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Home My WebLink About305119 11/14/16 CITY OF CARMEL, INDIANA VENDOR: 369017 ® ONE CIVIC SQUARE COUNTY MATERIALS CORPORATION CHECK AMOUNT: $*****1,034.58* CARMEL, INDIANA 46032 PO Box 100 CHECK NUMBER: 305119 MruN�o, MARATHON WI 54448-0100 CHECK DATE: 11/14/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 250 R4350900 33467 2817883-00 544.58 STORMWATER 651 5023990 2825241-00 490.00 OTHER EXPENSES VOUCHER # 166481 WARRANT# ALLOWED 369017 IN SUM OF $ COUNTY MATERIALS CORPORATION PO BOX 100 MARATHON, WI 54448-0100 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 2825241-00 01-7200-02 490.00 1/IlILC,�Vv" W'-D Voucher Total 490.00 Cost distribution ledger classification if claim paid under vehicle highway fund INVOICE COUNT •PO.BOX 1009 Fax:(715)443-3768 P•Q•BOX 100 ' �,x SNIPPED ,�HJVOICE DATA} � NO �<; MATERIALS CORPORATION MARATHON,WI 54448-0100 10/28/16 10/28/16 2825241-00 PAGE 57 j mba s16606 1 of 1 cusT#: 150021 CITY OF CARMEL SHIP TO: CARMEL WASTE WATER TREATMENT customer pick up CITY OF CARMEL DEPT OF WASTE WATER TREATMENT BILLTO: 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 LINE 'g PRODUCT r; pTY. QTY UNIT AMOUNT 1 784836c �� i :AND DESCRIPTION ' z,'SHIPPED. SWM ' PRICE'' , (NET)NO. in 1.00 EA 250.00 250.00 MH CONE 48"X 36 3 7GO048IN 1.00 EA 0.00 0.00 GASKET-48" PROFILE (657559348) 6 7848321N 1.00 EA 240.00 240.00 MH RISER 48"X 32 Total 490.00 Invoice Total 490.00 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) CITY OF CARMEL ht C4- ALLOWED 20 ACCOUNTS PAYABLE VOUCHER F-fn�.v4i-�d� GENERAL FUND IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service GENERAL FUND rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. V34'08 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Engineering 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 \33467 _ 43 30 . 0 x$87 0 1 hereby certify that the attached invoice(s),or 8/10/16 iltnu_ Soil and Water 1717 $87.00 `g2 Encumbered 250 2200 250 t' Pleasant St.Ste 100 o esville-48060 bill(s)is(are)true and correct and that the 3 467 2817883-00 43-509.00 $544.58 10/13/16 2817883-00 County Materials,Corporafion,P.0.Box 100" $544.58 Encumbered 250 "Marathon,WI'54448-0101) 2200 Enc _ y materials or services itemized thereon for 2200 250 33467 407935-1 43-509.0 $302.5 10/27/16 407935-1 Runyon Equipment Rental 410 West Carmel—7 $302.50 \ which charg de-were-erdered'aTtEt I tjye Cannel IN 46@3 12200 �Enctrm ere 250 —2200 250 received except Wednesday, November 02,2016 hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 120 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer INVOICE �0��°(800)289-2569 Fax:(715)443-3768 . . , - P.O. BOX 100 3 "SHIPPED INVOICE DATE-' ORDER NO MATERIALS CORPORATION MARATHON,WI 54448-0100 10/13/16 10/13/16 2817883-00 P.O.NO. PAGE.# 56 jwil 1 of 1 COST#: 150021 CARMEL STREET DEPARTMENT SHIP TO: 16-01042 3400 W. 131 ST ST CARMEL IN 46074 CITY OF CARMEL DEPT OF WASTE WATER TREATMENT BILL TO: 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 LINE r FRQDUCT r i,- r QTY," QTY UNIT 9� AMOUNT AND DESCRIPTION, r CES',., - _ - - n SHIPPED:' •U/M PRI (NET): 1 7212480il 24.00 LFT 9.67 232.08 12"RCCP C4 8' 2 7g0012 3.00 EF 0.00 0.00 GASKET 12"OFFSET 3 152050 1.0f) 312.50 312.50 DELIVERY CHARGE GASKETS INCLUDED IN PRICE CARMEL, IN STEVE 317-503-2319 Total 544.58 Invoice Total 544.58 25'0 — ¢.%-43570100 COUNTY" I I I' I 568160 MATERIALS CORPORATION �IIIIIIIIII�NII�IIIi1�III�IIII�IIiIIII(�� IIII LANT TIME DATE SHIP TO tf 1111 //// ttss SALESPERSON TRUCWDRIVER PAGE 1 OF 10/12/1 150021 056-499 jwi Comm 2817883-0( USTOMER NAME DELIVERY LOCATION CITY OF CARMEL CARMEL STREET DEPARTMENT DEPT OF WASTE WATER TREATMENT 16-01042 9609 HAZEL DELL PARKWAY 3400 W. 131ST ST INDIANAPOLIS IN 46280 CARMEL IN 46074 ;HIPPING WAREHOUSE TERMS PURCHASE ORDER SLUMP LOAD/LOCATION STOCK N/DESCRIPTION QTY ORDERED QTY DELIVERED UNIT PRICE AMOUNT B1 *7212480i1 12" RCCP C4 8' 24. 012 D *7g0012 GASKET 12" OFFSET 3. 0 New P r*152050 DELIVERY CHARGE 1. 