16 Time: 10:49 PO No: Job/best.Information
Truck: COC210 CARMEL STREET DEPT MISC JOB TAXABLE TRK
Hauler: MISCELLANEOUS JOB TAXABLE TRUCK
HaulRate: SHOP r
Lot#
o _
Lds Today To Date Lbs Tons Cash Sale
Quantity Quantity Gross: (2) 52,000 26.00 Matl$ 1 p
Job: 1 11.29 275.40 Tare: (2) 29,420 14.71 Tax $ IN -
rn T
Dest: 1 11.29 18.71 Net: 22,580 11.29 Haul$ 0 >
Product Number: 0939 Payment Recvd By: c Z
'_
Desc: FILL SAND Total$ - 0 Z� �
Sec.Product: QTY: 11.29 Ton Max GVW: 52,000.00
Additional Information: Weighperson: KRISS
Q#982083 SOURCE#2303
Driver: Customer:
Martin Marietta Materials Standard Tenns and Conditions aooly(coov available at Site Office).
Pursuant to prior oral or written agreement between the parties,delivery occurred and title passed Immediately after the products were loaded Into the carrier at the point of shipment.All hauling from this plant 2
or quarry at an agreed rate per ton or yard Is performed by Independent trucking contractors.Drivers,other than owner-drlvers,will be employed by the trucking contractor.The trucking contractor assumes all liability
for compensation,public liability,and property damage Insurance,also all social security taxes,withholding taxes,and any other taxes assessed.
Aggregates may contain components that could react with alkaline materials In concrete mixtures.This could result In potential deterioration of and damage to the final concrete product("Alkali-Aggregate Reactivity"or
"AAR"),The potential for AAR should be taken Into account In formulating concrete mixtures.Other than warranty of title and conformance to written specifications,MARTIN MARIETTA HEREBY EXCLUDES ANY AND ALL
WARRANTIES OF MERCHANTABILITY AND ALL WARRANTIES OF FITNESS FOR ANY PARTICULAR PURPOSE AND ALL WARRANTIES,EXPRESS OR IMPLIED,AS TO THE PERFORMANCE OF ITS AGGREGATES WITH
RESPECT TO AAR.
This is to certify that the following described commodity was weighed,measured,or counted by a weighmaster,whose signature Is on this certificate,who Is a recognized authority of accuracy,as prescribed by chapter 7
(commencing with Section 12700)of Division 5 of the California Business and Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture.
WARNING:AVOID BREATHING DUST FROM THIS PRODUCT
This product contains crystalline silica.Prolonged and repeated breathing of crystalline silica dust can cause a progressive lung disease called slllcosis.
• Several scientific organizations have reported that prolonged and repeated breathing of crystalline silica dust can cause lung cancer.
• Crystalline silica is known to the State of California to cause lung cancer.
• Silicosis or lung cancer can result in permanent Injury or death.
• To reduce the risk of injury,prevent excessive and repeated dust exposure or use a NIOSH approved respirator as more fully described in the MSDS.
•The risk of silicosis or lung cancer depends upon the duration and levels of silica exposure.
• Read the Material Safety Data Sheet before using or handling this product to determine the appropriate ventilation or respiratory protection necessary to safeguard your health.MSDS are available on our website at
www,martinmarletta.com or ask the plant manager for a copy.
® . . , . EL POLVO DE ESTE PRODUCTOr.
Este producto contlene siiice cristalina.Respirar el polvo de Is silica cristallna repetldamente y par periodos prolongados puede causer la slllcosis,una enfermedad progresiva de los pulmones.
• Varias organizaciones cientificas reportan quo el respirar el polvo de Is silice cristalina de forma repetida y par perldos prolongados puede causar cancer del pulm6n.
• EI Estado de California reconoce que las silice cristalina causer cancer.
• La silicosis o el c6ncer de pulm6n pueden causer danos permanentes o Is muerte.
• Para reducir,el riesgo de sufrir danos a Is salud,evite repetldamente y par periodos prolongados que est6 expuesto al polvo de Is office cristalina o user un respirador aprobado del NIOSH.
