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CITY OF CARMEL, INDIANA VENDOR: 083080 CHECKAMOUNT: $"'"""«126.00'ONE CIVIC SQUARE EDGEWOOD BUILDING SUPPLY
CARMEL, INDIANA 46032 3749 SOLUTIONS CENTER CHECK NUMBER: 307185
CHICAGO IL 60677-3007 CHECK DATE: 01/20/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236100 95007012 126.00 SAND
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EDGEWOOD BUILDING SUPPLY Ej��'E�GEWGDD
1580 E. EPLER AVE
INDIANAPOLIS, IN 46227
INVOICE
Invoice #: 95007012
Invoice Date: 12/28/2016
CARMEL STREET DEPARTMENT SHIP TO: CARMEL STREET DEPARTMENT
3400 W 131 ST STREET REPAIR
CARMEL IN 46074 3400 W 131 ST STREET
CARMEL IN 46074
CUSTOMER# CUSTOMER PO# SALES ORDER# SALESPERSON CARRIER
1021928 BRICK REPAIR FOR BOYD PERCY 10903604 591 9999
DELIVERY DATE DEL.TICKET# QUANTITY PLANT UOM PRICE EXTENDED
DESCRIPTION AMOUNT
12/28/2016 82452629 4.00 4008 BAG 31.50/1 126.00
GATOR MAXX POLY SAND BEIGE 50-LB 56/PLT
NON-TAXABLE TAXABLE SALES TAX TOTAL DUE
126.00 126.00
TERMS:
Before 10 of nxt mo.10%disc-Net bef 30 of nxt
MO. MAKE CHECKS PAYABLE TO:
A service charge of 1-1/2%per month which is an Edgewood Bldg Supply
annual rate of 18%will accrue 30 days after 3749 Solutions Center
Chicago, IL 60677-3007
1021928/95007012 Page: 1 of 1
www.edgewoodbuildingsupply.com 317-786-9208
CEMENT POWDER OR FRESHLY MIXED CONCRETE, GROUT OR MORTAR IS CAUSTIC AND CORROSIVE, AND CAN DESTROY SKIN AND
TISSUE. FRESH CONCRETE CAN WET AND PENETRATE CLOTHING. THEREFORE, WATERPROOF CLOTHING SHOULD BE USED, AND IF ANY
CLOTHING GETS NET, THE ;SKIN MUST BE PROMPTLY WASHED WITH WATER AND FRESH, DRY CLOTHING PUT ON. IF ANY CEMENT
MIXTURE AS ABOVE GETS INTO EYES, RINSE IMMEDIATELY AND REPEATEDLY WITH WATER AND GET PROMPT MEDICAL ATTENTION.
KEEP OUT OF REACH OF CHILDREN
Edgewood - Carmel, CARMEL, IN 46032-2530 317-846-6060
CUST #: 1021928 TICKET #: 82452629
SOLD TO: CARMEL STREET DEPARTMENT SHIPPING LOCATION: 4008
SHIP TO: CARMEL STREET DEPARTMENT BRICK REPAIR FOR BOYD PERCY
REPAIR DELIVERY DATE: 12/28/2016
3400 W 131ST STREET TIME CREATED: 08:14:46
CARMEL IN 46074
317-733-2001
DELIVERY INSTRUCTIONS:
CPU
SALES ORDER# SALES I.D.# CUSTOMER P.O.# TRUCK # CREATED BY DATE CREATED
10903604 591 BRICK REPAIR FOR BOY 9999 K MARICHAL 12/28/2016
QUANTITY COUNT
MATERIAL # DESCRIPTION BATCH # UOM PRICE TOTAL
4 . 000 BAG /1
170023711 GATOR MAXX POLY SAND BEIGE 50-LB 56/PLT
1 ,
U
1
THERE ARE NO RETURNS ON BAGGED GOODS, LOOSE BRICK
OR AGGREGATE. ALL APPROVED RETURNS ARE SUBJECT TO
A RESTOCKING CHARGE. A RETURN CHARGE WILL APPLY IF
PICKED UP BY OUR TRUCK.
Customer agrees to be responsible for a suitable roadway from public highway to the place where product is to be unloaded. Customer
agrees to be responsible for damage when asked to drive beyond curb line. The price quoted on this material is based on prompt unloading
of our truck. Delays will be charged to the customer. The undersigned acknowledges that all materials, truck time and service have been
received as indicated. In yard loading: If we are requested to load your vehicle we will not be rasp
onsible for any damage done to your
vehicle, and customer waives all claims. I have read and understand the above and agree to be bound by all terms and conditions expressed
on the face and reverse side of this delivery ticket.
1
Customer Signature Driver Yardman
The material delivered on this ticket is subject to separately agreed upon prices for material and service charges including
cartage and Saturday delivery. Payment is due within 30 days from the date on invoice. A service charge of 1-1/2# per month
which is an annual rate !of 18% will accrue 30 days after invoice data. It is expressly agreed by and between the parties
hereto that Buyer will reimburse Seller for any and all collection costs incurred including reasonable attorney fess.
CUSTOMER COPY
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