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190739 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 00350164 Page 'I of 'I 1 ONE CIVIC SQUARE F E HARDING ASPHALT CO, INC CHECK AMOUNT: $2,812.55 CARMEL, INDIANA 46032 10151 HAGUE ROAD INDIANAPOLIS IN 46256 CHECK NUMBER: 190739 CHECK DATE: 10/13/2010 DEPARTMENT ACCOUNT PO NUM INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236300 2,812.55 BITUMINOUS MATERIALS 1 0151 Hague Road DATE: 0 a I� 1 Indianapolis, Indiana 46256 TM rr, (317) 849 -9666 S C)l C E 102011 www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE (317)733 -2001 Tax Juris: 0001 INDIANA 1 Ord Date Shp Date Ship Via Sub Acct Cust Ord Slsman Clk Terms CZP.q 91 09/27/1 09/27210 0 00 NET 15TH P 0101 Item Ordered, Shipped D e s c i p t i o n Unit Prc Ext. INVOICE INVOICE INVOICE INVOICE 1256797 4 i I 12S 3.01 3.01 12 SURFACE 60.72 182.77 TN P Q- 21 t I I Sales Tax Freight Misc CD- Deposit Cash -C-D .-TOTAL 182.77 182.77 A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS. INC. (3171915-5000 1- 8.5 -27 FORM NO BIN 025SF p j`!✓ 10151 Hague Road DATE: 09/01/10 v tJ' Indianapolis, Indiana 46256 (317) 849 -9666 INVOTCE: 101726 www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE 317)733 -2001 Tax Juris: 0001 INDIANA 1 Ord Date Shp- -Date Ship Via__, Sub-Acct Cust Ord Slsman Cik Terms CCpPq Item Ordered Shiooed D e s c r i p t i o n Unit Prc Ext. INVOICE INVOICE INVOICE INVOICE 255'759 12S 1.03 1.03 1 12 SURFACE 60.72) 62.54 TN P j Sales -Tax Frei ah Misc CD Deposit Cash CD TOTAL 62.5 62.54 a A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151_HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915.5000 1- 8.5.27 FORM NO- BIN 025SF 10151 Hague Road DATE: 09/02/10 I I J I Indiana olis, Indiana 46256 TM f r r; (317) 849- 9666 N-V-01 GE f�j,�fl�r�11 www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE (317)733 Tax uric: 0001 INDIANA 1 St Ord Date Shp Date -Ship Via Sub Acct Cust'Ord_ S lsmaa Cl Terms pPa 91 8 9 0 2 J 1 G G9 F G 2 l G C 7'��Z tom xf�^c x Item I Orderedt Shipped D e -s c r i p t i o n Unit -Pre Ext. INVOICE INVOICE' INVOICE INVOICE 2558946 I 12S .56 .56 12 SURFACE 60.72 34.00 TN P I I t t Sales Tax Freight Msc CD Del2osit Gash CD TOTAL 34.00 34.00 Z=tm� A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF 10151 Hague Road DATE 09/07/10 Indianapolis, Indiana 46256 68 TM I I (317) 849 -9666 INVOICE 101782 G'Tjy11 iCco ,11 -1rc www.hardingasphalt.com NVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE 317)733 2001 Tax Juris: 0001 INDIANA 1 ,St. Ord Date Shp Date Ship Via Sub Acct Cust Ord Slsman Clk Terms Cpl n 0° X07110 09/x; 0 Or 00 NET 15TH P 0301 Item Ordered Shipped D e s c r i p t i o n Unit Prc Ext. INVOICE INVOICE INVOICE INVOICE 256002 12S 2.00 2.00 12 SURFACE 60.72. 121.44 TN i P ti 6 �g I ,I I I I i i i Sales Tax Freight Misc CD Deposit Cash CD TOTAL 121.44 121.44 A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF r s F /°3 10151 Hague Road DATE 09/08/10 Indiana p olis, Indiana 46256 TM Y r• (317) 849 -9666 INVOICE: 101796 www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE 317)733-2001 Tax Juris: 0001 INDIANA 1 S Ord Date Shp Date Ship Via; Sub Acct., Cust Ord tSlsman Clk Terms C P-U 1. o 00/08/j 1 Item Ordered Shigged D e s c r i p t i c:n Unit Pre Ext INVOICE I INVOICE( INVOICE INVOICE I 256123,099,076 12S 1 4.53 4.53 12 SURFACE 60.72 275.06 TN P I E, I I I I i I 1 i I Sales Tax Fr eight -Msc CD- _._Deposit Cash -C -D TOTAL 275.06 I; 275.06 A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5.27 FORM NO. BIN 025SF 