HomeMy WebLinkAbout304755 10/31/16 cgA,,f� CITY OF CARMEL, INDIANA VENDOR: 367666
® t; ONE CIVIC SQUARE SAGAMORE READY MIX LLC CHECK AMOUNT: $*****4,246.00*
CARMEL, INDIANA 46032 PO BOX 6457 CHECK NUMBER: 304755
��Croei�D' DEPT 272 CHECK DATE: 10/31/16
INDIANAPOLIS IN 46206
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 515967 822.25 CEMENT
2201 4236200 515968 594.25 CEMENT
2201 4236200 516273 425.00 CEMENT
2201 4236200 516892 1,192.50 CEMENT
2201 4236200 517476 1,212.00 CEMENT
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VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
SAGAMORE READY MIX LLC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 6457 IN SUM OF$ 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.
$1,841.50 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
515967 42-362.00 $822.25 I hereby certify that the attached invoice(s),or 10/4/16 515967 $822.25
2201 201 2201 201
515968 42-362.00 $594.25 bill(s)is(are)true and correct and that the 10/4/16 515968 $594.25
2201 1 1 201 materials or services itemized thereon for 2201 201
516273 I 42-362.00 I $425.00 10/6/16 I 516273 I I $425.00
2201 201 which charge is made were ordered and 2201 201
received except
Tuesday, October 18,2016
/Jr." �
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 nl
READY 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 10-04-2016
Invoice Number 515967
CARMEL STREET DEPARTMENT Order Code 32
3400 W 131ST STREET Project Code
CARMEL IN 46074 Purchase Order
Job Number 317-503-2319
DELIVERY LOCATION PAYMENT TERMS
2015 PINEHURST DR DISC 10th TOTAL 20th AFTER DELIVERY MO
Ticket # Usage Product Product Quantity Price Extended
Code Description Amount
------------------------------------------------------------------------------------------------
961218 WALK C4016 4000 PSI 20% ASH STONE AIR 5.50 cy 125.50 690.25
961218 400 MINIMUM LOAD CHARGE 1.00 ea 40.00 40.00
961218 500 EXCESS UNLOADING TIME 3 60 46.00 ea 2.00 92.00
CONTACT MARLYS 'BURRIS AT (317} 570-6226 FOR ANY BILLING QUESTIONS
YOU MAY DEDUCT $19.25 FROM THIS INVOICE IF PAID BY Nov-10-2016.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
5.50 $822.25 $.00 $822.25
SAGAMORE §
READY Mi
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 10-04-2016
Invoice Number 515968
CARMEL STREET DEPARTMENT Order Code 80
3400 W 131ST STREET Project Code
CARMEL IN 46074 Purchase Order
Job Number 317-417-5216
DELIVERY LOCATION PAYMENT TERMS
99TH & WESTFIELD BLVD DISC 10th TOTAL 20th AFTER DELIVERY MO
Ticket # Usage Product Product Quantity Price Extended
Code Description Amount
------------------------------------------------------------------------------------------------
961199 DRIVEWAY B6016 6 BAG STONE AIR 3.50 cy 128.50 449.75
961199 400 MINIMUM LOAD CHARGE 1.00 ea 120.00 120.00
961199 5015 GRACE MICROFIBER (BLUE) 3.50 ea 7.00 24.50
CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS
YOU MAY DEDUCT $12.25 FROM THIS INVOICE IF PAID BY Nov-10-2016.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
3.50 $594.25 $.00 $594.25
3AGAMORE
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 10-06-2016
Invoice Number 516273
CARMEL STREET DEPARTMENT Order Code 95
3400 W 131ST STREET Project Code
CARMEL IN 46074 Purchase Order
Job Number 317-417-5216
DELIVERY LOCATION PAYMENT TERMS
PURSEL LANE DISC 10th TOTAL 20th AFTER DELIVERY MO
Ticket # Usage Product Product Quantity Price Extended
Code Description Amount
------------------------------------------------------------------------------------------------
961904 EXTERIOR C4016 4000 PSI 2H ASH STONE AIR 2.00 cy 125.50 251.00
961904 400 MINIMUM LOAD CHARGE 1.00 ea 160.00 160.00
961904 5015 GRACE MICROFIBER (BLUE) 2.00 ea 7.00 14.00
CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS
YOU MAY DEDUCT $7.00 FROM THIS INVOICE IF PAID BY Nov-10-2016.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
2.00 $425.00 $.00 $425.00
9170 East 131 st Street
Fishers,IN 46038-3545
MORE
(317)570-6200 DispatchSAUA
(888)986-9294 ,�
(317)570-6201 Office READYM01 -
(888)986-9293
(317)570-6271 Fax
DELIVERY TICKET
'PAUTION: 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 dellverv,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 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 961904
I IIIII 111111 IIIII Illli ill I I I III IIII
Date
10/06/1610106116
4
Plant Order# Customer Number Project P.O.Number Job Name-Number
01 95 13 1 1 1 317.417.5216
Sold To PURSEL LANE
CARMEL STREET DEPARTMENT 116TH W OF HAZE DELL TO PURSEL DR,TN TO T,TR TO JOB
3400 W 131 ST STREET
representativeAs of 1mer, I authorize and assumq responsibilityfor addition of • this concrete.
