320284 01/04118 0.1"t-
CITY OF CARMEL, INDIANA VENDOR: 367666
ONE CIVIC SQUARE SAGAMORE READY MIX LLC CHECK AMOUNT: $**"***590.75'
CARMEL, INDIANA 46032 PO BOX 6457 CHECK NUMBER: 320284
DEPT 272 CHECK DATE: 01/04/18
INDIANAPOLIS IN 46206
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 550457 590.75 CEMENT
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 367666 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
SAGAMORE READY MIX LLC IN SUM OF$ 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
$590.75
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
550457 42-362.00 $590.75 1 hereby certify that the attached invoice(s),or 12/18/17 550457 $590.75
2201 2201 Prior Year 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,January 02,2018
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-Tf easurer
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 12-18-2017
Invoice Number 550457
CITY OF CARMEL STREET DEPARTMENT Order Code 41
3400 W 131ST STREET Project Code 1
CARMEL IN 46074 Purchase Order FA OK/CAL OK
Job Number 317-503-2319
DELIVERY LOCATION PAYMENT TERMS
2 Shady Ln, CARMEL DISC 10th TOTAL 15th AFTER DELIVERY MO
Ticket # Usage Product Product Quantity Price Extended
Code Description Amount
------------------------------------------------------------------------------------------------
1037696 HANDCURB C4016 4000 PSI 20% ASH STONE AIR 3.50 cy 129.50 453.25
1037696 400 MINIMUM LOAD CHARGE 1.00 ea 120.00 120.00
1037696 7001 WINTER CHARGE 3.50 /y 5.00 17.50
HAPPY HOLIDAYS!
YOU MAY DEDUCT $12.25 FROM THIS INVOICE IF PAID BY Jan-10-2018.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
3.50 $590.75 $.00 $590.75
9170 East 131st Street
Fishers,IN 46038-3545
(317)570-6200 Dispatch AF
(888)986-9294 SAUAMURL"
(317)570-6201 Office READY
(888)986-9293
(317)570-6271 Fax
DELIVERY TICKET
CAUTION: FRESHLY MIXED CONCRETE,MORTAR OR GROUT MAY CAUSE SKIN INJURY,AVOID CONTACT WITH SHIN 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-icing compounds to exterior concrete during first winter.
7. We do not.quarantee 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 1037696
1111111 IIIII IIIII IIIII II I I I IIII
Date
12118/1712118117
Plant Order# Customer Number Project P.O.Number Job Name-Number
11 41 1351 1 FA OKICAL OK 317.503.2319
Sold To 2 Shady Ln,CARMEL
CITY OF CARMEL STREET DEPARTMENT 3 STOPS,guilford north of citycenter dr to college way east to"t"right to 1st right
3400 W 131ST STREET -
representativeAs of •mer, I authorize and assume respongibility foraddition of • this concrete.
Received Bv: WASHOUTSYSTEM Time Due
YES NO - 10:46 AM
Load No. Slump(+f-1" Air Content(+1-1.5%) ... Meter Reading at Plant Meter Reading Upon Arrival. Used For Ordered By
1 3.00 = HANDCURB DUANE JARVIS
Quantity Quanitity Quanitity, '1`�::'Pr`oduct : Product-Descripition Units Unit Price Amount
This Load Ordered Delivered Code `
3.50 yd 3.50 yd 3.50 yd. C4016 4000 STONE AIR yd
3,50 /y 0.00 /y /y 7001 WINTER CHARGE /y
-f
MINIMUM LOAD CHARGE
SUB-TOTAL
SALES TAX
_ TICKET TOTAL
Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Left Job
0625 :,::PhIlI1D Hudson ORDERTOTAL
,: .