188871 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 00352765 Page 1 of 1
ONE CIVIC SQUARE IRVING MATERIALS INC
1 0� CHECK AMOUNT: $801.56
CARMEL, INDIANA 46032 PO BOX 2303 DEPT 122
INDIANAPOLIS IN 46206 -2303 CHECK NUMBER: 188871
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4238900 21158406 801.56 OTHER MAINT SUPPLIES
RO. Box 2303, Dept. 122
i mi Indianapolis, IN 46206 -2303
Phone: (317 326 -3101 Invoice
Irving Materials, Inc. Fax: (317) 326 -3105
Bill To BROOKSHIRE GOLF -CITY OF CA Customer Account No. 14499
12120 BROOKSH IRE PARKWAY Order No. 68001
CARMEL IN 46032 Invoice Date 07/29/2010
Invoice No. 21158406
Terms .30 TN
Job Number Usage 'Project No. /Name4�
P.O. Number IDelivery Address CARMEL
Quantity iJOM f Description Price total 'Price
68 20.50 to M -3 GOLF, 60a SAND, 20% PEA 27.00 553.50
68 20.50 to Haul Charge 11.85 242.93
68 20.50 to ENVIRONMENTAL FEE .25 5.13
*68065538
fi0
r
Sub totals 80 5 6
6.15 08/10/10 Tax
Discount If Paid By Invoice''t6ia1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Irving Materials, Inc.
IN SUM OF
P.Q. Box 2303, Dept. 122
Indianapolis, IN 46206 -2303
$801.56
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO #1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1207 21158406 42- 389.00 $801.56 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
Wednesday, August 04, 2010
Y n n'Z 4
Director, Brookshft6 Golf Club
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))
07/29/10 21158406 Sand $801.56
1 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