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Home My WebLink About326359 06/15/18 y ur-LOAM CITY OF CARMEL, INDIANA VENDOR: 358385 ¢; ONE CIVIC SQUARE GENERAL SHALE&BRICK CHECK AMOUNT: $ 837.00 CARMEL, INDIANA 46032 PO BOX 5825 CHECK NUMBER: 326359 MdrgN c° CAROL STREAM IL 60197-5825 CHECK DATE: 06/15/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236200 173157362 762.60 CEMENT 2201 4236200 182887817 74.40 CEMENT VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 358385 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER GENERAL SHALE& BRICK IN SUM of$ CITY OF CARMEL 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 $837.00 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 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 182887817 42-362.00 $74.40 1 hereby certify that the attached invoice(s),or 6/5/18 182887817 $74.40 2201 2201 2201 2201 173157362 42-362.00 $762.60 bill(s)is(are)true and correct and that the 6/6/18 173157362 $762.60 2201 1 2201 1 materials or services itemized thereon for 2201 2201 which charge is made were ordered and received except Tuesday,June 12,2018 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 0I 0 . General Shale :•':::::%:'<:::::::::::: ...... X. :X S11;iii:':::::`:::::::::::::::::::::;:`::i3::::'':::::is:::::'::::t:::::`:::::::::::::: .......... .......... ...... ... Invoice: 182887817 Invoice Date: 06/05/2018 Bill To: 279670 Customer P0: shop. CITY OF CARMEL 3400 W 131ST STREET Bill of Lading: 173157252 WESTFIELD IN 46074-8267 Goods Issue Date: 06/05/2018 Order: 324308256 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 6099001047 ESSROC BRIXMENT GRAY TYPE S 75 LB BAG 8 BAG 9.30 74.40 Subtotal 74.40 TAX TOTAL 74.40 _ LATE PAYMENT CHARGE of 1.5o PER MONTH. PLEASE RETURN THIS PORTION WITH YOUR PAYMENT Accnt#: Customer Name Invoice-Date Invoice Amount Due 279670 CITY OF CARMEL 06/05/2018 182887817 74.40 Remit To: GENERAL SHALE BRICK, INC PO Box 5825 CAROL STREAM IL 60197-5825 Payment Due in 30 Days 0010, General.Shale ............ .......... ... . .......... . ........................................... .......................... ....................... ............................ .......... .......... ......... . ...... . ..... ....................... ....................... ............. ... ....................... .. ... ......... . ...... .. ....................... Invoice: 182888736 Invoice Date: 06/06/2018 Bill To: 279670 Customer P0: SHOP CITY OF CARMEL 3400 W 131ST STREET Bill of Lading: 173157362 WESTFIELD IN 46074-8267 Goods Issue Date: 06/06/2018 Order: 324307971 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:-Truck--,/- 057— - - - - Material Material Description Quantity Price Value USD Batch Number and Description 6099001047 ESSROC BRIXMENT GRAY TYPE S 75 LB BAG 82 BAG 9.30 762.60 Subtotal 762.60 TAX TOTAL 762.60 LATE PAYMENT CHARGE of 1.5o PER MONTH. PLEASE RETURN THIS PORTION WITH YOUR PAYMENT Accnt#: Customer Name Invoice-Date Invoice Amount Due 279670 CITY OF CARMEL 06/06/2018 182888736 762.60 Remit To: GENERAL SHALE BRICK, INC PO Box 5825 CAROL STREAM IL 60197-5825 Payment Due in 30 Days 0010 General Shale REFERENCE CONDITIONS ON BACK Sold 2 To: 79670 .:......,..._....::.........._........_......._..... CARMEL Bill of Lading: 173157362 CITY 2 3400 W 131ST STREET Date: 06/06/2018 WESTFIELD IN 46074-8267 Order Loc: Carmel CARMEL IN Sales Order: 324307971 Customer P0: SHOP Ship-To: Telephone: (317) 733-2001 CITY OF CARMEL 3400 W 131ST STREET Shipper: GESH Carmel WESTFIELD IN 46074-8267 CARMEL IN 057 Mode of Shipment: Truck Carrier: CROUCH TRUCKING CO INC BRICK STCC 32 511 Directions: Material Description Order Quantity Weight Batch 6099001047 ESSROC BRIXMENT GRAY TYPE S 75 LB BAG 82 BAG 6,150.00 LB - ---- - 2, 795.45 KG TOTAL WEIGHT 6,150.00 LB 2,795.45 KG Drivers Name Driver License No. and State Trucking Company Dispatcher Name Phone No. DOT # Verified By