327359 07/10/18 y�r,C�qy
�/ �� CITY OF CARMEL, INDIANA VENDOR: 358786
ONE CIVIC SQUARE BOTTAMILLER LLC CHECK AMOUNT: S"*"*"1,650.00"
s� _� CARMEL, INDIANA 46032 9800 N GRAY ROAD CHECK NUMBER: 327359
9;ETON�.� INDIANAPOLIS IN 46280 CHECK DATE: 07/10/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 9676 1,650.00 OTHER EXPENSES
VOUCHER NO. 181997 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 358786 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
BOTTAMILLER CITY OF CARMEL
9800 GRAY RD An invoice or bill to be properly itemized must show: kind of service,where performed,
INDIANAPOLIS, IN 46280 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
$1,650.00 358786 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR BOTTAMILLER Terms
Carmel-Water Utility 9800 GRAY RD Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), INDIANAPOLIS,IN 46280
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
9676 01-6200-06 $1,650.00 and received except 7/3/2018 9676 $1,650.00
I
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
Bottamiller LLC INVOICE
9800 N. Gray Road
Indianapolis, IN 46280 DATE INVOICE#
317-844-8800 6/25/18 9676
317-844-8834 Fax
BILL TO DELIVERED
CITY OF CARMEL UTILITIES PICKED UP WTIH THEIR
3450 WEST 131ST STREET TRUCKS
CARMEL, IN 46074 PER MIKE
P.O. NO. TERMS DUE DATE SHIP DATE SHIP VIA ORDERED BY
NET 15 DAYS 7/10/18 6/25/18 THEIR TR... MIKE
QTY ITEM DESCRIPTION RATE AMOUNT
24 PTS PULVERIZED TOPSOIL - 24 YDS 25.00 600.00
TRUCK#70
24 PTS PULVERIZED TOPSOIL - 24 YDS 25.00 600.00
TRUCK#72
18 PTS PULVERIZED TOPSOIL - 18 YDS 25.00 450.00
TRUCK# 145
PRICES SUBJECT TO CHANGE WITHOUT NOTICE
Total $1,650.00
*Unpaid balance subject to a late charge of 1 1/2% per month
on the outstanding balance.