• EI riesgo de la silicosis o del cancer pulmonar depende de la duraci6n y de los niveles de exposicibn a la silice.
• Ldse to Hole de Dates sabre Is Seguridad de los Materiales(Ilamada"Material Safety Data Sheet")antes de user o manejar este producto para determiar Is ventilaci6n apropfada o la protecci6n respiratoria
necesarfo para proteger su salud.La Hoja de Datos sabre la Seguridad de los Materiales esta disponible an nuestra sitio web www.martinmarietta.com o Is puede pedir una copia su gerente de planta.
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Pursuant to prior oral or written agreement between the parties,delivery occurred and title passed immediately after the products were loaded into the carrier at the point of shipment.All hauling from this plant 4
or quarry at an agreed rate per ton or yard is performed by independent trucking contractors.Drivers,other than owner-drivers,will be employed by the trucking contractor.The trucking contractor assumes all liability 3
for compensation,public liability,and property damage insurance,also all social security taxes,withholding taxes,and any other taxes assessed.
Aggregates may contain components that could react with alkaline materials in concrete mixtures.This could result in potential deterioration of and damage to the final concrete product("Alkali-Aggregate Reactivity"or
"AAR").The potential for AAR should be taken into account in formulating concrete mixtures.Other than warranty of title and conformance to written specifications,MARTIN MARIETTA HEREBY EXCLUDES ANY AND ALL
WARRANTIES OF MERCHANTABILITY AND ALL WARRANTIES OF FITNESS FOR ANY PARTICULAR PURPOSE AND ALL WARRANTIES,EXPRESS OR IMPLIED,AS TO THE PERFORMANCE OF ITS AGGREGATES WITH
RESPECT TO AAR.
This is to certify that the following described commodity was weighed,measured,or counted by a weighmaster,whose signature is on this certificate,who is a recognized authority of accuracy,as prescribed by chapter 7
(commencing with Section 12700)of Division 5 of the California Business and Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture.
A WARNING:AVOID*BREATHING DUST FROM THIS PRODUCT
This product contains crystalline silica.Prolonged and repeated breathing of crystalline silica dust can cause a progressive lung disease called silicosis.
• Several scientific organizations have reported that prolonged and repeated breathing of crystalline silica dust can cause lung cancer.
• Crystalline silica is known to the State of California to cause lung cancer.
• Silicosis or lung cancer can result in permanent injury or death.
•To reduce the risk of injury,prevent excessive and repeated dust exposure or use a NIOSH approved respirator as more fully described in the MSDS.
•The risk of silicosis or lung cancer depends upon the duration and levels of silica exposure.
• Read the Material Safety Data Sheet before using or handling this product to determine the appropriate ventilation or respiratory protection necessary to safeguard your health.MSDS are available on our website at
www.martinmarietta.com or ask the plant manager for a copy.
® • .• • a •••• •
Este producto contlene silice cristalina.Respirar el polvo de la silice cristalina repetidamente y par periodos prolongados puede causar la silicosis,una enfermedad progresiva de los pulmones.
• Varias organizaciones cientificas reportan que el respirar el polvo de la silice cristalina de forma repetida y par perldos prolongados puede causar cancer del pulm6n.
• EI Estado de California reconoce que las sflfce cristalina causar cancer.
• La silicosis o el cancer de pulm6n pueden causer danos permanentes o la muerte.
• Para reducir el riesgo de sufrir danos a la salud,evite repetidamente y par periodos prolongados que est6 expuesto al polvo de la silice cristalina o user un respirador aprobado del NIOSH.
• EI riesgo de la silicosis o del 6ncer pulmonar depends de la duraci6n y de los niveles de exposicibn a la silice.
• Lase Is Hoja de Dates sabre to Seguridad de las Materiales(Ilamada"Material Safety Data Sheet")antes de usar o manejar este producto para determiar Is ventifacidn apropiada o to protecci6n respiratoria
necesaria para proteger su salud.La Hoja de Dates sabre la Seguridad de los Materiales esta disponible en nuestra sitio web www.martinmarietta.com o Is puede pedir una copia su gerente de planta.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Pursuant to prior oral or written agreement between the parties,delivery occurred and title passed immediately after the products were loaded into the carrier at the point of shipment.All hauling from this plant A
or quarry at an agreed rate per ton or yard is performed by independent trucking contractors.Drivers,other than owner-drivers,will be employed by the trucking contractor.The trucking contractor assumes all liability 4
for compensation,public liability,and property damage insurance,also all social security taxes,withholding taxes,and any other taxes assessed.
