320159 12/28/17 CITY OF CARMEL, INDIANA VENDOR: 204045
ONE CIVIC SQUARE MILESTONE CONTRACTORS, L P CHECK AMOUNT: $ 29.26
CARMEL, INDIANA 46032 PO BOX 933030 CHECK NUMBER: 320159
CLEVELAND OH 44193 CHECK DATE: 12/28/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236300 114392 29.26 BITUMINOUS MATERIALS
VOUCHER NO. WARRANT NO. riesuiueu Uy Jldle DVd[U U1 nccvwiw
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 204045
MILESTONE CONTRACTORS, L P IN SUM OF$ CITY OF CARMEL
PO BOX 933030 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.
CLEVELAND, OH 44193
oil Payee
. 5 ag,
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
_ 0114392 �42-363.00 � V$29:26 1 hereby certify that the attached invoice(s),or 11/30/17 114392 $29.26
220.1--- "" 02201 _ 2201 2201
. � bill(s)is(are)true and correct and that the 11/30/17 114312 $65.79
materials or services itemized thereon for 2201 2201
which charge is made were ordered and
received except
Wednesday, December 13,2017
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
�y
SAFETY BY CHOICE --- NOT BY CHANCE
MILESTONE
5160 E 96TH ST
Indianapolis , IN 46240
317 - 844 - 6536
Date: 11/29/17 Ticket #: 578805
Time: 10:43 Plant: 12
*** Silo 7 Loadout ***
Customer: 1936 Job: 1
CITY OF CARMEL - STREET DEPT 1
3400,W. 131 ST. STREET
WESTFIELD, IN 46074
317-733-2001
P.O.#: 1
Carrier: 1936
CITY OF CARMEL - STREET Phase: 1
Truck: 55 1
License:
Zone: 1
Product: 22368H PICKED UP MATERIAL
9.5 MM SURFACE
JMF: 170005
(Daily) Loads: 1 Amount: 0.56 TN 0.51 Mg
(To-Date) Loads: 3 Amount: 1.64 TN 1.49 Mg
Gross: 6.27 TN 12540 lb 5.69 Mg
Tare: 5.71 TN 11420 lb 5.18 Mg
Net: 0.56 TN 1120 lb 0.51 Mg
Received By:
+------------------------------------------------+
WARNING: HOT MIX CAN CAUSE SEVERE BURNS! !
Use Proper Engineering Controls,
Work Practices and PPE
Read the SDS for Details
+------------------------------------------------+
PA"IrlInvoice#:
lilestone Contractors, L.P.
950 S. Belmont Ave. Date: 11/30/17
idianapolis, IN 46217 Cust PO#:
CITY OF CARMEL-STREET DEPT.
3400 W. 131ST STREET P.O. Box 933030
Please Remit to:
J
WESTFIELD, IN 46074 Cleveland, OH 44193
'/ant 12 Customer No 1,936 For Billing'questions,please call: 317-616-4876 Pagel of 1
Date Ticket Description Quantity UM Unit Material Haul Tax Total
Price Amount Amount
11/29/17 22368H/ -9.5 MM SUR 11
578805 0.56 TON 52.25 29.26 0.00 29.26
*Subtotal 0.56 TON 29.26 0.00 0.00 29.26
's
TOTAL 0.56 29.26 0.00 0.0 29.2
Payment Due By: December 30,2017 Total: $ 29,26
`i
Payment is due AET/M.However, we reserve the right to£le a Mechanics Lien Apayment is not received within45 calendar days
from the last daymaterialwaspurchased. Customer agrees topayinterestatth4ateof2°opermonthonallpastdue halances.