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309510 03/27/17 ��'`• CITY OF CARMEL, INDIANA VENDOR: 358385 CHECK AMOUNT: S*""" ""288.00' g ONE CIVIC SQUARE GENERAL SHALE& BRICK CARMEL, INDIANA 46032 PO 80X 5825 CHECK NUMBER: 309510 CAROL STREAM IL 60197-5825 CHECK DATE: 03/27/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236200 182635611 288.00 CEMENT 00 -u g \ « \ =§ § § z 0 / M0 7 ® x $ # 2 § q $ E m q f %$ $ 2 K CO / (/) Z 7 / \ O \ ) m CD Q e 7 E # R - - e 2 R -0 % 7 / k E T \ » ƒ m a - § / 3 % D / § m & 0 2 ® m 3 \ # J T). z z z k 69 - . O | / \ / \ S % E _ J a i 3 E / k \ \ / / / \ m CD , , 0 n o x 3 , ± a - E m } CD # f a / 0 [ 9 f ƒ m - k 7 k 7 � \ ! \G k } E $ / \& M CD § CL 7 } _ w / % - 0 E 7 E k \ § » 2 e ) ƒ y \« mo - E E § j CL - CL 2 cr -4m _ - CD CD m \/ _ / 1 \ ; ( § 22 & f 0 / B9 � ) z ƒ� eG � § ƒ C a � ' ^ ^ � CL / ( 2 %k § k } Ln0 cr e� ® §/ a= } \ CD - 0 ƒ 0 � } j E C c a / r O E ¥ 7 4 \ 3 CD C ° % CD CD§ $ / / m _ g \ ] \ E CL CD :3 � } § / § & f C?/ � a/ K \ 0 C \ § ° \ 0010 General Shale .............. ......................... .................... .............I.......I...... ......................................................... . ......... .. ......... . ........ . ......... ................................... :.::.: Invoice: 182635611 Invoice Date: 03/13/2017 Bill To: 279670 Customer P0: SHOP CITY OF CARMEL 3400 W 131ST STREET Bill of Lading: 172893391 WESTFIELD IN 46074-8267 Goods Issue Date: 03/13/2017 Order: 321805497 Sales Rep: 399 Ship-To: CITY OF CARMEL Order Loc.: Carmel 3400 W 131ST STREET CARMEL IN WESTFIELD IN 46074-8267 Phone: 317-846-2566 Mode of Shipment: Customer Pickup / 057 Material Material Description Quantity Price Value USD Batch Number and Description 6099000573 CONCRETE BRICK 720 EA 0.40 288.00 Subtotal 288.00 TAX TOTAL 288.00 LATE PAYMENT CHARGE of 1.5% PER MONTH. 0010 General Shale REFERENCE CONDITIONS ON BACK traht ...aad�;l .. dem.......:: .........::..::............:................:...............:.......................................................................... ...................................................................................................................................... ....................................................................................................................................... ...................................................................................................................................... Bill To: 279670 CITY OF CARMEL Bill of Lading: 172893391 3400 W 131ST STREET Date: 03/13/2017 WESTFIELD IN 46074-8267 Order Loc: Carmel CARMEL IN Sales Order: 321805497 Customer P0: SHOP Ship-To: Telephone: (317) 733-2001 CITY OF CARMEL 3400 W 131ST STREET Shipper: WESTFIELD IN 46074-8267 G IN Carmel 057 CARMEL N Mode of Shipment: Customer Pickup BRICK STCC 32 511 Directions: Material Description Order Quantity Weight Batch Ia �D � 6099000573 CONCRETE BRICK w�'' 720 EA 3,600.00 LB 1, 636.36 KG TOTAL WEIGHT 3,600.00 LB 1,636.36 KG Drivers Name Driver License No. and State Trucking Company Dispatcher Name Phone No. DOT # Verified By ea� , r-