Aggregates may contain components that could react with alkaline materials in concrete mixtures.This could result in potential deterioration of and damage to the final concrete product("Alkali-Aggregate Reactivity"or
"AAR").The potential for AAR should be taken into account in formulating concrete mixtures.Other than warranty of title and conformance to written specifications,MARTIN MARIETTA HEREBY EXCLUDES ANY AND ALL
WARRANTIES OF MERCHANTABILITY AND ALL WARRANTIES OF FITNESS FOR ANY PARTICULAR PURPOSE AND ALL WARRANTIES,EXPRESS OR IMPLIED,AS TO THE PERFORMANCE OF ITS AGGREGATES WITH
RESPECT TO AAR.
This is to certify that the following described commodity was weighed,measured,or counted by a weighmaster,whose signature is on this certificate,who is a recognized authority of accuracy,as prescribed by chapter 7
(commencing with Section 12700)of Division 5 of the California Business and Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture.
A WARNING:AVOID BREATHING DUST FROM THIS PRODUCT
This product contains crystalline silica.Prolonged and repeated breathing of crystalline silica dust can cause a progressive lung disease called silicosis.
• Several scientific organizations have reported that prolonged and repeated breathing of crystalline silica dust can cause lung cancer.
• Crystalline silica is known to the State of California to cause lung cancer.
• Silicosis or lung cancer can result In permanent injury or death.
•To reduce the risk of injury,prevent excessive and repeated dust exposure or use a NIOSH approved respirator as more fully described in the MSDS.
•The risk of slllcosis or lung cancer depends upon the duration and levels of silica exposure.
• Read the Material Safety Data Sheet before using or handling this product to determine the appropriate ventilation or respiratory protection necessary to safeguard your health.MSDS are available on our website at
www.martinmarietta.com or ask the plant manager for a copy.
® Aa POLVO DE ESTE PRODUCTO r
Este producto contlene silice cristalina.Respirar el polvo de la silice cristalina repetldamente y par periodos prolongados puede causer Is silicosis,una enfermedad progresiva de los pulmones.
•Varias organizaciones cientificas reportan que el respirar el polvo de Is sllice cristalina de forma repetida y par perldos prolongados puede causer c6ncer del pulm6n.
• EI Estado de California reconoce que las silice cristalina causar c6ncer.
• La silicosis o el c6ncer de pulm6n pueden causer dartos permanentes o la muerte.
• Para reducir el riesgo de sufrir danos a Is salud,evite repetidamente y par perlodos prolongados que est6 expuesto al polvo de Is sfllce cristalina o user un respirador aprobado del NIOSH.
• EI riesgo de la silicosis o del c6ncer pulmonar depends de Is durac16n y de los niveles de exposicibn a Is silice.
• Ldse Is Hole de Dates sabre to Seguridad de los Materiales(Ilamada"Material Safety Data Sheet")antes de user o manejar este producto para determler Is ventllacidn oproplada o Is protecci6n respiratoria
necesarfo para proteger su salud.La Hoja de Datos sabre la Seguridad de los Materlales esta disponible en nuestra sitio web www.martinmarietta.com o Is puede pedir una copia su gerente de planta.
Ticket#: 530374
Sold To: 231877 Job#: 888801 001 Sold From: 25103 Carmel Sand
Martin CARMEL CITY OF-STREET DEPARTMENT 7:00AM-4:00PM MONDAY-FRIDAY
MarletLo 3400 W 131ST STREET 7:OOAM-NOON SAT CLOSED/SUN
WESTFIELD IN 46074 #317-846-8540
Date: 10/11/16 Time: 14:36 PO No: Job/Dest.Information
Truck: COC210 CARMEL STREET DEPT MISC JOB TAXABLE TRK
Hauler: MISCELLANEOUS JOB TAXABLE TRUCK
HaulRate: SHOP
Lot#
Lds Today To Date Lbs Tons Cash Sale
Quantity Quantity Gross: (2) 39,640 19.82 Matl$ < -o
Job: 1 7.42 264.11 Tare: (2) 24,800 12.40 Tax $ IN ;o Sw.
