HomeMy WebLinkAbout319248 11/30/17 CITY OF CARMEL, INDIANA VENDOR: 367666
ONE CIVIC SQUARE SAGAMORE READY MIX LLC CHECK AMOUNT: $**"****415.25*
?Q CARMEL, INDIANA 46032 PO BOX 6457 CHECK NUMBER: 319248
DEPT 272 CHECK DATE: 11/30/17
INDIANAPOLIS IN 46206
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 548043 415.25 CEMENT
L
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 367666 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
SAGAMORE READY MIX LLC IN SUM OF$ CITY OF CARMEL
PO BOX 6457 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
DEPT 272 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
INDIANAPOLIS, IN 46206
Payee
$415.25
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Street Department 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
548043 42-362.00 $415.25 1 hereby certify that the attached invoice(s),or 11/14/17 548043 $415.25
2201 2201 2201 2201
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
Wednesday, November 29,2017
Huffman, Dave
Director
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
SAGAMORE
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 11-14-2017
Invoice Number 548043
CITY OF CARMEL STREET DEPARTMENT Order Code 10
3400 W 131ST STREET Project Code 1
CARMEL IN 46074 Purchase Order FA OK/CAL OK
Job Number 317-417-5056
DELIVERY LOCATION PAYMENT TERMS
-- -C-ty-Center Dr &--3rd Ave SW- - -- DISC -10th--TOTAL 15th AFTER-DELIVERY MO--
Ticket # Usage Product Product Quantity Price Extended
Code Description Amount
------------------------------------------------------------------------------------------------
1032509 EXTERIOR B6036 6 BAG PEA GRAVEL AIR 1.50 cy 132.50 198.75
1032509 2040 2% HE 1.50 /y 6.00 9.00
1032509 400 MINIMUM LOAD CHARGE 1.00 ea 200.00 200.00
1032509 7001 WINTER CHARGE 1.50 /y 5.00 7.50
CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS
YOU MAY DEDUCT $5.25 FROM THIS INVOICE IF PAID BY Dec-10-2017.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
1.50 $415.25 $.00 $415.25
9170 East 131st St(eet
Fishers,IN 46038-3545 A
Dispa
(317)570-6200 DispatchMORE,SAU
(888)986-9294
(317)570-6201 Office READY M.1
(888)986-9293
(317)570-6271 Fax
DELIVERY'TICKET
CAUTION: FRESHLY MIXED CONCRETE,MORTAR OR GROUT MAY CAUSE SKIN INJURY,AVOID-CONTACT WIT SI�KIN AND WASH EXPOSED AREAS PROMPTLY
WITH WATER.CONTAINS PORTLAND CEMENT,IF ANY MIXTURE OF CEMENT GET INTO EYES,RINSE IMMEDIATELY AND REPEATEDLY WITH-
WA-TER-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-icing 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 TicketNumb�
Ticket Number 1032509
I IIIIII VIII VIII VIII II I III I IIII IIII Date
11114!17
Plant Order# Customer Number Project P.O.Number JobName-Number
5 10 1351 1 FA OK/CAL OK 317.417.5056
Sold To City Center Dr_&3rd Ave-SW-
CITY-OF CARMEL-STREET DEPARTMENT HAZEL DEL N TO 126TH ST/CITY CENTER DR W TO 3RD AVE SW(W OF RANGELINE TO 3RD AVE SW S TO JOBIN FRONT
3400 W 131 ST STREET OF PALLADIUM -
As representative of the customer, I authorize and assume esponsibility for the addition of water to this concrete.
Received By: I WASHOUT SYSTEM Time Due
YES NO 10:32 AM
Load No. Slump(+/-1' Air Content(+1-1.5%) Meter Reading at Plant Meter Reading Upon Arrival Used For Ordered By
1 4.00 6.00 1 EXTERIOR BOYD 317.417-5056
Quantity Quanitity Quanitity Product Product Descripition Units Unit Price Amount
Thls Load Ordered Delivered Code
1.50 yd 1.50 yd 1.50 yd 86036 6 B PEA GR AIR yd
35.36 oz 1.00 oz 203.04 ciz HE 2% HE Oz
1.50 /y 0.00 /y /y 7001 WINTER CHARGE /y
MINIMUM LOAD CHARGE
SUB-TOTAL
SALES TAX
TICKET TOTAL
Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Left Job
0626 David Smith ORDER TOTAL