307375 1/20/17 4+:w c,�yFi
c; CITY OF CARMEL, INDIANA VENDOR: 367666 CHECK AMOUNT: $*******493.75*
�' ONE CIVIC SQUARE SAGAMORE READY MIX LLC
+` 7375
CARMEL, INDIANA 46032 PDOP O�2a6� CHECK DACHECK TE: 0/20/17
y�i rode INDIANAPOLIS IN 46206
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 522917 493.75 OTHER EXPENSES
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SAGAMORE
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 # 1552
Invoice Date 12-28-2016
Invoice Number 522917
CITY OF CARMEL WATER DISTRIBUTION Order Code 76
3450 W 131ST STREET Project Code
CARMEL IN 46074 Purchase Order
Job Number 317-750-1938
DELIVERY LOCATION PAYMENT TERMS
EXECUTIVE DR AND CARMEL DR DISC 10th TOTAL 20th AFTER DELIVERY MO
Ticket # Usage Product Product Quantity Price Extended
Code Description Amount
------------------------------------------------------------------------------------------------
976902 STREET IB6016 INDOT CLASS A BAG AIR STON 2.50 cy 128.50 321.25
976902 400 MINIMUM LOAD CHARGE 1.00 ea 160.00 160.00
976902 7001 WINTER CHARGE 2.50 /y 5.00 12.50
CONTACT MARLYS BURRIS AT {317} 570-6226 FOR ANY BILLING QUESTIONS
YOU MAY DEDUCT $8.75 FROM THIS INVOICE IF PAID BY Jan-10-2017.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
2.50 $493.75 $.00 $493.75
9170 East 131st Street
Fishers,IN 46038-3545 AGAMORE
,
(317)570-6200 Dispatch UGI�t
(888)986-9294 0,
(317)570-6201 Office READY M ' Z 2 G f—
(888)986-9293
(317)570-6271 Fax
DELIVERY TICKET
CAUTION: FRESHLY MIXED CONCRETE,MORTAR OR GROUT MAY CAUSE SKIN INJURY,AVOID CONTACT WI REAS 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 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 damages to sidewalks,driveways or other propertv
3. We do not assume responsibilitiv for slump,strength or qualitv 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 consistencv from load to load cannot be quaranteed.
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-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 976902
I VIII IIIIII VIII VIII III III I!III
Date
12/28/16 12128116
Plant Order# Customer Number Project P.O.Number Job Name-Number
11 76 1552 317-750.1938
Sold To EXECUTIVE DR AND CARMEL DR
CITY OF CARMEL WATER DISTRIBUTIO CARMEL DR W OF KEYSTONE TO EXECUTIVE DR,TN TO JOB
3450 W 131 ST STREET
representativeAs of •mer, I authorize . • assume responsibilityfor addition of i this concrete.
Received Bv: WASHOUT SYSTEM Time Due
YES NO 11:09 AM
Load No. Slump(+/-1" Air Content(+/-1.5%) Meter Reading at Plant Meter Reading Upon Arrival Used For Ordered By
1 4.00 STREET
Quantity Quanitity Quanitity Product Product Descripition Units Unit Price Amount
This Load Ordered Delivered Code
2.50 yd 2.50 yd 2.50 yd 186016 CLS A INDOT AIR yd
2.50 /y 0.00 /y /y 7001 WINTER CHARGE /y
MINIMUM LOAD CHARGE
SUB-TOTAL
SALES TAX
TICKET TOTAL
Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Left Job
0194 Travis Coverdale ORDER TOTAL
Material Design Qty Required Batched %Var%Moisture Actual Wat
SAND 1305 Ib 3392 Ib 3380 Ib -0.35% 3.81%A 15 gl
8STONEAP 1720 Ib 4399 Ib 4380 Ib -0.43% 2.25%M 12 gl
LEHIGH 564 Ib 1410 Ib 1400 Ib -0.71% L2/28/16 10: 41
WATER 30,5 gl 7.7 gl 8.0 gl 3.69% 8.0 gl
AIR 6 oz 16 oz 16 oz 3.23%
REDUCER 17 oz 43 oz 42 oz -1.18%
HWATER 80.0 % # 30.9 gl 31.0 gl 0.45% 31.0 gl
9170 East 131 st Street
Fishers,IN 46038-3545 SAGAMORE
(317)570-6200 Dispatch
(888)986-9294
(317)570-6201 Office READY M 1
(888)986-9293
(317)570-6271 Fax
DELIVERY TICKET
'OAUTION: 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 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 strenqth.
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 guarantee 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 976902
I IIII Date
I(IIII 111111 VIII VIII III I I IIII 12128116
Plant Order# Customer Number Project P.O.Number Job Name-Number
11 76 1552 317.750-1938
Sold To EXECUTIVE DR AND CARMEL DR
CITY OF CARMEL WATER DISTRIBUTIO CARMEL DR W OF KEYSTONE TO EXECUTIVE DR,TN TO JOB
3450 W 131 ST 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 11:09 AM
Load No. Slump(+/-1" Air Content(+/-1.5%) Meter Reading at Plant Meter Reading Upon Arrival Used For Ordered By
1 4.00 STREET
Quantity Quanitity Quanitity Product Product Descripition Units Unit Price Amount
This Load Ordered Delivered Code
2.50 yd 2.50 yd 2.50 yd IB6016 CLS A INDOT AIR yd
2.50 /y 0.00 /y /y 7001 WINTER CHARGE /y
MINIMUM LOAD CHARGE
SUB-TOTAL
SALES TAX
TICKET TOTAL
Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Left Job
0194 Travis Coverdale ORDER TOTAL
Material Design Qty Required Batched %Var%Moisture Actual Wat
SAND 1305 Ib 3392 Ib 3380 Ib -0.35% 3.81%A 15 gl
8STONEAP 1720 Ib 4399 Ib 4380 Ib -0.43% 2.25%M 12 gl
LEHIGH 564 ib 1410 Ib 1400 Ib -0.71% L2/28/16 10: 41
WATER 30.5 gl 7.7 gl 8.0 gl 3.69% 8.0 gl
AIR 6 oz 16 oz 16 oz 3.23%
REDUCER 17 oz 43 oz 42 oz -1.18%
HWATER 80.0 % # 30.9 gl 31.0 gl 0.45% 31.0 gl