M y.
Dest: 1 7.42 7.42 Net: 14,840 7.42 Haul$ y n _
D s Z
Product Number: 0939 Payment Recvd By: y e
Desc: FILL SAND Total$ p
Sec.Product: QTY: 7.42 Ton Max GVW: 52,000.00 Z 3
Additional Information: Weighperson: KRISS
Q#982083 SOURCE#2303
r
s
Driver: Customer:
_ ---------__ ________________________ _Martin Marietta Materials Standard Termsand Conditlonsapply(copy available at Site Office).__ ----- -----_ ___ .- _____________----------------- _ ____ _-
Sold To: 231877 Job#: 888801 001 Ticket#: 530374
Sold From: 25103 Carmel Sand
Martin CARMEL CITY OF-STREET DEPARTMENT 7:OOAM-4:OOPM MONDAY-FRIDAY
�L Marietta 3400 W 131ST STREET 7:OOAM-NOON SAT CLOSED/SUN
WESTFIELD IN 46074 #317-846-8540
Date: 10/11/16 Time: 14:36 PO No: Job/Dest.Information
Truck: COC210 CARMEL STREET DEPT MISC JOB TAXABLE TRK
Hauler: MISCELLANEOUS JOB TAXABLE TRUCK
HaulRate: SHOP
Lot#
Lds Today To Date Lbs Tons Cash Sale
Quantity Quantity Gross: (2) 39,640 19.82 Mat[$ »o y
Job: 1 7.42 264.11 Tare: (2) 24,800 12.40 Tax $ IN 3 m L
Dest: 1 7.42 7.42 Net: 14,840 7.42 Haul$ ti '—' D
D = M
Product Number: 0939 Payment Recvd By: n Z
Desc: FILL SAND Total$ 1,2 z
Sec.Product: QTY: 7.42 Ton Max GVW: 52,000.00 Z
Additional Information: Weighperson: KRISS
Q#982083 SOURCE#2303
a
T
Driver: Customer:
Martin Marietta Materials Standard Terms and Conditions apply(copy available at Site Office).
Ticketill, 530374
Sold To: 231877 Job#: 888801 001 Sold From: 25103 Carmel Sand
Martin CARMEL CITY OF-STREET DEPARTMENT 7:OOAM-4:OOPM MONDAY-FRIDAY
�L McrEeata 3400 W 131ST STREET 7:OOAM-NOON SAT CLOSED/SUN
WESTFIELD IN 46074 #317-846-8540
Date: 10/11/16 Time: 14:36 PO No: Job/Dest.Information
Truck: COC210 CARMEL STREET DEPT MISC JOB TAXABLE TRK
Hauler: MISCELLANEOUS JOB TAXABLE TRUCK
HaulRate: SHOP
Zy X.
Lot#
Lds Today To Date Lbs Tons Cash Sale 9
Quantity Quantity Gross: (2) 39,640 19.82 Matl$
Job: 1 7.42 264.11 Tare: (2) 24,800 12.40 Tax $ IN v m s
Dest: 1 7.42 7.42 Net: 14,840 7.42 Haul$
D
Product Number: 0938Payment Recvd By.
r C = z
Desc: FILLSAND Total$ 0 Z
v , x
Sec.Product: QTY: 7.42 Ton Max GVW: 52,000.00 „ Z
Additional Information: Weighperson: KRISS a
Q#982083 SOURCE#2303 T
i
l.'J.
Driver: Customer:
Marlin Marietta Materials Standard Terms and Conditions aooly(coov available at Site Office).
Pursuant to prior oral or written agreement between the parties,delivery occurred and title passed Immediately after the products were loaded Into the carrier at the point of shipment.All hauling from this plant 2
or quarry at an agreed rate per ton or yard Is performed by Independent trucking contractors.Drivers,other than owner-drivers,will be employed by the trucking contractor.The trucking contractor assumes all liability
for compensation,public liability,and property damage Insurance,also all social security taxes,withholding taxes,and any other taxes assessed.