121112 GASKETS INCLUDED IN PRICE CARMEL, IN STEVE 317-503-2319 LEAVE PLANT ARRIVE JOB SITE START FINISH ARRIVE PLAM lileage GAL.WATER GAL.WATER DNCRETE USED FOR ADDED AT ADDED AT PLANT JOB ;loading time allowed is six minutes per yard.Waiting is charged at rate of$1.25 per minute. Visit Us At:countymaterials.com AUIlOK;-Freshly mixed concrete may cause skin irritation or chemical burns.Avoid direct contact here possible and wash exposed skin areas promptly with water.Sawing or grinding of concrete may V )suit in the release of dust particles which could cause minor eye or nose irritation if proper protective X quipment is not in place.The use of a NIOSH approved respirator and tight fitting goggles is recom- LOADED 13RIVER RECEIVED IN GOOD ORDER ;ended when sawing or grinding. The signatory agrees to the terms and conditions and warranties contained on IQTICE:Manufacturer/Seller is not liable for damages of any type which occurwhen Manufacturer/Seller Reverse side of the ticket and the Buyer/Consumer hereby agrees to defend and r ;required to deliver onto private property or inside the curb or property line.Additional water added to Manufacturer/Seller, harmless and indemnify Manufacturer/Seller from any and oncrete will reduce its strength,so any water added is at the customer's own risk. claims,including claims for bodily injury,property damage,business loss or any of ERMS*A finance charge at a periodic rate of 1%%for annual rate of 18 will be added to past due incidental or consequential damage,arising out of the delivery,loading,unloadinc mounts.Refer to Terms&Conditions for other considerations.Reverse side of ticket contains additional installation of the purchased product. .rms and conditions and warranties. RETURN POLICY: No returns accepted on special order items or select products WHITE—OFFICE COPY • YELLOW/PINK—CUSTOMER COPY • GREEN—YARD indicated.Stock items,returned within 60 days,original ticket required,subject tc 25%restocking charge.Use of product constitutes acceptance. 1r8 COUNTY' 'MATERIALS CORPORATION SLANT TIME DATE SHIP TO SALES PERSON 'TRUCK/DRIVER PAGE I". OF 2 i0/12/1 , 150021 0,56- 499 jr�1,L CCiINM 2817683-@@ JUSTOMER NAME - DELIVERY LOCATION,. ' C TT Y OF CARMEL CARMEL STREET DEPARTMENT DEPT LI WASTE WATER' TREATMENT 15-0104.2. ' 9609 HAZEL DELL PARKWAY , 34GO W. 131ST ST INDIANAPOLIS. IN 46280 CARMEL IM 45074 SHIPPING WAREHOUSE TERMS PURCHASE ORDER SLUMP INDIANAPOLIS C'HAHGE LOAD/LOCATION STOCK If/DESCRIPTION QTY ORDERED QTY DELIVERED UNIT PRICE AMOUNT BI T-7212480il 1.2w RCCP C4. Bill .24. Tit DE *7g0012 GASin'E T 1211 OFFSET 30 @tat, New Par*152050 DELIVERY t;T-Ir RG32 S, �+CI GASKETS INCLUDED IN PRICE " CA"ti:I'TELQ IN STEVE 317-503-239.9 - i LEAVE PLANT ARRIVE JOB SITE START FINISH "ARRIVE PLANT Aileage GAL.WATER GAL.WATER :ONCRETEUSED FOR ADDEDAT ADDEDAT PLANT JOB Iriloading time allowed is six minutes per yard.Waiting is charged at rate of$1.25 per minute. Visit Us At:countymaterials.com ;AUTION: Freshly mixed concrete may cause skin irritation or chemical burns.Avoid direct contact `rl r vhere possible and wash exposed skin areas promptly with water.Sawing or grinding of concrete may f esult in the release.of dust particles which could cause minor eye or nose irritation if proper protective /� C 7 rquipment is not in place.The use of a NIOSH approved respirator and tight fitting goggles is recorri- LOADED DRIVER RECEIVED IN GOOD ORDER nended when sawing or grinding. The signatory agrees to the terms and conditions and warranties contained on th TRICE:Manufacturer/Seller is not liable for damages of any type which occur when Manufacturer/Seller Reverse side of the ticket and the Buyer/Consumer hereby agrees to defend and hol s required to deliver onto private property or inside the curb or property line.Additional water added to Manufacturer/Seller, harmless and indemnify Manufacturer/Seller from any and a :oncrete will reduce its strength,so any water added is at the customer's own risk. claims,including claims for bodily injury,property damage,business loss or any oth( TERMS:Afinance charge at a periodic rate of 11& for annual rate of 18%will be added to past due incidental or consequential damage,arising out of the delivery,loading,unloading c amounts.Refer to Terms&Conditions for other considerations.Reverse side of ticket contains additional installation of the purchased product. terms and conditions and warranties. RETURN POLICY: No returns accepted on special order items or select products a: WHITE—OFFICE COPY • YELLOW/PINK—CUSTOMER COPY • GREEN—YARD co indicated.Stock.items, returned within days,original ticket required,subject to 25%'restocking charge.Use of product constitutes acceptance.