5 10151 Hague Road DATE: d 0 10 d J n I �1 Indianapolis, Indiana 46256 (317 849 -9666 I- N- V -0ZcF-_ www- hardingasphalt.com INVOICE HILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE 317)733-2001 Tax Juris: 0001 INDIANA 1 St Qrd Date Shp Date Ship Via Sub Acct_ Cust Ord Slsman Clk Terms CpPq Item Ordered Shipped D e s c r i p t i o n, Unit Prc Ext. INVOICE I INVOICE; INVOICE INVOICE 1256153 12S 3.00 3.00 ,12 SURFACE 60.72 182.16 TN i P 1 I 1( i I i I E I Ift 1 I Sales Tax Freight Misc CD Deposit Cash CD -TOTAL 182.16 182.16 A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5.27 FORM NO. BIN 025SF 4 h A I^ 10151 Hague Road DATE: 09/10/10 I� L✓ Indianapolis, Indiana 46256 TM f •i r (317) 849 -9666 TNIVIDICE 1 0 1 8 �4 www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE 317)733-20 1 01 Tax Juris: 0001 INDIANA 1 -,$t- Ord Date Shp Date Ship Via Sub Acct,:: Cult- Ord t Sl sman Clk Terms CpP 01 09110/jo a i 0 An NET I 1 1TH P OW Item ordered,.- Shipped D- e s c r i p. t i o n Unit Prc_- Ext INVOICE INVOICE INVOICE INVOICE 1 2562 -20 12S 2.50 2.50 12 °SURFACE 60.72 151.80 TN P i I d I 1 i I i I I r 'I I I I j i Sales Tax Freight. Misc -CD Deposit Cash CD TOTAL 151.80 151.80 s A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915.5000 1- 8.5 -27 FORM NO. BIN 025SF CS P 10151 Hague Road DATE 0 9/13/10 I�", J:�1`:� Indianapolis, Indiana 46256 I Q1 R52 TM r (317) 849 -9666 www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE (317)733-2001 Tax Juris: 1 INDIANA 1 St Ord Date Date Ship Via Sub Acct' Cust Ord Slsman Terms- CpPa Item 4 Orderedi Shipped D e s c r i p t i o n, Un -it Prc. Ext. INVOICE INVOICES INVOICE INVOICE 256271 12S j .54 .54 i12 SURFACE 60.72; 32.79 TN fi P i s i I t Sales Tax Freight Misc CD Deposit Cash CD TOTAL 32.79 32.79 A FINANCE CHARGE OF 1 V2 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS -OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (3W) 915 -5000 1- 8.5.27 FORM NO, BIN 025SF r•., 10151 Hague Road DATE: 09/14/10 Indianapolis, Indiana 46256 TM r (317) 849 -9666 www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE 317)733-20 01 Tax Juris: 0001 INDIANA 1 -St-,- Ord Date bhp" -Date =Ship via S -ub Acct Cust "Ord #j S.lsman C k Terms X 01; n� h n N Ordered 1 Sh-ioned .D e s c r i p, t i .o n Unit -.Prc Ext INVOICE INVOICE INVOICE INVOICE 256332 12S 1.48 1.48 12 SURFACE 60.72 89.87 TN P I I i Sales Tax Freight Misc- CD Deposit- Cash CD TOTAL 89.87 89.87 A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASFR BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF 10151 Hague Road DATE: 09 /15/10 Indianapolis, Indiana 46256 TM r (317) 849 -9666 i"vi lild .'o :r,gf www. hard ingasphall -com INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE 317)733-2001 Tax Juris: 0001 INDIANA 1 t Ord Date Shy Da -te ShiD Via- Sub Acct:,- Cust_Ord. Slsman C1k, Terms CpPg 9I 99/15/ 101 9 1 5l10 fl 0n N7 15TH P 0301 Item V Ordered -Shipped D e s c r i- p t i o .n Unit Prc Ext INVOICE INVOICE INVOICE INVOICE 256397,256186 12S 3.01 3.01 12 SURFACE 60.72 182.77 TN P I V 1 i i 3 l I Sales -Tax Freight= Misc CD Deposit- Cash CD TOTAL 182.77 182.77 A FINANCE CHARGE OF 112 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF DATE: 09/16/10 Hague Road India (w o Indianapolis, Indiana 46256 101898 V (317) 849-9666 INVOICE II 11fl it, www.hardingasphalt.com J SHIP TO: 000 BILE CAR210 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE 317 733 -2001 Tax Juris: 0001 INDIANA 1 Cust Ord Slsman Terms Date Shp Date p Via Sub Acct NE 15TH P 0301 Ord nit Frc Ext Item