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182263 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 357193 Page 1 of 1 ONE CIVIC SQUARE BEAVER GRAVEL CHECK AMOUNT: $368.06 CARMEL, INDIANA 46032 16101 RIVER AVENUE NOBLESVILLE IN 46060 CHECK NUMBER: 182263 CHECK DATE: 2/1712010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 G1015931 368.06 OTHER EXPENSES Invoice'' G1015931 Beaver Gravel Corporation v 1/25/2010 16101 River AveR'age 1 Noblesville IN 46062 e 2/19/2010 (317) 773 -0679 Ext. 0000 Bill To: Ship To: CITY OF CARMEL WATER DISTRIBUT CITY OF CARMEL WATER DISTRIBUT 3450 w. 131st Street 3450 W. 131st ST., CARMEL Westfield IN 46074 -MIKE WILL SHOW �urcMas "e Ordec'No'.: Sales ID" Pa'ment 1712 25 net 30 Ordered- Shi ed Ticket# Itern:Numterx G?escn tion Unit Pnce �xt: Pnce- 1.00 1.00 659912 AGGDELIVERY AGGREGATE DELIVERY CHARGE $90.19 $90.19 21.22 21.22 659912 FS Fill Sand $4.25 $90.19 1.00 1.00 659920 AGGDELIVERY AGGREGATE DELIVERY CHARGE $93.84 $93.84 22.08 22.08 659920 FS Fill Sand $4.25 $93.84 $368.06 Misc $0.00 Tax $0.00 Freight $0.00 T64de'D scount $0.00 $368:06 VOUCHER 094284 WARRANT ALLOWED 35'1193 IN SUM OF BEAVER GRAVEL 16i01 RIVER AVENUE NOBLESVILLE, IN 46060 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code r q 1 k G1015931 01- 6200 -06 $368.06 Voucher Total $368.06 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 357193 BEAVER GRAVEL Purchase Order No. 16101 RIVER AVENUE Terms NOBLESVILLE, IN 46060 Due Date 2/9/2010 I nvoice I nvoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/9/2010 G1015931 $368.06 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 Date Officer