HomeMy WebLinkAbout324234 04/18/18 CITY OF CARMEL, INDIANA VENDOR: 358385
ONE CIVIC SQUARE GENERAL SHALE&BRICK CHECK AMOUNT: $*****1,41,1.40*
CARMEL, INDIANA 46032 Po;BOX 5825. CHECK NUMBER: 324234
v CAROL STREAM IL 60197-5825 CHECK DATE: 04/18/18
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER: AMOUNT DESCRIPTION
2201 4236200 182852190 1,411.40 CEMENT
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 358385 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
IN SUM OF$ CITY OF CARMEL
GENERAL SHALE & BRICK
PO BOX 5825 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.
CAROL STREAM, IL 60197-5825
Payee
$1,411.40
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
182852190 42-362.00 $1,411.40 1 hereby certify that the attached invoice(s),or 4/2/18 182852190 $1,411.40
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
Friday,April 13,2018
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-Treasurer
0010
General Shale
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Invoice: 182852190 Invoice Date: 04/02/2018
Bill To: 279670 Customer P0: SHOP
CITY OF CARMEL
3400 W 131ST STREET Bill of Lading: 173118413
WESTFIELD IN 46074-8267 Goods Issue Date: 04/02/2018
Order: 323903426
Sales Rep: 399
Ship-To:
CITY OF CARMEL Order Loc.: Carmel
3400 W 131ST STREET CARMEL IN
WESTFIELD IN 46074-8267 Phone: 317-846-2566
- __ Mode of Shipment: Customer Pickup / .057 -- — - -
Material Material Description Quantity Price Value USD
Batch Number and Description
6099010275 4 X. 8 X 16 SOLID BLOCK 216 EA 1.90 410.40
6099001047 ESSROC BRIXMENT GRAY TYPE S 75 LB BAG 50 BAG 9.30 465.00
6099000573 CONCRETE BRICK 1,340 EA 0.40 536.00
Subtotal 1,411.40
TAX
TOTAL 1,411.40
0010
General Shale REFERENCE CONDITIONS ON BACK
Sold To: 279670 ............. .._..,:..:,:.,:..:,:........,......,..........,.._.._..
:...... ... ..............:::.::................................. .
CITY OF CARMEL Bill of Lading: 173118413
3400 W 131ST STREET Date: 04/02/2018
WESTFIELD IN 46074-8267
Order Loc: Carmel
CARMEL IN
Sales Order: 323903426
Customer P0: SHOP
Ship-To: Telephone: (317) 733-2001
CITY OF CARMEL
3400 W 131ST STREET
Shipper: GESH
WESTFIELD IN 46074-8267
IN
Carmel
057 CARMEL N
Mode of Shipment: Customer Pickup
BRICK STCC 32 511
Directions:
Material Description Order Quantity Weight
Batch
6099010275 4 X 8 X 16 SOLID BLOCK 216 EA 6,480. 00 LB
2,945.45 KG
6099001047 ESSROC BRIXMENT GRAY TYPE S 75 LB BAG 50 BAG 3,750.00 LB
1,704.55 KG
6099000573 CONCRETE BRICK 1,340 EA 6,700.00 LB
3, 045.45 KG
TOTAL WEIGHT 16,930.00 LB
_ . 7,695.45 KG
Drivers Name Driver License No. and State
Trucking Company Dispatcher Name
Phone No.
DOT # Verified By