311204 05/09/17 a,
CITY OF CARMEL, INDIANA VENDOR: 367666
ONE CIVIC SQUARE SAGAMORE READY MIX LLC CHECK AMOUNT: $"""'"1,436.50"
?4 CARMEL, INDIANA 46032 PO BOX 6457 CHECK NUMBER: 311204
-�MI.oNNPT 272
2OLIS IN aszos CHECK DATE: 05/09/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 529445 1,436.50 CEMENT
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3AGAMORE VIA
READY MI
SAGAMORE READY MIX, LLC 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 # 1351
Invoice Date 04-18-2017
Invoice Number 529445
CARMEL STREET DEPARTMENT Order Code 57
3400 W 131ST STREET Project Code 1
CARMEL IN 46074 Purchase Order FA OK/CAL OK
Job Number
DELIVERY LOCATION PAYMENT TERMS
5033 Deer Ridge Court DISC 10th TOTAL 20th AFTER DELIVERY MO
Ticket # Usage Product Product Quantity Price Extended
Code Description Amount
------------------------------------------------------------------------------------------------
990558 HANDCURB C4016 4000 PSI 20% ASH STONE AIR 9.00 cy 129.50 1,165.50
990558 500 EXCESS UNLOADING TIME > 60 104.00 ea 2.00 208.00
990558 5015 GRACE MICROFIBER (BLUE) 9.00 ea 7.00 63.00
CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS
YOU MAY DEDUCT $31.50 FROM THIS INVOICE IF PAID BY May-10-2017.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
9.00 $1, 436.50 $.00 $1,436.50
9170 East 131 st Street
Fishers,IN 46038-3545 SAGAMORE
(317)570-6200 Dispatch
(888)986-9294
—@
(317)570-6201 office READY MI
(888)986-9293
(317)570-6271 Fax
DELIVERY TICKET
.AUTION: 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 roadway 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 quaranteed.
4. Purchaser understands that concrete not cured accordinq to ACI 308 may only develop 50%of its desiqn strength.
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 TicketNum6
Ticket Number 990558
I VIII IIIIII VIII VIII III I I III)
Date
04/18/1704/18117
Plant Order# Customer Number Project P.O.Number Job Name•Number
01 57 1351 1 FA OKICAL OK
Sold To 5033 Deer Ridge Court
CARMEL STREET DEPARTMENT 146TH ST W TO GRAY RD S TO DEERRIDGE DR E TO JOB
3400 W 131ST STREET
As representative of the customer, I authorize and assume responsibility for the addition of water to this concrete.
Received By: I WASHOUT SYSTEM Time Due
;eT I YES NO 11:52 AM
Load No. Slump(+/-1' Air ntent(+/-1.5%) Meter Reading at Plant Meter Reading Upon Arrival Used For Ordered By
1 3.00 HANDCURB JIM 317.417-5216
Quantity Quanitity Quanitity Product Product Descripition Units Unit Price Amount
This Load Ordered Delivered Code
9.00 yd 9.00 yd 9.00 yd C4016 4000 STONE AIR yd
9.00 ea 9.00 ea 9.00 eal 5015 GRACE MICROFIBER(BLUE) ea
SUBTOTAL
SALES TAX
TICKET TOTAL
Truck No. Delivered By Left Plant Time Arrive Time Sart Finish Pour Left Job
0609 Timothv A Cowan ORDER TOTAL