Aggregates may contain components that could react with alkaline materials In concrete mixtures.This could result In potential deterioration of and damage to the final concrete product("Alkall-Aggregate Reactivity"or
"AAR").The potential for AAR should be taken Into account In formulating concrete mixtures.Other than warranty of title and conformance to written specifications,MARTIN MARIETTA HEREBY EXCLUDES ANY AND ALL
WARRANTIES OF MERCHANTABILITY AND ALL WARRANTIES OF FITNESS FOR ANY PARTICULAR PURPOSE AND ALL WARRANTIES,EXPRESS OR IMPLIED,AS TO THE PERFORMANCE OF ITS AGGREGATES WITH
RESPECT TO AAR.
This is to certify that the following described commodity was weighed,measured,or counted by a welghmaster,whose signature Is on this certificate,who Is a recognized authority of accuracy,as prescribed by chapter 7
(commencing with Section 12700)of Division 5 of the California Business and Professions Cade,administered by the Division of Measurement Standards of the California Department of Food and Agriculture.
® • •NING:AVOID BREATHING DUST FROM THIS PRODUCT kms" j.
This product contains crystalline silica.Prolonged and repeated breathing of crystalline silica dust can cause a progressive lung disease called silicosis.
• Several scientific organizations have reported that prolonged and repeated breathing of crystalline silica dust can cause lung cancer.
• Crystalline silica is known to the State of California to cause lung cancer.
• Silicosis or lung cancer can result in permanent injury or death.
•
To reduce the risk of injury,prevent excessive and repeated dust exposure or use a NIOSH approved respirator as more fully described in the MSDS.
•The risk of silicosis or lung cancer depends upon the duration and levels of silica exposure.
• Read the Material Safety Data Sheet before using or handling this product to determine the appropriate ventilation or respiratory protection necessary to safeguard your health.MSDS are available on our website at
www.martinmarietta.com or ask the plant manager for a copy..
® , , . , EVITE . . . , . EL POLVO DE ESTE PRODUCTO C
Este producto contlene silica cristalina.Respirar el polvo de la silica cristalina repetidamente y par perfodos prolongados puede causer la silicosis,una enfermedad progresiva de los pulmones.
•Varies organizaciones cientificas reportan quo el respirar el polvo de la silica cristalina de forma repetfda y par perfdos prolongados puede causer c6ncer del pulm6n.
• EI Estado de California reconoce qua las silica cristalina causer c6ncer.
• La silicosis o of cancer de pulm6n pueden causer danos permanentes o la muerte.
• Para reducir el riesgo de sufrir danos a la salud,evite repetidamente y par periodos prolongados que est6 expuesto al polvo de la silica cristalina o user un respirador aprobado del NIOSH.
• EI riesgo de la silicosis o del c6ncer pulmonar depende de la duracl6n y de los niveles de exposici6n a la silice.
• L6se la Hoja de Dates sabre la Seguridad de los Materiales(Ilamada"Material Safety Data Sheet")antes de user o manejar este products para determlar la ventilacl6n apropiada o la proteccl6n respiratorfa
necesarlo para proteger su salud.La Hoja de Datos sobre la Seguridad de los Materiales esta disponible an nuestra sitio web www.martinmarietta.com o le puede pedir una copia su gerente de planta.
Pursuant to prior oral or written agreement between the parties,delivery occurred and title passed immediately after the products were loaded Into the carrier at the point of shipment.All hauling from this plant
or quarry at an agreed rate per ton or yard Is performed by Independent trucking contractors.Drivers,other than owner-drivers,will be employed by the trucking contractor.The trucking contractor assumes all liability 3 V
for compensation,public liability,and property damage insurance,also all social security taxes,withholding taxes,and any other taxes assessed.
