322893 03/12/18 Jar, CITY OF CARMEL, INDIANA VENDOR: 367666
�5 it ONE CIVIC SQUARE SAGAMORE READY MIX LLC CHECK AMOUNT: S""`2,571.75`
CARMEL, INDIANA 46032 PO Box 6457 CHECK NUMBER: 322893
y(TN !r, DEPT 272 CHECK DATE: 03/12/18
INDIANAPOLIS IN 46206
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 553039 2,571.75 OTHER EXPENSES
VOUCHER NO. 174276 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 367666 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
SAGAMORE READY MIX, LLC CITY OF CARMEL
PO BOX 6457-DEPT #272 An invoice or bill to be properly itemized must show: kind of service,where performed,
INDIANAPOLIS, IN 46206 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
$2,571.75 367666 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR SAGAMORE READY MIX, LLC Terms
Carmel Water Utility PO BOX 6457-DEPT#272 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), INDIANAPOLIS, IN 46206
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
553039 01-6200-06 $2,571.75 and received except 2/28/2018 553039 $2,571.75
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. , 20_
Clerk-Treasurer
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 Indianapo is, IN 46206
CUSTOMER # 1552
Invoice Dae 02-26-2018
Invoice Number 553039
CITY OF CARMEL WATER DISTRIBUTION Order Code 74
3450 W 131ST STREET Project Code 2
CARMEL IN 46074 Purchase O der FAOK/CALOK
Job Number
DELIVERY LOCATION PAYMENT TERMS
Hawthorne Dr & E Main St DISC 10th TOTAL 15th AFTER DELIVERY MO
Ticket # Usage Product Product Q�antity Price Extended
Code Description Amount
1042757 FILL FFIN010 INDOT REMOVABLE FLOW FILL 9.00 cy 78.50 706.50
1042757 7001 WINTER CHARGE 9.00 /y 5.00 45.00
1042759 FILL FFIN010 INDOT REMOVABLE FLOW FILL 9.00 cy 78.50 706.50
1042759 7001 WINTER CHARGE 9.00 /y 5.00 45.00
1042780 IB6016 INDOT CLASS A BAG AIR STON 7.50 cy 137.50 1,031.25
1042780 7001 WINTER CHARGE 7.50 /y 5.00 37.50
CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUES IONS
w
YOU MAY DEDUCT $89.25 FROM THIS INVOICE IF PAI BY Mar-10-2018.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
25.50 $2,571.75 $.00 $2,571.75
9170 East 131st Street
Fishers,IN 46038-3545
(317)570-6200 Dispatch SAGAMORE ,
(888)986-9294
(317)570-6201 Office READY M.
(888)986-9293
(317)570-6271 Fax
DELIVERY TICKET
CAUTION: FRESHLY MIXED CONCRETE,MORTAR OR GROUT MAY CAUSE SKIN INJURY,AVOID CONT CT 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 was out 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 loadcannot be quaranteed.
4. Purchaser understands that concrete not cured accordinq to ACI 308 may only develop 50%of its design strengih.
5. Testinq of delivered concrete must be done by ACI Level 1 Concrete Testinq Technicians.
6. Do not apply de-icinq 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 1042757
I IIIIII VIII VIII VIII II I II I I I IIII IIII Date
02126118
4
Plant Order# Customer Number Project P.O.Number Job Name-Number
5 74 1552 2 FAOKICALOK
Sold To Hawthorne Dr&E Main St
CITY OF CARMEL WATER DISTRIBUTIO 131 ST BETWEEN KEYSTONE&GRAY RD,2ND STOP 116TH& KESHORE
3450 W 131ST STREET
representativeAs of • orize and assume responsibilityfor addition of • this concrete.
Received Bv: IWASHOUT SYSTEM Time Due
YES NO 11:18 AM
Load No. Slump(41' Air Content(+/-1.5%) Meter Reading at Plant Meter Reading Upon Arrival Used For Ordered By
1 10.00 2.00 FILL MIKE 317.750.1938
Quantity Quanitity Quanitity Product Product Descripition Units Unit Price Amount
This Load Ordered Delivered Code
9.00 yd 18.01 yd 9.00 yd FFIN010 INDOT REM FLOW yd,
9.00 /y 0.00 /y /y 7001 WINTER CHARGE /y
SUB-TOTAL
SALES TAX
TICKET TOTAL
Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Left Job
0612 MARCUS WILSON ORDERTOTAL
9170 East 131 st Street
Fishers,IN 46038-3545 Dispatch(317)570-6200 Dispatch
(888)986-9294 SAGAMORE
(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 CONT CT 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,calor 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_conc[ete..Too many factors not and r our control can affect the ultimate results.
