183729 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: 357193 Page 1 of 1
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0 ONE CIVIC SQUARE BEAVER GRAVEL CHECK AMOUNT: $718.25
CARMEL, INDIANA 46032 16101 RIVER AVENUE
NOBLESVILLE IN 46060 CHECK NUMBER: 183729
CHECK DATE: 3129/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 W09171 G1017485 718.25 SAND
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Invoice G1017485
Beaver Gravel Corporation Date` 3/16/2010
16101 River Ave Page, 1
Noblesville IN 46062 D: e Dated 4/10/2010
(317) 773 -0679 Ext. 0000
Bill To: Ship To:
CITY OF CARMEL WATER DISTRI BUT CITY OF CARMEL WATER DISTRIBUT
3450 w. 131st Street 3450 W. 131st ST., CARMEL
Westfield IN 46074 MIKE WILL SHOW
Purchase Order ,No '7 erson l a ment Terms'.
1712 25 net 30
Order 'T,icket:# "itetii.Numtier`,.. `Descri `tion ti: a nit Price Ext P rice,
1.00 1.00 661811 AGGDELIVERY AGGREGATE DELIVERY CHARGE $91.80 $91.80
21.60 21.60 661811 FS Fill Sand $4.25 $91.80
1.00 1.00 661820 AGGDELIVERY AGGREGATE DELIVERY CHARGE $89,33 $89.33
21.02 21.02 661820 FS Fill Sand $4.25 $89.34
1.00 1.00 661834 AGGDELIVERY AGGREGATE DELIVERY CHARGE $90.31 $90.31
21.25 21.25 661834 FS Fill Sand $4.25 $90.31
1.00 1.00 661838 AGGDELIVERY AGGREGATE DELIVERY CHARGE $87.68 $87.68
20.63 20.63 661838 FS Fill Sand $4.25 $87.68
"Subtotal $718.25
M�sc $0.00
Tax $0.00
Freight ti $0.00
Trade =Discount' $0.00
Total $718.25
VOUCHER 101157 WARRANT ALLOWED
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357193 IN SUM OF
BE-'.':AVER GRAVEL
16101 RIVER AVENUE
NOBLESVILLE, IN 46060
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
(h� G1017485 01- 6200 -06 $718.25
Voucher Tota! $718.25
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 3/22/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/22/2010 G1017485 $718.25
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