Received Bv: WASHOUT SYSTEM Time Due
YES NO 11:35 AM
Load No. Slump(41° Air Content(+1-1.5%) Meter Reading at Plant Meter Reading Upon Arrival Used For Ordered By
1 .5.00 EXTERIOR
t
Quantity Quanitity Quanitity Product Product Descripition Units Unit Price Amount
This Load Ordered Delivered Code
2.00 yd 2.00 yd 2.00 yd C4016 4000 STONE AIR yd
2.00 ea 2,00 ea 2.00 ea 5015 GRACE MICROFIBER (BLUE) ea
i
I
I
SUB-TOTAL
SALES TAX
TICKET TOTAL
Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Left Job
0118 Michael F Metske ORDER TOTAL
1 ( 8J_ 10/6/16 11: 10
7 f-�
9170 East 131st Street.
Fishers,IN 46038-3545 Dispatch(317)570-6200 Dispatch
(888)986-9294 SAutMORE ,
(317)570-6201 Office READY M I@
(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 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,Strength 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 strenqth,
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 dunnq first winter. _
7. We.do.not..quarantae the finished"surface results--bbtaihed fFOM 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 961199
Date
I VIII 111111 VIII VIII III
11111 I im 1111 10104116
Plant Order# Customer Number Project P.O.Number Job Name-Number
01 80 1351 317-417-5216
Sold To 99TH&WESTFIELD BLVD
CARMEL STREET DEPARTMENT NE CORNER
3400 W 131 ST STREET
I representativepoaddition of water to this concrete.
Received By: WASHOUTSYSTEM Time Due
YES NO 11:14 AM
Load No. Slump(+l-1" Air Content(+1-1.5%j Meter Reading at Plant Meter Reading Upon Arrival Used For Ordered By
1 5.00 DRIVEWAY
Quantity Quanitity Quanitity Product Product Descripition Units Unit Price Amount J f
This Load Ordered Delivered Code
3.50 yd 3.50 yd 3.50 yd B6016 6 BAG STONE AIR yd
3,50 ea 3.50 ea 3,50 ea 5015 GRACE MICROFIBER(BLUE) ea
I
I
I
I
SUB-TOTAL
SALES TAX
TICKET TOTAL
Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Left Job
0150 Ron Clifford ORDER TOTAL
V
9170 East 131 st Street -
( 17)Fishers,IN 46038-3545 4" AMORE
(317)570-6200 Dispatch
(888)986-9294 SAUA
(317)570-6201 Office READY M11@
(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 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 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 damaqes to sidewalks,driveways or other property
3. We do not assume responsibility 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 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 961218
I VIII 111111 VIII VIII III III I IIII
Date
1010411610104116
Plant Order# Customer Number Project P.O.Number Job Name-Number
01 32 1351 317.503.2319
Sold To 2015 PINEHURST DR
CARMEL STREET DEPARTMENT 146TH ST W TO TOWNE RD S TO FIRESTONE LN(S OF 116TH)E TO BURNING TREE LN TL TO PINEHURST TR TOJOB
3400 W 131 ST STREET
As representative of the customer, I authorize and ass61me responsibility for the addition of water to this concrete.
Received Bv: i WASHOUT SYSTEM Time Due
YES NO 11:57 AM
Load No. Slump(41" Air Content(+/-1.5%) Meter Reading at Plant Meter Reading Upon Arrival Used For Ordered By
1 3.00 WALK
Quantity Quanitity Quanitity Product Product Descripition Units Unit Price Amount
This Load Ordered Delivered Code
5.50 yd 5.50 yd 5.50 yd C4016 4000 STONE AIR yd
SUB-TOTAL
SALES TAX
TICKET TOTAL
Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Left Job
0353 Terrance Hutchin ORDER TOTAL
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.
