HomeMy WebLinkAbout184696 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 037000 Page 1 of 1
s ONE CIVIC SQUARE CARGILL INC —SALT DIVISION CHECK AMOUNT: $21,585.78
CARMEL, INDIANA 46032 PO BOX 98220
CHICAGO IL 60693 -8220 CHECK NUMBER: 184696
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 R5023990 W10005 279069 --2,135.44 SALT
601 R5023990 W10003 2801136 ,2,131.98 SALT
601 R5023990 W10005 2801137 2,099.17 SALT
601 R5023990 W10005 2801901 ,,2,194.15 SALT
601 R5023990 W10005 2803445 .-2,168.25 SALT
601 RS023990 W10004 2804221 —2,158.75 SALT
601 R5023990 W10005 2804420 /2,172.57 SALT
'.601 R5023990 W10004 2804926 12,157.89 SALT
601 R5023990 W10004 2806889 2,181.20 SALT
601 R5023990 W10003 2808676 2,186.38 SALT
INVOICE
T ERMS: Net 30 Days N4. 2 808676
j INV DATE: od /20/2010 LIST INVOICE NUMBERS
I DUE DATE: 05/20/2010 ON CHECK STUB.
Nail CARGILL, INCORPORATED
P O BOX 98220
!Checks Page: 1 of 1
!Only To: CHICAGO IL 60693 -8220
i
I
!SHIP TO: CARMEL WATER OPERATIONS BILL TO: CARMEL UTILITIES
PLANT 3 3450 W 131 ST STREET
4425 E 126TH ST WESTFIELD IN 46074
CARMEL IN 46032
I
I
!CUSTOMER SERVICE: 800- 377 -1017 Cargill Salt 41
i CUST PO NO. W SALES ORDER NO. TERRITORY SHIP TO BILL TO DATE SHIPPED
IPO R LSE N O, SO '2515621 079 60100567 50008683 4/20/2010
SHIPPED FROM CARRIER FREIGHT TERM SHIPMENT NUMBER
Cincinnati OH RIVER BEND TRANSPORT COMPANY Freight Prepaid 8566170
i
ITEM DESCRIPTION UOM QUANTITY PRICE AMOUNT
i
2069 BULK INDUSTRIAL ROCK TN 25.3200 86.3500 2,186.38
I
I
I
4
I
I
f
I
I
I
I
I
i
I
f
I
t
I
I
i
I
I
I
j l
IMPORTANT: This sale may be subject to discounts, allowances,
for rebates which are not reflected in the prices shown
!This sale of goods is subject to the terms and conditions of sale found at
Ihttp: /www. cargo. llsalt .com /cargillsalt /clause.html.
IA written copy of the terms and conditions of sale may be obtained by contacting
!customer service at 800- 377 -1017 or at the above referenced website.
i
I
;Seller represents that with respect to the production of the goods covered UOM NETI 50 64 0.00 INVOICE 2,186.38
by this invoice, it has fully complied with the provisions of Section 6,7 and WEIGHT AMOUNT
1 2 of the Fair Labor Standards Act of 1938, as amended, and of
regoations and orders of the. United States Department of Labor issued
under Section 14 thereof.
I
I
INVOICE
TERMS: Net 30 Days N0 2806889
INV DATE: 04/16/2010 LIST INVOICE NUMBERS
!Mall CARGILL, INCORPORATED
DUE DATE: 05/16/2010 ON CHECK STUB.
