319397 12/05/2017 C4q
CITY OF CARMEL, INDIANA VENDOR: 368633
ONE CIVIC SQUARE READINGROCK CHECK AMOUNT: $*******102.95*
a CARMEL, INDIANA 46032 PO BOX 46387 CHECK NUMBER: 319397
CINCINNATI OH 45246 CHECK DATE: 12/05/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 0000410527 102.95 CEMENT
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 368633 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
READINGROCK IN SUM OF$ CITY OF CARMEL
PO BOX 46387 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CINCINNATI, OH 45246,
- Payee
$102.95
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
0000410527 42-362.00 $102.95 1 hereby certify that the attached invoice(s),or 11/29/17 0000410527 $102.95
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
Tuesday, December 05,2017
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
120
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
RF_.,AD1NGk0CK <+>T1,USTATEDLE <*NJEADINGROCK
U
TRIBTORS
BUILDING MATERIALS&SERVICES DISRESIDENTIAL
Invoice
REMIT TO: P. O. BOX 46387, Cincinnati, OH 45246 DATE PAGE NUMBE
Bill to
11129/2017 1 0000410527
SHIPPED TO ADDRESS:
CITY OF CARMEL STREET DEPARTMENT CPU
3400 IN 131ST STREET INDY YARD
CARMEL IN 46074 FISHERS IN 46037
Phone(317)733-2001
Customer No.' Customer PO Number Terms FOB Ship Via Salesperson
002056 BOYD PEIRCY 1%10TH,N30TH PICKUP JEF
160100303 AP SUPERSAND BOND HP BEIGE-50# BG5 20.59 102.95T
Loading List No::410653 Sales Order No: 372688
THE FOLLOWING ARE NOT RETURNABLE:*ALL bag goods including mortar,cement and sand*ALL chemicals,sealers and cleaners*ALL sale items, seconds and over-runs'
ALL special order and non stock items'ALL cut to length angle and rebar*RESTACKED, muddy,or less than FULL CUBES of brick and pavers*Items out of their original
packagin/open cartons*unstenciled,unusable and/or builder's disposable pallets*cash sale pallet return without an invoice copy. After inspection,ALL OTHER ITEMS will be
accepted with a20%($20.00 minimum charge. Returns MUST be accompanied by a receipt dated-with in 60 days from purchase.
Any cash refund over$50.00 will be issued by check and mailed to customer.
NOTE:
-Excluding Zone 1 deliveries,this surcharge Is updated weekly.The Zone 1 surcharge is updated mor thly. Subtotal 102.95
Freighl Charges 0.00
Sales Tax 0.00
A cash discount is allowed if paid by the 10th of the following month. Total Inv Price $ 102.95
It only applies if all of the previous months invoices have been paid in full.
Past due accounts are subject to 1 112%per month service charge.
The total discount is calculated for you, It only applies if all of the pre ious months inv ices are paid it full.
-CASH-DISCOUNT OF-1:03 iF-RECEIVED BY SUNDAY—DECEMBER 10-211V17. - --
i
ACCOUNTING COPY 'F'denotes total is included in above Freight Charges