Aggregates may contain components that could react with alkaline materials in concrete mixtures.This could result in potential deterioration of and damage to the final concrete product("Alkali-Aggregate Reactivity"or
"AAR").The potential for AAR should be taken into account in formulating concrete mixtures,Other than warranty of title and conformance to written specifications,MARTIN MARIETTA HEREBY EXCLUDES ANY AND ALL
WARRANTIES OF MERCHANTABILITY AND ALL WARRANTIES OF FITNESS FOR ANY PARTICULAR PURPOSE AND ALL WARRANTIES,EXPRESS OR IMPLIED,AS TO THE PERFORMANCE OF ITS AGGREGATES WITH
RESPECT TO AAR.
This is to certify that the following described commodity was weighed,measured,or counted by a weighmaster,whose signature is on this certificate,who is a recognized authority of accuracy,as prescribed by chapter 7
(commencing with Section 12700)of Division 5 of the California Business and Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture.
® WARNING:AVOID BREATHING DUST FROM THIS PRODUCTx
This product contains crystalline silica.Prolonged and repeated breathing of crystalline silica dust can cause a progressive lung disease called silicosis.
• Several scientific organizations have reported that prolonged and repeated breathing of crystalline silica dust can cause lung cancer.
• Crystalline silica is known to the State of California to cause lung cancer.
• Silicosis or lung cancer can result in permanent injury or death.
•To reduce the risk of injury,prevent excessive and repeated dust exposure or use a NIOSH approved respirator as more fully described in the MSDS.
•The risk of silicosis or lung cancer depends upon the duration and levels of silica exposure.
• Read the Material Safety Data Sheet before using or handling this product to determine the appropriate ventilation or respiratory protection necessary to safeguard your health.MSDS are available on our website at
www.martinmarietta.com or ask the plant manager for a copy.
Este producto contiene silice cristalina.Respirar of polvo de la silice cristalina repetidamente y por periodos prolongados puede causer la silicosis,una enfermedad progresiva de los pulmones.
•Varias organizaciones cientificas reportan que el respirar of polvo de la silice cristalina de forma repetfda y par perfdos prolongados puede causar cancer del pulm6n.
• EI Estado de California reconoce que las silice cristalina causer cancer.
• La silicosis o el cancer de pulm6n pueden causar danos permanentes o la muerte.
• Para reducir of riesgo de sufrir danos a la salud,evite repetidamente y par periodos prolongados que est6 expuesto al polvo de la slice cristalina o user un respirador aprobado del NIOSH.
• EI riesgo de la silicosis o del cancer pulmonar depende de la duraci6n y de los niveles de exposici6n a la silica.
• L6se la Hoja de Dates sabre la Seguridad de los Materiales(Ilamada"Material Safety Data Sheet")antes de user o manejar este producto para determlar is ventilacidn apropiada a la proteccl6n respiratorfa
necesarlo para proteger su salud.La Hoja de Delos sabre la Seguridad de los Materiales esta disponible an nuestra sitio web www,martinmarietta.com o le puede pedir una copia su gerente de planta.
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Pursuant to prior oral or written agreement between the parties,delivery occurred and title passed Immediately after the products were loaded into the carrier at the point of shipment.All hauling from this plant A
or quarry at an agreed rate per ton or yard is performed by Independent trucking contractors.Drivers,other than owner-drivers,will be employed by the trucking contractor.The trucking contractor assumes all liability 4
for compensation,public liability,and property damage insurance,also all social security taxes,withholding taxes,and any other taxes assessed.
Aggregates may contain components that could react with alkaline materials in concrete mixtures.This could result in potential deterioration of and damage to the final concrete product("Alkali-Aggregate Reactivity"or
"AAR").The potential for AAR should be taken Into account in formulating concrete mixtures.Other than warranty of title and conformance to written specifications,MARTIN MARIETTA HEREBY EXCLUDES ANY AND ALL
WARRANTIES OF MERCHANTABILITY AND ALL WARRANTIES OF FITNESS FOR ANY PARTICULAR PURPOSE AND ALL WARRANTIES,EXPRESS OR IMPLIED,AS TO THE PERFORMANCE OF ITS AGGREGATES WITH
RESPECT TO AAR.
This is to certify that the following described commodity was weighed,measured,or counted by a weighmaster,whose signature is on this certificate,who is a recognized authority of accuracy,as prescribed by chapter 7
(commencing with Section 12700)of Division 5 of the California Business and Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture.