P 0 BOX 98220
!Checks Page: 1 of 1
!Only To: CHICAGO IL 60693 -8220
I
!SHIP TO: CARMEL WATER OPERATIONS BILL TO CARMEL UTILITIES
PLANT 4 3450 W 131 ST STREET
10675 N GRAY RD WESTFIELD IN 46074
CARMEL IN 46032
E
iCUSTOMER SERVICE: 800- 377 -1017 Cargill Salt 41
1 CUST PO NO. W 0 SALES ORDER NO. TERRITORY SHIP TO BILL TO DATE SHIPPED
P O R LSE NO. so 2515626 079 60100569 50008683 4/16/2010
SHIPPED FROM CARRIER
FREIGHT TERM SHIPMENT NUMBER
Cincinnati OH RIVER BEND TRANSPORT COMPANY Freight Prepaid 6566175
i
ITEM DESCRIPTION UOM QUANTITY PRICE AMOUNT
i
!2069 BULK INDUSTRIAL ROCK TN 25.2600 86.3500 2,181.20
I
1
a
I
i
I
1
i
i
I
I
I
I
I
I
r
k
I
I
I
i
I
I
I
i
I
I
I
I
i
I
IMPORTANT: This sale may be subject to discounts, allowances,
!or rebates which are not reflected in the prices shown
!This sale of goods is subject to the terms and conditions of sale found at
lhttp: /www.cargillsalt.com /cargillsalt /clause.html.
!A written copy of the terms and conditions of sale may be obtained by contacting
customer service at 800- 377 -1017 or at the above referenced website.
�I
I
(Seller represents that with respect to the production of the goods covered UOM NETI 50, 520. 0 INVOICE 2,181.20
by this invoice, it has fully complied with the provisions of Section 6,7 and WEIGHT AMOUNT
1 1 12 of the Fair Labor Standards Act of 1938, as amended, and of
regulations and orders of the United States Department of Labor issued
,Linder Section 14 thereof.
1
I
VOUCHER 101455 WARRANT ALLOWED
370 00 IN SUM OF Eq CAR GILL INC -SALT DIVISION
P O BOX 98220
CHICAGO, IL 60693 0 0
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
P
2808676 01- 6180 -03 $2,186.38
Zo
5(o 7 S�
Voucher Total '$2- T8638'
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 Y
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
37000
CARGILL INC -SALT DIVISION Purchase Order No.
P 0 BOX 98220 Terms
CHICAGO, IL 60693 Due Date 4/22/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/22/2010 2808676 $2,186.38
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
t G
Date Officer
I INVOICE
t
/lf TERMS: Net 30 nays NO 2 801136
INV DATE: 09/0./2010 LIST INVOICE NUMBERS
!Mail CARGILL, INCORPORATED
DUE DATE: 05/08/2010 ON CHECK STUB.
P O BOX 98220
!Checks Page: 1 of 1
Only To: CHICAGO IL 60693 8220
I
I
SHIP TO: CARMEL WATER OPERATIONS BILL TO CARMEL UTILITIES
PLANT 3 3450 W 131 ST STREET
4425 E 126TH ST WESTFIELD IN 46074
CARMEL IN 46032
I
CUSTOMER SERVICE: 800 377 -1017 Cargill Salt 41
!CUST PO NO, W SALES ORDER NO. TERRITORY SHIP TO BILL TO DATE SHIPPED
1PO RLSE NO. so 2505005 079 60100567 50008683 4/8/2010
I
I
SHIPPED. FROM CARRIER FREIGHT TERM SHIPMENT NUMBER
!Cincinnati OH RIVER BEND TRANSPORT COMPANY Freight Prepaid 8527641
ITEM DESCRIPTION UOM QUANTITY PRICE AMOUNT
!2069 BULK INDUSTRIAL ROCK TN 24.6900 86.3500 2,131.98
I
I
I
I
I
I
I
I
I
I
I
I
I
r
I
I
I
I
I
I
I
I
I
I
IMPORTANT: This sale may be subject to discounts, allowances,
or rebates which are not reflected in the prices shown
This sale of goods is subject to the terms and conditions of sale found at
http: /www.cargillsalt.com /cargillsalt /clause.html.
!A written copy of the terms and conditions of sale may be obtained by contacting
!customer service at 800- 377 -1017 or at the above referenced website.
I
a
Se11er represents that with respect to the production of the goods covered UOM NETJ 49, 380.00 INVOICE 2 ,131.98
by this invoice, it has fully complied with the provisions of Section 6,7 and WEIGHT AMOUNT
12 of the Fair Labor Standards Act of 1938, as amfmcled, and of
regulations and orders of the United States Department of Labor issued
!under Section 1�4 there6f.
