184164 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 00351018 Page 1 of 1
ONE CIVIC SQUARE ASPHALT MATERIALS INC
CHECK AMOUNT: $218.88
CARMEL, INDIANA 46032 PO BOX 635474
CINCINNATI OH 45263 -5474 CHECK NUMBER: 184164
CHECK DATE: 4/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236300 40476390 218.88 BITUMINOUS MATERIALS
d il l, INVOICE
ASPHALT MATERIALS, INC. Invoice: 40476390
INDIANAPOLIS, INDIANA Invoice Date: 3/31/2010 12:00:OOAM
Customer PO
Invoice Total 218.88
CITY OF CARMEL
ONE CIVIC SQUARE
CARMEL IN 46032
Plant
S Location: INDIANAPOLIS, INDIANA For billinq Questions call: 317 -228 -8211 Page 1 o 1
P i..
^L�'it`.` .,fir ,7 v -b r1�Ct t Sao 1en•. ,,,k. k„w i�r• �1�:Y �'9a: r
3130/20101 738005 AE -T 0.48 1 TN w 456.0000 218.88
Material: 218.88
Freight:
Tax: 0.00
Total: 218.88
VOUCHER NO. WARRANT NO.
ALLOWED 20
Asphalt Materials, Inc.
IN SUM OF
P. O. Box 635474
Cincinnati, OH 45263 -5474
$218.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# I Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 40476390 42- 363.00 $218.88 1 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
on April 12, 2010
E
Street Commi si ner
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/31/10 40476390 $218.88
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
Clerk- Treasurer