317982 10/31/2017 CITY OF CARMEL, INDIANA VENDOR: 367666 CHECK AMOUNT: $****** 638.00"
• ONE CIVIC SQUARE SAGAMORE READY MIX LLC
r CARMEL, INDIANA 46032 0 BOX 2457 CHECK NUMBER: 317982
INDIANAPOLIS IN aszas CHECK DATE: 10/31/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 545470 638.00 CEMENT
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SAGAMORE
READY M I
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 10-13-2017
Invoice Number 545470
CITY OF CARMEL STREET DEPARTMENT Order Code 31
3400 W 131ST STREET Project Code 1
CARMEL IN 46074 Purchase Order FA OK/CAL OK
Job Number
DELIVERY LOCATION PAYMENT TERMS
10891 Weston Dr DISC 10th TOTAL 15th AFTER DELIVERY MO
Ticket # Usage Product Product Quantity Price Extended
Code Description Amount
------------------------------------------------------------------------------------------------
1026834 HANDCURB B6016 6 BAG STONE AIR 4.00 cy 132.50 530.00
1026834 400 MINIMUM LOAD CHARGE 1.00 ea 80.00 80.00
1026834 5015 1# GRACE MICROFIBER 4.00 ea 7.00 28.00
CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS
YOU MAY DEDUCT $14.00 FROM THIS INVOICE IF PAID BY Nov-10-2017.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
4.00 $638.00 $.00 $638.00
9170 East 131st Street
Fishers,IN 46038-3545
(317)570-6200 Dispatch Dispatch
(888)986-9294 SAGAMORE
(317)570-6201 Office READY MIR
(888)986-9293
(317)570-6271 Fax
DELIVERY TICKET
CAUTION: FRESHLY MIXED CONCRETE,MORTAR OR GROUT MAY CAUSE SKIN INJURY,AVOID CONTACT WITH SKIN AND WASH EXPOSED AREAS PROMPTLY
WITH WATER.CONTAINS PORTLAND CEMENT,IF ANY MIXTURE OF CEMENT GET INTO EYES,RINSE IMMEDIATELY AND REPEATEDLY WITH WATER AND GET
PROPER MEDICAL ATTENTION.
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 damages to sidewalks,driveways or other property
3. We do not assume responsibilitiy for slump,strength 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 according to ACI 308 may only develop 50%of its design strength.
5. Testing of delivered concrete must be done by ACI Level 1 Concrete Testing Technicians.
6. Do not apply de-icinq compounds to exterior concrete during 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 1026834
1111111 IIIII IIIII IIIII I I I I I IIII
Date
101113111710113117
Plant Order# Customer Number Project P.O.Number Job Name•Number
5 31 1351 1 FA OKICAL OK
Sold To 10891 Weston Dr
CITY OF CARMEL STREET DEPARTMENT 106TH ST W TO SHELBORNE N TO WESTON W TO JOB
3400 W 131 ST STREET
As representative of • authorize . • assume respoNor ••• tion • water to t is concre
Received By: 1111WASHOUT SYSTEM I Time Due
YES NO 10:52 AM
Load No. Slump(+1-1' Air Content(+1-1.5%) Meter Reading at Plant Meter Reading Upon Arrival Used For Ordered By
1 3.00 6.00 HANDCURB JIM 317-417.5216
Quantity Quanitity Quanitlty Product Product Descriprdon Units Unit Price Amount
This Load Ordered Delivered Code
4.00 yd 4.00 yd D.00 yd B6016 6 BAG STONE AIR yd
4.00 ea 4.00 ea 4.00 ea 5015 1#GRACE MICROFIBER ea
MINIMUM LOAD CHARGE
SUBTOTAL
SALES TAX
TICKET TOTAL
Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Left Job
0160 Jeffrey Harris ORDER TOTAL