I
�I
INVOICE
TERMS: Net 30 Days NO 2809221
INV DATE: 09/13/2010 LIST INVOICE NUMBERS
05/13/2010
!Mail
CARGI LL, INCORPORATED DUE DATE: ON CHECK STUB.
!Checks P O BOX 98220 Page: 1 of 1
!Only To: CHICAGO IL 60693 -8220
i
I
(SHIP TO: CARMEL WATER OPERATIONS BILL TO: CARMEL UTILITIES
PLANT 4 3450 W 131 ST STREET
10675 N GRAY RD WESTFIELD IN 46074
CARMEL IN 46032
I
I
!CUSTOMER SERVICE: 800 377 -1017 Cargill Salt 41
!GUST PO NO. W10004 SALES ORDER NO. TERRITORY SHIP TO BILL TO DATE SHIPPED
PO RLSE NO. so 2512466 079 60100569 50008683 4/13/2010
SHIPPED FROM CARRIER FREIGHT TERM SHIPMENT NUMBER
!Cincinnati OH RIVER BEND TRANSPORT COMPANY Freight Prepaid 8553953
i
ITEM DESCRIPTION UOM QUANTITY PRICE AMOUNT
i
I
12069 BULK INDUSTRIAL ROCK TN 25.0000 86.3500 2,158.75
I
I
I
I
I
I
I
I
I
I
I
I
i
I
I
I
J
I
I
I
I
I
i
i
I
IMPORTANT: This sale may be subject to discounts, allowances,
or rebates which are not reflected in the prices shown
This sale of goods is subject to the terms and conditions of sale found at
l http: /www.cargillsalt.com /cargillsalt /clause.html.
!A written copy of the terms and conditions of sale may be obtained by contacting
!customer service at 800 377 -1017 or at the above referenced website.
I
;Seiler represents that with respect to the production of the goods covered UOM NET 50,000-00 INVOICE 2,158.75
,by this invoice, it has fully complied with the provisions of Section 6,7 and WEIGHT AMOUNT
12 of the Fair Labor Standards Act of 1938, as amended, and of
!regulations and orders of the United States Department of Labor issued
;under Section 14 thereof.
I
I
I
I
INVOICE
Cal1/f TERMS: Net 30 Days N O 2604926
INV DATE: 04/19/2010 LIST INVOICE NUMBERS
05/14/2010
Mail
CARGTLL, INCORPORATED DUE DATE: ON CHECK STUB.
Checks P O BOX 98220 Page: 1 of 1
Only T0: CHICAGO IL 60693 -8220
I
I
I
(SHIP TO: CARMEL WATER OPERATIONS BILL T O: CARREL UTILITIES
PLANT 4 3450 W 131 ST STREET
10675 N GRAY RD WESTFIELD IN 46074
CARMEL IN 46032
I
CUSTOMER SERVICE: 800- 377 -1017 Cargill Salt 41
I CUST PO NO, W SALES ORDER NO. TERRITORY SHIP TO BILL TO DATE SHIPPED
�PO RLSE NO. so 2512467 079 60100569 50008683 4/14/2010
SHIPPED FROM CARRIER FREIGHT TERM SHIPMENT NUMBER
Cincinnati OH RIVER BEND TRANSPORT COMPANY Freight Prepaid 8553959
ITEM DESCRIPTION UOM QUANTITY PRICE AMOUNT
I
12069 BULK INDUSTRIAL ROCK TN 24.9900 86.3500 2,157.89
I
I
I
I
3
I
I
I
I
f
I
i
l
I
I
I
I
f
I
i
I
I
I
I
I
IMPORTANT: This sale may be subject to discounts, allowances,
for rebates which are not reflected in the prices shown
jThis sale of goods is subject to the terms and conditions of sale found at
I
http: /www.cargillsalt.com /cargillsalt /clause.html.
!A written copy of the terms and conditions of sale may be obtained by contacting
I lcustomer service at 800 377 -1017 or at the above- referenced website.
