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308576 02/28/17 iT'! ,'• . CITY OF CARMEL, INDIANA VENDOR: 00352765 ® ONE CIVIC SQUARE IRVING MATERIALS INC CHECK AMOUNT: $*******626.51* •49.` ,� CARMEL, INDIANA 46032 48 CHECK NUMBER: 308576 GROUP p2 CHECK DATE: 02/28/17 INDIANAPOLIS IN 46207-7048 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4236100 70350953 626.51 SAND VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 00352765 IRVING MATERIALS INC IN SUM OF$ CITY OF CARMEL PO BOX 7048 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service G ROUP#2 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. INDIANAPOLIS, IN 46207-7048 Payee $626.51 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Course 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 70350953 42-361.00 $626.51 1 hereby certify that the attached invoice(s),or 2/13/17 70350953 Sand $626.51 1207 101 1207 101 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, February 20,2017 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 0 P.O. Box 7048, Group#2Indianapolis, IN • imi Phone(317)326-310146207-7048 263101-7048 Irving Materials,Inc. Fax(317)326-3105 Customer No. Invoice Date www.irvmat.com 81212 02/13/201770350953 For billing questions,please call our office at (317)326-3101 Total Due if Paid by ' 03/10/2017 . $626.51 FTif' tal Due Paid after 03/10/2017 $630.09 BROOKSHIRE GOLF CITY OF CARMEL 12120 BROOKSHIRE PARKWAY Delivery Address CARMEL IN 46032 12120 BROOKSHIRE P.O. No. Job No. Project No. Order No. PI t m Description y UOM Price f xended Amount 268 , G7GC3 M-3 GOLF, 60% SAND, 20% PEAT, 11.93 to 32.70 390.11 268 HAUL Minimi- Cartage 1.00 ea 237.00 :237.00 268 ENV ENVIRONMENTAL FEE 11.93 to 0.25 2.98 * 35027273 cls cam' scount If Paid By Total Quantity Subtotal Sales Tax11 • • $3.58 03/10/2017 0.00 $630.09 $.00 $630.09 FM01