183200 03/16/2010 ,a 1f CITY OF CARMEL, INDIANA VENDOR: 357193 Page 1 of 1
ONE CIVIC SQUARE BEAVER GRAVEL
CHECK AMOUNT: $367.88
CARMEL, INDIANA 46032 16101 RIVER AVENUE
NOBLESVILLE IN 46060 CHECK NUMBER: 183200
CHECK DATE: 3116/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 W09150 G1016722 367.88 SAND
I
Invoice a En. G1016722
Beaver'Grave! Corporation Date 3/1/2010
16101 River Ave Page 1
Noblesville IN 46062 Due 3/26/2010
(317) 773 -0675 Ext. 0000
Bill To: Ship To:
CITY OF CARMEL WATER DISTRIBUT CITY OF CARMEL WATER DISTRIBUT
3450 w. 131 st Street 3450 W. 131 st ST., CARMEL
Westfield IN 46074 MIKE WILL SHOW
n "ase.0, deePla. 'mules srso� °ID Fa •iner�L e� �ns��_ s,='
1712 25 net 30
Ordered• Ship ed` .a Ticket;# .�,?ltem Number,, <)escritio'n �.'UnitP.rice Ext:Price
1.00 1.00 660941 AGGDELIVERY AGGREGATE DELIVERY CHARGE $91.76 $91.76
21.59 21.59 660941 FS Fill Sand $4.25 $91.76
1.00 1.00 660943 AGGDELIVERY AGGREGATE DELIVERY CHARGE $92.18 $92.18
21.69 21.69 660943 FS Fill Sand $4.25 $92.18
Subtotal's $367.88
IVlisc $0.00
Tax' $0.00
Freight $0.00
Trade,Discount; $0.00
$367.88
Prescribed by State Board of Accounts
Form No. 301 (Rev. 1935) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
F"
I hereby certify that the attached invoice(s), or 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
Mo. Day Yr. Signature Title
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.
Mo. Day Yr. Officer Title
Voucher No. W arrant''No.
t i ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DE PO ACCT.
rro.
5� 1 R 3 CARMEL, INDIANA
Favor Of L(f ti
c r G c cl-eA C��Ipo_
Total Amount of Voucher
Deductions
I1bl�
rA
Amount of Warrant j .1'1
Month of Yr
Acct.
VOUCHER RECORD No.
Source of Suppl
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation- Maintenance
Utility Plant in Service
Constr. Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
ROYCE FORMS SYSTEMS 1- 800- 382 -8702 325