I
i
Seller represents that with respect to the production of the goods covered UOM NET 49,980.00 INVOICE 2, 15 7.89
by this invoice, it has fully complied with the provisions of Section 6,7 and WEIGHT AMOUNT
12 of the Fair Labor Standards Act of 1938, as amended, and of
,regulations and orders of the United States Department of Labor issued
;under Section 14 thereof.
I
I
INVOICE
Cam /I� TERMS: Net 30 Days NO 2801137
j INV DATE: o4 /os /2olo LIST INVOICE NUMBERS
Mail CARGILL, INCORPORATED
DUE DATE: 05/08/2010 ON CHECK STUB.
!Checks P O BOX 98220 Page: 1 of 1
!Only TO: CHICAGO IL 60693 -8220
I
i
I
SHIP T O: CARMEL WATER OPERATIONS BALL TO: CARMEL UTILITIES
PLANT 5 3450 W 131 ST STREET
5484 E 126TH ST WESTFIELD TN 46074
CARMEL IN 46032
I
CUSTOMER SERVICE: 800- 377 -1017 Cargill Salt 41
�C UST PO NO. W1
SALES ORDER NO. TERRITORY SHIP TO BILL TO DATE SHIPPED
PO RLSE N0. SO 2505007 079 60100568 50008683 4/8/2010
SHIPPED FROM CARRIER FREIGHT TERM SHIPMENT NUMBER
I lCincinnati OH RIVER BEND TRANSPORT COMPANY Freight Prepaid 8527643
I
ITEM DESCRIPTION UOM QUANTITY PRICE AMOUNT
i
12069 BULK INDUSTRIAL ROCK TN 24.3100 86.3500 2,099.17
I
I
I
I
i
I
I
I
I
I
I
I
I
1
I
i
i
I
I
I
I
I
I
I
I
I
IMPORTANT: This sale may be subject to discounts, allowances,
or rebates which are not reflected in the prices shown
!This sale of goods is subject to the terms and conditions of sale found at
http:// www. cargillsalt .com /cargillsalt /clause.html.
A written copy of the terms and conditions of sale may be obtained by contacting
;customer service at 800- 377 -1017 or at the above referenced website.
I
I
0
;Seller represents that with respect to the production of the goods covered UOM NET 48, 620.00 INVOICE 2, 099.17
by this invoice, it has fully complied with the provisions of Section 6,7 and WEIGHT AMOUNT
12 of the Fair Labor Standards Act of 1938, as amended, and of
;regulations and orders of the United States Department of Labor issued
;under Section 14 thereof.
I
I
I
TERMS: Net INVOICE 30 Days IN 2799069
INV DATE: 09/06/2010 LIST INVOICE NUMBERS
!Mall CARGILL, INCORPORATED
DUE DATE: 05/06/2010 ON CHECK STUB.
P 0 BOX 98220
Checks Page: 1 of 1
!Only To: CHICAGO IL 60693 -8220
I
SHIP TO: CARMEL WATER OPERATIONS BILL TO: CARMEL UTILITIES
PLANT 5 3450 W 131 ST STREET
5484 E 126TH ST WESTFIELD IN 46074
CARMEL IN 46032
i
CUSTOMER SERVICE: 800- 377 -1017 Cargill Salt 91
GUST PO NO, W SALES ORDER NO. TERRITORY SHIP TO BILL TO DATE SHIPPED
I I
iPO RLSE NO. so 2505004 079 60100568 50008683 4/6/2010
SHIPPED FROM CARRIER FREIGHT TERM SHIPMENT NUMBER
Cincinnati OH RIVER BEND TRANSPORT COMPANY Freight Prepaid 8527640
I
ITEM DESCRIPTION UOM QUANTITY PRICE AMOUNT
i
I
12069 BULK INDUSTRIAL ROCK TN 24.7300 86.3500 2,135.44
I
I
I
I
I
i
I
I
I
I
i
I
I
I
�I
i
t
I
I
I
i
I
i
I
I
i
I
I
I
i
I
'IMPORTANT: This sale may be subject to discounts, allowances,
for rebates which are not reflected in the prices shown
This sale of goods is subject to the terms and conditions of sale found at
http: /www. cargillsalt .com /cargillsalt /clause.html.