$2,404.50 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
516892 42-362.00 $1,192.50 1 hereby certify that the attached invoice(s),or 10/12/16 516892 $1,192.50
2201 201 2201 201
517476 42-362.00 $1,212.00 bill(s)is(are)true and correct and that the 10/18/16 517476 $1,212.00
2201 1 1 201 materials or services itemized thereon for 2201 1 201
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
SAGAMORE nl
READY M
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 10-12-2016
Invoice Number 516892
CARMEL STREET DEPARTMENT Order Code 70
3400 W 131ST STREET Project Code
CARMEL IN 46074 Purchase Order
Job Number 317-417-5216
DELIVERY LOCATION PAYMENT TERMS
MAIN ST & SHERMAN DR, CARMEL DISC 10th TOTAL 20th AFTER DELIVERY MO
Ticket # Usage Product Product Quantity -`---Price—EZt-Gfded _
Code Description Amount
-------------------------------------------------------------------------------------------------
963328 EXTERIOR C4036 4000 PSI 20% ASH PEA GRAVE 9.00 cy 125.50 1, 129.50
963328 5015 GRACE MICROFIBER (BLUE) 9.00 ea 7.00 63.00
CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS
YOU MAY DEDUCT $31.50 FROM THIS INVOICE IF PAID BY Nov-10-2016.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
9.00 $1, 192.50 $.00 $1, 192.50
SAGAMORE n/
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 10-18-2016
Invoice Number 517476
CARMEL STREET DEPARTMENT Order Code 58
3400 W 131ST STREET Project Code
CARMEL IN 46074 Purchase Order
Job Number 317-417-5216
DELIVERY LOCATION IPAYMENT TERMS
1535 PRESTWICK LN DISC 10th TOTAL 20th AFTER DELIVERY MO
Ticket # Usage Product Product Quantity Price Extended
Code Description Amount
------------------------------------------------------------------------------------------------
964791 DRIVEWAY B6016 6 BAG STONE AIR 8.00 cy 128.50 1,028.00
964791 500 EXCESS UNLOADING TIME } 60 64.00 ea 2.00 128.00
964791 5015 GRACE MICROFIBER (BLUE) 8.00 ea 7.00 56.00
CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS
YOU MAY DEDUCT $28.00 FROM THIS INVOICE IF PAID BY Nov-10-2016.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
8.00 $1,212.00 $.00 $1,212.00
9170 East 131 st Street
Fishers,IN 46038-3545
(317)570-6200 Dispatch
(888)986-9294 SA _ _
(317)570-6201 Office READY M#
(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 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 damaqes to sidewalks,driveways or other property
3. We do not assume responsibilitiy for slump,strength 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 desiqn strength.
5. Testing 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 963328
I VIII IIIIII VIII VIII VIII I I I IIII IIII Date
10112116
9
Plant Order# Customer Number Project P.O.Number Job Name-Number
11 70 1351 1 1 1 317.417-5216
Sold To MAIN ST&SHERMAN DR,CARMEL
CARMEL STREET DEPARTMENT MAIN ST(131ST ST)W OF RANGEUNE ON CORNER MAIN&SHERMAN.WILLBUGGY FROM THERE
3400 W 131ST STREET
As representative of the customer, I authorize and assump, �esponsibility for the addition of water to this concrete.
Received By: WASHOUT SYSTEM Time Due
YES NO 12:40 PM
Load No. Slump(41". 1 Air Content(+/-1.5%) Meter Reading at Plant Meter Reading Upon Arrival Used For Ordered By
1 4.00 EXTERIOR
Quantity Quanitity, Quanitity Product Product Descripition Units Unit Price Amount
This Load Ordered Delivered Code
9.00 yd 9.00 yd 9.00 yd C4036 4000 PGR AIR yd
9.00 ea 9.00 ea 9.00 ea 5015 GRACE MICROFIBER(BLUE) ea
SUB-TOTAL
SALES TAX
TICKET TOTAL
Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Left-Job
0241 Phillip Hudson '
t' ORDER TOTAL
r J��
9170 Easf1?1st Street
Fishers,IN 2OG Dispatch(317)570-9200;Dispatch
(888)986-9294 SAUAMORE
(317)570-6201 Office READY M.@'
(888)98679293
(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 desiqn 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 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 964791
s Date
1111111111111111111111111 I I I I Iill 1111 10118116
Plant Order# Customer Number Project P.O.Number Job Name-Number
01 .58 1351 317.417.5216
Sold To 1535 PRIES TWICK LN
CARMEL STREET DEPARTMENT CARMEL,DITCH RD S OF 116TH ST TO PRESTICK LN,TW TO JOB
3400 W 131ST STREET
As representative of the customer, I authorize and assume responsibility for the addition of water to this concrete.
Received Bv: WASHOUT SYSTEM Time Due
YES NO 11:39 AM
Load No. Slump(+/-1° Air Content(+1-1.5%) Meter Reading at Plant Meter Reading Upon Arrival Used For Ordered By
1 3.00 DRIVEWAY
Quantity Quanitity Quanitity Product Product Descripition Units Unit Price Amount
This Load Ordered Delivered Code
8.00 yd 8.00 yd 8.00 yd B6016 6 BAG STONE AIR yd
8.00 ea 8.00 ea 8,00 ea 5015 GRACE MICROFIBER (BLUE) ea
SUB-TOTAL
SALES TAX•
TICKET TOTAL
Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Left Job
0237 Travis Coverdale ORDERTOTAL
•L'