WARNING:AVOID BREATHING DUST FROM THIS PRODUCT
A 6
This product contains crystalline silica.Prolonged and repeated breathing of crystalline silica dust can cause a progressive lung disease called silicosis.
• Several scientific organizations have reported that prolonged and repeated breathing of crystalline silica dust can cause lung cancer.
• Crystalline silica is known to the State of California to cause lung cancer.
• Silicosis or lung cancer can result in permanent Injury or death.
•To reduce the risk of Injury,prevent excessive and repeated dust exposure or use a NIOSH approved respirator as more fully described in the MSDS.
•The risk of silicosis or lung cancer depends upon the duration and levels of silica exposure.
• Read the Material Safety Data Sheet before using or handling this product to determine the appropriate ventilation or respiratory protection necessary to safeguard your health.MSDS are available on our website at
www.rnartinmarietta.com or ask the plant manager for a copy.
AI ADVERTENCIA-EVITE RESPIRAR EL POLVO DIE ESTE PRODUCTO 4
Este producto contlene silica cristalina.Respirar of polvo de la silica cristalina repetidamente y par perfodos prolongados puede causer la silicosis,una enfermedad progresiva de los pulmones.
•
Varies organizaciones cientificas reportan que el respirar el polvo de la silica cristalina de forma repetfda y par perfdos prolongados puede causer c6ncer del pulm6n.
• EI Estado de California reconoce que las silica cristalina causer c6ncer.
• La silicosis o el c6ncer de pulm6n pueden causer danos permanentes o la muerte.
• Para reducir of riesgo de sufrir danos a la salud,evite repetidamente y par periodos prolongados que est6 expuesto al polvo de la silica cristalina o user un respirador aprobado del NIOSH.
• EI riesgo de la silicosis o del c6ncer pulmonar depende de la duraci6n y de los niveles de exposici6n a la silica.
• L6se la Haja de Dates sabre la Seguridad de los Materiales(Ilamada"Material Safety Data Sheat")antes de user o mane)ar este producto para determlar la ventilacl6n apropiada o la proteccl6n respiratorfa
necesarlo para proteger su salud.La Hoja de Datos sabre la Seguridad de los Materiales esta disponible an nuestra sitio web www.mart!nmarietta.com o le puede pedir una copia su gerente de planta.
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
MARTIN MARIETTA AGGREGATES ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 931IN SUM OF$ CITY OF CARMEL
86
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CH IGAGO, IL 60673-3186 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$98.91 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
18854421 42-360.00 $98.91 1 hereby certify that the attached invoice(s),or 10/6/16 18854421 $98.91
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 18, 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
Page 1 of 1
Akm'Martin
'FORBILLINGQUESTIONS PLEASE CALL
_I�IL't�l -
P.O.Box 30013 317-573-4460',`
Raleigh,NC 27622-0013
Visit eRocks at www.martinmarietta.com JOB NAME:MISC JOB TAXABLE TRK
SOLD TO: 001766 002721 SHIP TO:
CITY OF CARMEL-STREET DEPARTMENT MISCELLANEOUS JOB TAXABLE TRUCK
3400 W 131ST STREET SHOP
WESTFIELD IN 46074 Indianapolis IN 46240
PAYMENT TERMS: NET 30 DAYS-AIR
Order No. Customer PO Dest. Job No. Dist Business Business Unit Name Cust.No. Invoice Invoice No.
No. No. I Unit Date
1061255980 001 1 888801 11 25103 Carmel Sand 231877 10/06/16 18854421
Ship Date Product Description Quantity UM Unit Price Material Freight Freight Taxes& TOTAL
-Car/Barge No. No:-- Amount -Rate= Amount Fees
10103116. 0955 CONC SAND
530320 6.26 TN 15.80 98.91 98.91
'SUBTOTAL" 6.26 98.91 98.91
D
D
D
D
D
D
_D
D
D
D
u
n
7
D
7
D
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n
7
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D
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TOTAL 6.26 98.91 98.91
a•
INV"_ ' E- I—I X98 91,=