A written copy of the terms and conditions of sale may be obtained by contacting
customer service at 900 -377 -1017 or at the above referenced website.
I
;Seller represents that with respect to the production of the goods covered UOM NET 49, 460.00 INVOICE 2,135.44
by this invoice, it has fully complied with the provisions of Section 6,7 and WEIGHT AMOUNT
12 of the Fair Labor Standards Act of 1938, as amended, and of
(regulations and orders of the United States Department of Labor issued
!,under Section 14 thereof.
1
i
INVOICE
C.�rglAtf TERMS: Net 30 Days NO 2803445
j INV DATE: o4 /1z /zolo LIST INVOICE NUMBERS
(Mail CARGILL, INCORPORATED
DUE DATE: 05/12/2010 ON CHECK STUB.
Checks P O BOX 98220 Page: 1 of 1
Only TO: CHICAGO IL 60693 -8220
i
j
I
I$HIP T O: CARMEL WATER OPERATIONS BILL TO CARMEL UTILITIES
PLANT 5 3450 W 131 ST STREET
5484 E 126TH ST WESTFIELD IN 46074
I
1 CARMEL IN 46032
i
I
I
CUSTOMER SERVICE: 800- 377 -1017 Cargill Salt 91
1 CUST PO NO, W"O" SALES ORDER NO. TERRITORY SHIP TO BILL TO DATE SHIPPED
PO RLSE N0, SO 2512463 079 60100568 50008683 4/12/2010
SHIPPED FROM CARRIER FREIGHT TERM SHIPMENT NUMBER
I i Cincinnati OH RIVER BEND TRANSPORT COMPANY Freight Prepaid 8553948
ITEM DESCRIPTION M QUANTITY PRICE AMOUNT
I
12069 BULK INDUSTRIAL ROCK TN 25.1100 86.3500 2,168.25
I
I
I
i
I
I
I
I
I
I
i
I
i
I
a
I
I
I
I
I
I
i
I
I
i
I
IMPORTANT: This sale may be subject to discounts, allowances,
for rebates which are not reflected in the prices shown
This sale of goods is subject to the terms and conditions of sale found at
lhttp: /www.cargillsalt.com /cargillsalt /clause.html.
IA written copy of the terms and conditions of sale may be obtained by contacting
;customer service at 800- 377 -1017 or at the above referenced website.
I
1 Seller represents that with respect to the production of the goods covered UOM NE 50, 220.00 INVOICE 2, 168.25
by this invoice, it has fully complied with the provisions of Section 6,7 and WEIGHT AMOUNT
12 of the Fair Labor Standards Act of 1938, as amended, and of
iIregulations and orders of the United States Department of Labor issued
,under Section 14 thereof.
I
1
I
I
INVOICE
7/f [lif TERMS: Net 30 Days NO. 2601901
j INV DATE: 04/09/2010 LIST INVOICE NUMBERS
(Mail CARGILL, INCORPORATED
DUE DATE: 05/09/2010 ON CHECK STUB.
;Checks P 0 BOX 98220 Page: 1 of 1
Only TO: CHICAGO IL 60693 -8220
I
I
1SIilP TO CARMEL WATER OPERATIONS BILL. TO, CARMEL UTILITIES
PLANT 5 3450 W 131 ST STREET
5484 E 126TH ST WESTFIELD IN 46074
CARMEL IN 46032
i
!CUSTOMER SERVICE: 800 377 -1017 Cargill Salt 41
1 CUST PO NO. W SALES ORDER NO. TERRITORY SHIP TO BILL TO DATE SHIPPED
0 IRLSE NO. s0 2505008 079 60100568 50008683 4/9/2010
SHIPPED FROM CARRIER FREIGHT TERM SHIPMENT NUMBER
Cincinnati OH RIVER BEND TRANSPORT COMPANY Freight Prepaid 8527697
j ITEM DESCRIPTION UOM QUANTITY PRICE AMOUNT
I
12069 BULK INDUSTRIAL ROCK TN 25.9100 86.3500 2,194.15
I
I
i
I
I
i
I
�I
I
I
I
i
I
I
I
I
1
i
f
I
I
I
I
I
I
I
I
!IMPORTANT: This sale may be subject to discounts, allowances,
for rebates which are not reflected in the prices shown
!This sale of goods is subject to the terms and conditions of sale found at
F
Ehttp: /www.cargillsalt.com /cargillsalt /clause.html.
