328195 07/25/18 i of_CAgM
z. CITY OF CARMEL, INDIANA VENDOR: 367666
�. ONE CIVIC SQUARE SAGAMORE READY MIX LLC CHECK AMOUNT: $*******429.00*
CARMEL, INDIANA 46032 PO BOX 6457 CHECK NUMBER: 328195
?yiTON r` DEPT 272 CHECK DATE: 07/25/18
INDIANAPOLIS IN 46206
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 564255 429.00 CEMENT
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 367666
SAGAMORE READY MIX LLC IN SUM OF$ 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
$429.00
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
564255 42-362.00 $429.00 1 hereby certify that the attached invoice(s),or 7/16/18 564255 $429.00
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
Monday,July 23,2018
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
SA GA MORE n1
READY M I XNftwoOr
9170 East 131st St - Fishers, IN 46038 REMIT TO: PAGE 1
Phone: (317) 570-6201 Sagamore Ready Mix - Bin 141993
PO Box 1627 Indianapolis, IN 46206-1627
CUSTOMER # 1351
Invoice Date 07-16-2018
Invoice Number 564255
CITY OF CARMEL STREET DEPARTMENT Order Code 37
3400 W 131ST STREET Project Code 2
CARMEL IN 46074 Purchase Order FAOK/CALOK
Job Number
DELIVERY LOCATION PAYMENT TERMS
ADIOS PASS & BENNETT DRIVE DISC 10th TOTAL 15th AFTER DELIVERY MO
Ticket # Usage Product Product Quantity Price Extended
Code Description Amount
------------------------------------------------------------------------------------------------
1067570 HANDCURB C4016 4000 PSI 20% ASH STONE AIR 2.00 cy 134.50 269.00
1067570 400 MINIMUM LOAD CHARGE 1.00 ea 160.00 160.00
CONTACT MARLYS BURRIS AT (317) 570-6226 FOR ANY BILLING QUESTIONS
YOU MAY DEDUCT $7.00 FROM THIS INVOICE IF PAID BY Aug-10-2018.
THIS REFLECTS ANY APPLICABLE TAX ADJUSTMENT ON YOUR CUBIC YARD DISCOUNT.
Total Yards Sub Total Sales Tax INVOICE TOTAL
2.00 $429.00 $.00 $429.00
9170 East 131 st Street
Fishers,IN 46038-3545 AV
(317)570-6200 Dispatch
(888)986-9294 SA,,.:,-(i'AA4QRE , ' .
(317)570-6201 Office READYN
(888)986-9293
(317)570-6271 Fax
DELIVERY TICKET
CAUTION: FRESHLY MIXED CONCRETE,MORTAR OR GROUT MAY CAUSE SKIN INJURY,AVOID CONTACT 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,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 guarantee 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 1067570
111111IIIIIIIIIIIIII Date
07116118
107 7
Plant Order# Customer Number Project P.O.Number Job Name-Number
5 37 1351 2 1 FAOKICALOK
Sold To ADIOS PASS&BENNETT DRIVE
CITY OF CARMEL STREET DEPARTMENT 146TH WEST OF OAK RIDGE S ON ADIOS PASS TO BENNETT
3400 W 131 ST STREET
As representative of the custorRer, 11 authori�e and assume responsibility for the addition of water to this concrete..
Received Bv: I WASHOUT SYSTEM I Time Due
YES NO 10:00 AM
Load No. Slump(+1-1°: Air Content(+1-1.5%) Meter Reading at Plant Meter Reading Upon Arrival Used For Ordered By
1 4.00 6.00 HANDCURB STEVE 503-2319
Quantity Quanitity Quanitity Product Product Descripition Units Unit Price Amount
This Load Ordered Delivered Code
2.00 yd 2.00 yd 2.00 yd C4016 4000 STONE AIR yd
MINIMUM LOAD CHARGE
SUB-TOTAL
SALES TAX
TICKET TOTAL
Truck No. Delivered By Left Plant Time Arrive Time Start Finish Pour Left Job
0632 ROBERT RUMMELL ORDERTOTAL