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CITY OF CARMEL, INDIANA VENDOR: 00352765ONE CIVIC SQUARE IRVING MATERIALS INCCHECK AMOUNT: $RRRRR3,247.75`CARMEL, INDIANA 46032 GPO ROUOP#2 CHECK DAMEER: 30630$67 INDIANAPOLIS IN 46207-7048
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 10407530 1,686.25 OTHER EXPENSES
601 5023990 10407531 1,561.50 OTHER EXPENSES
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P.O. Box 7048, Group#2 •
IL M I Indianapolis, IN 46207-7048
Phone(317)326-3101
Irving Materials, Inc. Fax(317)326-3105 Customer No. Invoice Date
VA".irvmat.com
81515 05/22/201710407531
For billing questions,please call our office at (317)326-3101 Total Due
if Paid by ' 06/10/2017 $1,561.50
[Total Due
if Paid after 06/10/2017 $1,599.00
CARMEL STREET DEPT
3400 W. 131ST STREET Delivery Address
WESTFIELD IN 46074 106TH & WILLIAMSON PKWY
P.O. No. Job No. Project No. Order No.
Plant Item No. Description UOM Price ended Amount
104 4011SD 4000-A-CF-STONE-SD 12.50 cy 122.50 1,531.25
104 17801 CALCIUM CHLORIDE 1 12.50 /y 3.50 43.75
104 31 ENVIRONMENTAL FEE 2.00 ea 12.00 24.00
104 32 MINIMUM LOAD CHARGE 1.00 ea 0.00 0.00
* 10412156, 10412157
k�v4
Discount If Paid By Total Quantity Subtotal Sales Tax • •
$37.50 06/10/2017 12.50 c $1,599.00 $.00 $1,599.00
FM01(08/13)
Retain this portion for your records.
P.O. Box 7048, Group#2 • .
IL M I Indianapolis, IN 46207-7048
Phone(317)326-3101
Irving Materials,Inc. Fax(317)326-3105 Customer No. Invoice Date
www.i rvmat.co m
81515 05/22/2017 10407530
For billing questions,please call our office at (317)326-3101 Total Due
if Paid by / 06/10/2017 $1,686.25
[Total Due
if Paid after 06/10/2017 $1,747.75
CARMEL STREET DEPT
3400 W. 131ST STREET Delivery Address
WESTFIELD IN 46074 106TH & WILLIAMSON PKWY
P.O. No. Job No. Project No. Order No.
Plant Item No. Description I 19W I UOM I Priceended Amount
123 8000FF FLOWA13LE FILL 20.50 cy 83.50 1,711.75
123 31 ENVIRONMENTAL FEE 3.00 ea 12.00 36.00
* 12328016, 12328019, 12328020
Discount If Paid By Total Quantity Subtotal Sales Tax INVOICE TOTAL
$F;1 -90 06/10/2017 20.50 cy $1,747.75 .00 $1,747.75
FM01(08/13)
Retain this portion for your records.
Remit Tr,:P.O.Box Group 0 48 Concrete Delivery Ticket ILMI
IdIndianapolislis,,IN 46207-770
Irving Materials,Inc.
Plant# Ticket Numbe Truck Load Size Mix Slump Use Date Customer
Sold To Tax Cod Driver Project No. Order No.
Delivery Address P.O.Number
Job No)
Load Quantity Total I Ordered Quantity Product Codel Product Description Unit Price Amount
a;
Water Add
Total Slump Motor
Custoltlsr'1► At I I I I' No.Gallons Reading I I I I Subtotal
Tax
On Job Time Finish Pour Time
1 ::1 Total
PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes
Dear Customer-The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request.
SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE). Prolonged contact
may cause burns. In case of contact with skin or eyes,flush thoroughly with water. If irritation persists,get immediate medical attention. For additional information regarding the
HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SDS)available upon request or at www.irvmat.com/readymix.pdf.
The undersigned hereby authorizes Irving Materials,Inc.to use private property for making the delivery shown here on and assumes full responsibility for any damage or injury due to the premises.
The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and
all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery.
The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result.
PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate,integral coloring,stamped and decorative surfacing,and all other forms of
architectural and design concrete.
DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk,
driveway,or any property of the contractor or property owner or agents.
ENVIRONMENTAL NOTICE: The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations.
L111OTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD.
ease,Load dT Accepted By:
s . _ V
(301
00
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Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101
CUSTOMER COPY
remit Ta.5.O.Box 7048,Group#2 • • i
'Indianapolis,IN 46207-7048 Concrete Delivery Ticket ILMI
Plant#ITicket Numbel Truck I Load Size I Mix I Slump-7 Use Date Customer
Sold To Tax Cod Driver Project No. Order No.
Delivery Address P.O.Number
Job No)
Load Quantity I Total Ordered Quantity I Product Code Product Description Unit Price Amount
ti
WaterAddedAl Total
Slump Meter
Cust4 Request No.Gallons
oei Reading Subtotal
Tax
On Job Time Finish Pour Time
Total
PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes
Dear Customer-The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request.
SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE). Prolonged contact
may cause burns. In case of contact with skin or eyes,flush thoroughly with water. if irritation persists,get immediate medical attention. For additional information regarding the
HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SDS)available upon request or at www.irvmat.com/readymix.pdf.
The undersigned hereby authorizes Irving Materials,Inc.to use private property for making the delivery shown here on and assumes full responsibility for any damage or injury due to the premises.
The undersigned agrees to reimburse said Company for loss of time 9nd equipment by reason of such delivery and also to identify and save harmless said Company from any and
all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery.
The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result.
PRODUCT NOTICE: Seller will not be held responsible for.the final appearance of exposed aggregate,integral coloring,stamped and decorative surfacing,and all other forms of
architectural and design concrete.
DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk,
driveway,or any property of the contractor or property owner or agents.
ENVIRONMENTAL NOTICE: The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations.
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD.
Release,Load and Terms Accepted By:
ez owe
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001
Concrete - Sand - Gravel - Stone We're Proud Of Our Work" General Office (317) 326-3101
CUSTOMER COPY
Idnit .0.Box 7048,Group#2 • •
Indianapolis,IN 46207-7048 Concrete Delivery Ticket Am!
Irving Materials;Inc.
Plant#ITicket Numbe Truck Load Size Mix Slump I Use Date Customer
Sold To Tax Cod Driver Project No. Order No.
Delivery Address P.O.Number
Job No.)
Load Quantity I Total Ordered Quantity Product code Product Description Unit Price Amount
1WvW=At Total
r Subtotal
$lump Mi
aid I i
Tax
On Job Time Finish Pour Time
Total
PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes
Dear Customer-The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request.
SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE). Prolonged contact
may cause burns. In case of contact with skin or eyes,flush thoroughly with water. If irritation persists,get immediate medical attention. For additional information regarding the
HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SDS)available upon request or at www.irvmat.com/readymix.pdf.
The undersigned hereby authorizes Irving Materials,Inc.to use private property for making the delivery shown here on and assumes full responsibility for any damage or injury due to the premises.
The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and
all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery.
The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result.
PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate,integral coloring,stamped and decorative surfacing,and all other forms of
architectural and design concrete.
DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk,
driveway,or any property of the contractor or property owner or agents.
ENVIRONMENTAL NOTICE: The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations.
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD.
Release,Load and Terms 4cepted y:
in
�O T °
111 TH ILII 11 I111!Il'
Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101
CUSTOMER COPY
Omit Ta;`r.0.Box 7048,Group#2 • •
Indianapolis,IN 46207-7048 Concrete Delivery Ticket ILMI
living Materials,Inc.
Plant#JTicket Numbed Truck I Load Size I Mix I Slump Use I Date Customer
i Sold To Tax Cod Driver Project No. Order No.
Delivery Address P.O.Number
Job No)
Load Quantity Total Ordered Quantity I Product Codel Product Description Unit Price Amount
WaW Addtd At� Total allons
Subtotal
Tax
On Job Time Finish Pour Time
Total
PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes
Dear Customer-The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request.
SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE). Prolonged contact
may cause burns. In case of contact with skin or eyes,flush thoroughly with water. If irritation persists,get immediate medical attention. For additional information regarding the
HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SDS)available upon request or at www.irvmat.com/readymix.pdf.
The undersigned hereby authorizes Irving Materials,Inc.to use private property for making the delivery shown here on and assumes full responsibility for any damage or injury due to the premises.
The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and
all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery.
The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result.
PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate,integral coloring,stamped and decorative surfacing,and all other forms of
architectural and design concrete.
DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk,
driveway,or any property of the contractor or property owner or agents.
ENVIRONMENTAL NOTICE: The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations.
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD.
Release,Load and Tenn Accepted By:
#lZZc�
&g SOD
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4
to
Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101
CUSTOMER COPY
Remit To 0.Box 7048,Group#2 Concrete Delivery Ticket Am!ry , .
Plant#ITicket Numbe Truck I Load Size I Mix Slump I Use I Date I Customer
Sold To Tax Cod Driver I Project No. Order No.
Delivery Address P.O.Number
Job No.)
Load Quantity I Total I Ordered Quantity I Product Codel Product Description Unit Price Amount
Water Added At Total Slump I Meter
`d6"tomer s ReqReading'uest No.Gallons Subtotal
Tax
On Job Time Finish Pour Time
Total
PROPERTY DAMAGE RELEASE/WARNING - Irritating To The Skin and Eyes
Dear Customer-The Seller is not responsible for slumps,strength or quality of concrete to which water or any other material has been added by the purchaser or at his request.
SAFETY WARNING: Keep away from children. Contains Portland Cement. Irritating to the skin and eyes. Wear appropriate personal protective equipment(PPE). Prolonged contact
may cause burns. In case of contact with skin or eyes,flush thoroughly with water. If irritation persists,get immediate medical attention. For additional information regarding the
HAZARDS OF READY MIX CONCRETE,consult the Safety Data Sheet(SDS)available upon request or at www.irvmat.com/readymix.pdf.
The undersigned hereby authorizes Irving Materials,Inc.to use private property for making the delivery shown here on and assumes full responsibility for any damage or injury due to the premises.
The undersigned agrees to reimburse said Company for loss of time and equipment by reason of such delivery and also to identify and save harmless said Company from any and
all claims,demands and suits for or on account of or in any manner caused by or arising from private property delivery.
The undersigned assumes responsibility for a suitable roadway from public highway to point of delivery and is responsible for any needed wrecker service charges as a result.
PRODUCT NOTICE: Seller will not be held responsible for the final appearance of exposed aggregate,integral coloring,stamped and decorative surfacing,and all other forms of
architectural and design concrete.
DELIVERY NOTICE: Seller assumes no responsibility for deliveries beyond the public right of way. Buyer assumes responsibility for damages including but not limited to curb,sidewalk,
driveway,or any property of the contractor or property owner or agents.
ENVIRONMENTAL NOTICE: The buyer is responsible for providing washout facilities that meet or exceed all jurisdictional environmental regulations.
NOTICE:MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND FULLY UNDERSTAND THE SAFETY AND HEALTH WARNING NOTICE AND ACCEPTANCE OF THE LOAD.
Release,Load and Ter s Accept d By:
=r m
_ t
Lr)
Concrete - Sand - Gravel - Stone "We're Proud Of Our Work" General Office (317) 326-3101
CUSTOMER COPY