1A written copy of the terms and conditions of sale may be obtained by contacting
customer service at 800- 377 -1017 or at the above referenced website.
i
I
;Seller represents that with respect to the production of the goods covered UOM NETI 50, 820.00 INVOICE 2, 194.15
by this invoice, it has fully complied with the provisions of Section 8,7 and WEIGHT AMOUNT
12 of the Fair Labor Standards Act of 1938, as amended, and of
]regulations and orders of the United States Department of Labor issued
!under Section 14 thereof.
I
f
i
I INVOICE
�Igrll TERMS: Net 30 Days N0 2809220
I INV DATE: °9/13/2010 LIST INVOICE NUMBERS
1Ma11 CARGILL, INCORPORATED
DUE DATE: 05/13/2010 ON CHECK STUB.
!Checks P O SOX 98220 Page: 1 of 1
!Only To: CHICAGO IL 60693 -8220
i
I
SHIP T O: CARMEL WATER OPERATIONS BILL T O: CARMEL UTILITIES
PLANT 5 3950 W 131 ST STREET
5989 E 126TH ST WESTFIELD IN 96079
CARMEL IN 96032
i
I
I
,CUSTOMER SERVICE: 800- 377 -1017 Cargill Salt 9
I CUST PO NO. W 005 SALES ORDER NO. TERRITORY SHIP TO BILL TO DATE SHIPPED
RLSE NO. SO 2512965 079 60100568 50008683 9/13/2010
SHIPPED FROM CARRIER FREIGHT TERM SHIPMENT NUMBER
Cincinnati OH RIVER BEND TRANSPORT COMPANY Freight Prepaid 8553952
i
ITEM DESCRIPTION UOM QUANTITY PRICE AMOUNT
i
12069 BULK INDUSTRIAL ROCK TN 25.1600 86.3500 2,172.57
I
I
I
i
I
I
I
I
i
I
i
I
1
I
I
I
I
I
i
1
I
i
f
t
I
I
I
I
I
I
IMPORTANT: This sale may be subject to discounts, allowances,
or rebates which are not reflected in the prices shown
!This sale of goods is subject to the terms and conditions of sale found at
Ihttp /www.cargillsalt.com /cargillsalt /clause.html.
A written copy of the terms and conditions of sale may be obtained by contacting
customer service at 800 377 -1017 or at the above referenced website.
I
;Seiler represents that with respect to the production of the goods covered UOM NETI 50, 320.00 INVOICE 2,172.57
by this invoice, it has fully complied with the provisions of Section 6,7 and WEIGHT AMOUNT
12 of the Fair Labor Standards Act of 1938, as amended, and of
,regulations and orders of the United States Department of Labor issued
!under Section 14 thereof.
i
I
VOUCHER 101412 WARRANT ALLOWED
37000 IN SUM OF
CPARGILL INC -SALT DIVISION_
P O BOX 98220
CHICAGO, IL 60693 5 t
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
i
PO INV ACCT AMOUNT Audit Trail Code
2801136 01- 6180 -03 $2,131.98
;�'L 57 j
0 l ?,°7 X11+ �1,C3 C�9�t =1-7
��-y s ct fat o t ��.z J
1 1
Voucher Total
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
37000
CARGILL INC -SALT DIVISION Purchase Order No.
P O BOX 98220 Terms
CHICAGO, IL 60693 Due Date 4/20/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/20/2010 2801136 $2,131.98
t
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