Gallons Added Meter Reading Slump Ticket Numb,
Ticket Number 1042780
1111111 VIII VIII VIII II I II I I I IIII IIII Date
02126118
4
Plant Order# Customer Number Project P.O.Number Job Name-Number
5 74 1552 2 FAOK/CALOK
Sold To Hawthorne Dr&E Main St
CITY OF CARMEL WATER DISTRIBUTIO 131ST BETWEEN KEYSTONE&GRAY RD,2ND STOP 116TH& KESHORE
3450 W 131ST STREET
representativeAs of •mer, I authorize and assume,responsibilityfor addition of . to this concrete,
Received Bv: I I WASHOUT SYSTEM Time Due
YES NO 12:18 PM
Load No. Slump(+/-1•; Air Content(+/_1.5%) Meter Reading at Plant Meter Reading Upon Arrival Used For Ordered By
1 4.00 6.50 _ MIKE 317-750-1938
Quantity Quanitity Quanitity Product Product Descnpition Units Unit Price Amount
This Load Ordered Delivered Code
7.50 yd 7.50 yd 7.50 yd IB6016 CLS A INDOT AIR yd
7.50 /y 0.00 /y /y 7001 WINTER CHARGE /y
SUB-TOTAL
SALES TAX
TICKET TOTAL
Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Left Job
0632 Robert Rummell ORDER TOTAL
Material Design Qty Required Batched %Var%Moisture Actual Wait
SAND 1320 Ib 10445 Ib 10380 Ib -0.62% 5.50%M 65 gl
8STONEAP 1735 Ib 13143 Ib 13040 Ib -0.78% 1.00%M 15 gl
LEHIGH 564.0 Ib 4230.0 Ib 4220.0 Ib -0.24%
WATER 30.50 gl 44.18 gl 43.00 gl -2.68% 43.00 gl
AIR 6.40 oz 48.00 oz 48.00 oz 0.00%
REDUCER 17.00 oz 127.50 oz 126.00 oz -1.18%
HWATER 70.00 % # 103.10 gl 103.00 gl -0.09% 103.00 gl
9170 East 131 st Street
Fishers,IN 46038-3545 R
(317)570-6200 Dispatch SAGAME
O I(888)986-9294
(317)570-6201 Office READY '1
(888)986-9293
(317)570-6271 Fax
DELIVERY TICKET
CAUTION: FRESHLY MIXED CONCRETE,MORTAR OR GROUT MAY CAUSE SKIN INJURY,AVOID CONT CT WITH SKIN AND WASH EXPOSED AREAS PROMPTLY
WITH WATER.CONTAINS PORTLAND CEMENT,IF ANY MIXTURE OF CEMENT GET INTO EYES,RINSE IMME IATELY 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,strenqth 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 quaranteed.
4. Purchaser understands that concrete not cured accordinq to ACI 308 may only develop 50%of its desiqn strength.
5.— Testinq of delivered concrete-must be done by ACI Level 1 Concrete Testinq Technicians.
6. Do not apply de-icinq compounds to exterior concrete durinq 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 1042759
I IIIIII VIII VIII VIII II I II I I IIII IIII Date
02126/18
4
Plant Order# Customer Number Project P.O.Number Job Name•Number
5 74 1552 2 FAOKICALOK
Sold To Hawthorne Dr&E Main St
CITY OF CARMEL WATER DISTRIBLITIO 131ST BETWEEN KEYSTONE&GRAY RD,2ND STOP 116TH&LAKESHORE
3450 W 131ST STREET
As representative of the customer, I authorize and assume responsibility for the addition of water to this concrete,
Received Bv: WASHOUT SYSTEM Time Due
YES NO 11:19 AM
Load No. Slump(+/-1° Air Content(+/-1.5%) Meter Reading at Plant Meter Reading Upon Arrival Used For Ordered By
2 10.00 2.00 FILL MIKE 317.750.1938
Quantity Quanitity Quanitity Product Product Descripition Units Unit Price Amount
This Load Ordered Delivered Code
9.00 yd__ _18.01 yd_ 18.00.yd FFIN010 IN-DOT REM FLOW yd
9.00 /y 0.00 /y /y 7001 WINTER CHARGE /y
SUBTOTAL
SALES TAX
TICKET TOTAL
Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Left Job
0604 Thomas Bvrd ORDER TOTAL