334459 01/18/19 CITY OF CARMEL, INDIANA VENDOR: 364105
j ONE CIVIC SQUARE C&C SUPPLY, LLC CHECK AMOUNT: $*******703.25*
CARMEL, INDIANA 46032 4398 SELLERS STREET CHECK NUMBER: 334459
INDIANAPOLIS IN 46226 CHECK DATE: 01/18/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 IVC0147042 703.25 OTHER'EXPENSES
VOUCHER NO. 183733 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 364105 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
C&C SUPPLY LLC CITY OF CARMEL
4398 SELLERS STREET An invoice or bill to be properly itemized must show: kind of service,where performed,
INDIANAPOLIS, IN 46226 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
703.25 364105 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR C&C SUPPLY LLC Terms
Carmel Water Utility 4398 SELLERS STREET Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s),
INDIANAPOLIS,.IN 46226
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
IVC0147042 01-6200-04 $703.25 and received except 12/30/2018 IVC0147042 $703.25
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited
same in accordance with IC 5-11-10-1.6
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20
Clerk-Treasurer
'Irivoiee .'`: 11%C0147042
39$ pp�Y�LLC 3ate� . 10/22/2018
Sellrrrs.Street -
lndiahapolls IN 46226 ' s UPPL
Cc
Telephbne (317j 377-1227
Fax (317)377-1228 concrete&contractor Supply
Bill To: Ship To:
City of Carmel Street Dept City of Carmel Street Dept
3400 W.:131st ST 4915 E. 106TH STREET
VNestfield IN 46074'
INDIANAPOLIS IN 46280
Ptfr �tiasepuier.Na: .; Ustomer.lD..,,, }-..Salts rsarilEl
JM091078 GITY,OFCARMEL 10/22/2078
O�dgred . Sh eel_ .BLO ..itierti NutnE er � �t s ri7—
otf 7 " 151Ai
15 15 0 ZZNI POLYCAST DG0641 GRATE
$0.00 $36.60 $547.50
1� 15, 0 ZZNI. POLYCAST DA0642BH LOCKDOWN $0 00 $4:55 $68.25
6, 6 0 ZZNI SEYMOUR PAINT TRUCK LINER $0:00 $6.25 $37.50
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Hubbell Lenoir City, Inc.
HUBBELL 210 North Allen Street PACKING LIST 816452019
Centralia, MO 65240
SHIPMENT NO. 50817975 Page 1 of 1
DOCUMENT INFO:
SOLD TO: 289881 ( SHIP TO: 1148901 Document/Date: 816452019 09/17/2018
C&C SUPPLY LLC CITY OF CARMEL—W4�DEPT Order N mber/Date: 115108188 09/17/2018
4398 SELLERS ST �� ATTN JOHN � PO#: 37666 09/17/2018
INDIANAPOLIS IN 46228 4918 E 106TH STREET f`f
INDIANAPOLIS IN 46280 1
IIIIII IIIII IIIII II�1)III�I IIIII III�I III'I I�III�II�I III�I III IIII
BILL TO: 289881
C&C SUPPLY LLC Route: ZIN 130
4398 SELLERS ST SHIPPING INFO:
INDIANAPOLIS IN 46228 Delivery Iterms Shipping and Handling
Point of Delivery ORIGIN
Shipping Point: HLC Lenoir City
2911 Industrial Park Dr.
LENOIR CITY TN 37771
Received : - 2-06-75 P1 one
IV
Date : �� �g F
S yn �-I (14 I er USF HOLLAND LTL
! PO # : L/Tracking# 816452019/
Special Markings/Instructions:
I A C C T # : Goss eight 253.305
Shipping: Use :
Packing:
Markings: L
Item Material Number Description/Additional Information Brand Qty Ord Qty Backord Qty Shipped UM Received Cartons
1 DG0641U GRATE Cl 241N SLOTTED POLY 15 0 15 EA
2 DA0642BH LOCKING DEVICRI FOR Cl GRATE/FR POLY 15 0 15 EA
Consisting of
21 C080055 BOLT ZP 3/8. X 3.50 HEX FT POLY 15 1 0 15 EA
22 C080225 WASHER ZP 3/8 D X 1.000 OD FL POLY 15 0 15 EA
23 C081140 LOCKING BAR Z 3/8-16 X 4.75 POLY 15 1 0 15 EA
1 i
2<-Line Total: Totals:k30
I