187896 07/21/2010 ±tiF CITY OF CARMEL, INDIANA VENDOR: 00352765 Page 1 of 1
Q �k ONE CIVIC SQUARE IRVING MATERIALS INC
CARMEL, INDIANA 46032 PO BOX 2303 DEPT 122 CHECK AMOUNT: $228.38
•i o X .�a INDIANAPOLIS IN 46206 -2303 CHECK NUMBER: 187896
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 21151622 228.38 MATERIALS SUPPLIES
O 0 PO. Box 2303, Dept. 122
Indianapolis, IN 48206 -2303
Phone: (317) 326 -3101 lllmwoflm
Irving Materials, Inc. Fax: (317) 326 -3105
Bill To CARMEL SEWER DEPT Customer Account No. 17956
760 3RD AVE Order No. 61024
CARMEL IN 46032 Invoice Date 07/08/2010
Invoice No. 21151622
Terms .30 TN
Job Number Usage Project No. /Name
P.O. Number IDelivery Address SHOP
Pit. Quantity UOM Description Price Total Price
61 14.50 to ##8 COMMERCIAL STONE 15.50 224.75
61 14.50 to ENVIRONMENTAL FEE .25 3.63
*61413539
Sub totals 228.38
4.35 08/10/10 Tax
Discount If Paid By Invoice Total
VOUCHER 105840-° WARRANT ALLOWED
352765 IN SUM OF
IRVING MATERIALS INC (IMI)
P.O. Box 66598
Indianapolis, IN 46266
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO I NV ACCT AMOUNT Audit Trail Code
21151622 01- 7200 -02 $228.38
Voucher Total $228.38
istribution ledger classification if
ender 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
352765
IRVING MATERIALS INC (IMI) Purchase Order No.
P.Q. Box 66598 Terms
Indianapolis, IN 46266 Due Date 7/15/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/15/2010 21151622 $228.38
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
/re, f A As-
a,"
Date Officer