rderedi, hi ed D INVOICE 1 t i o n INVOICE INVOICE INVOICE 256457,256442 60.72 186.41 12S 3.07 3.07 12 SURFACE P TN i 1 I G U I I i -De osit ash D T TAL ales -Tax Fred ht Misc D 186.41 IL 186.41 A FINANCE CHARGE OF V/2 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMIT TO: �NDIANAPOLIS,IINDIANA 46256 FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INC. TO ENFORCE THE TERMS OF COLLECTION. LA LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF I I I Sales Tax Freight Misc CD Deposit Cash CD TOTAL 31.57 31.57 A FINANCE CHARGE OF 1'/2 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM N0. BIN 025SF 0 10151 Hague Road DATE: 09/24/1 Indianapolis, Indiana 46256 TM' (317) 849 -9666 t]p 1 A ��tp'h lcut))..,lUo www.hardingasphaIt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE (317)733 Tax Tiiric;- 0001 INDIANA St Ord Date Shp Date Ship Via Sub Acct Cust Ord Slsman Clk Terms CCpP2 NE Item Orderedi Shipped D e s c r i p t i o n Unit Prc Ext. INVOICE INVOICE INVOICE INVOICE 1256751 j 12S 2.99 1 2.99 i12 SURFACE 60.72 181.55 TN PI i ti i Sales Tax Freight Misc CD Deposit Cash CD TOTAL 181.55 181.55 A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC- TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF r 10151 Hague Road DATE: 09/30/10 Indianapolis, Indiana 46256 (317) 849 -9666 TNVOTCF, 102058 www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE (3 17)733-2001 Tax Juris: 0001 INDIANA 1 St Ord Date Shp Date Ship Via Sub Acct. Cust Ord Slsman ..Clk.. Terms C Item Ordered Shipped D e s c r i t i o n Unit Prc Ext. INVOICE INVOICE INVOICE IINVOICE 256942 12S .49 .49 12 SURFACE 60.72 29.75 TN P I f I Sales Tax Freight Misc CD Deposit Cash CD TOTAL 29.75 29.75 A FINANCE CHARGE OF 1 1 /2% PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS. INC. (317) 915.5000 1- 8.5 -27 FORM NO. BIN 025SF 10151 Hague Road DATE: 09/29/10 Indianapolis, Indiana 46256 p 0 TM rye (317) 849 -9666 /r1�;,Or�1 www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE 317)733-2001 Tax ,7uris: 0001 INDIANA 1 -St, Ord Date Shp-Date Shi "p -Via -Sub Acct Cust- Ord-- Slsman: Cl:k Terms CpPg It"em Ordered Shiooed D e. s c r i p -t i o n Unit- P.rc Ext INVOICE j INVOICE INVOICE INVOICE 256887 125 3.05 3.05 12- SURFACE 60.72; 185.20 TN i P j I i I I Sal es Tax freight Misc CD Deposit Cash CD TOTAL 185.20 185.20 o A FINANCE CHARGE OF 1' /2 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF P r I n� 10151 Hague Road DATE: 09/28/10 I� v !I IJ J I�" I Indianapolis, Indiana 46256 TM r-� (317) 849 -9666 -\7- /ATgArd��l C;o 11f in. www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE (3 17)733-2001 Tax Juris: 0001 INDIANA 1 St Ord Date Shp Date Ship Via Sub Acct Cust Ord -A Slsman Clk Terms CD 01 09/28,'10 09/28/10 0 00 NET 15TP P 0101 Item Ordered, Shipped D e s c r i p t i o n Unit Prc Ext. INVOICE INVOICE INVOICE INVOICE ;256864,840 i 12S 5.00 5.00 12 SURFACE 60 .72 303.60 TN P i i I G� QS i I Sales Tax Freight Misc CD Deposit Cash CD TOTAL 303.60 303.60 A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF VOUCHER NO. WARRANT NO. F. E. Harding Asphalt ALLOWED 20 IN SUM OF wi 10151 Hague Road Indianap9lis, IN 46256 $2,812.55 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 42- 363.00 $2,812.55 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 Thu �sdayOQctober 07, 2010 Street Commissioner ry JLICCL 1. Mmn, -pner Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 241 (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)) 10/01/10 $2,812.55 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 AM,