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193087 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 00350164 Page 1 of 1 0 ONE CIVIC SQUARE F E HARDING ASPHALT CO, INC CHECK AMOUNT: $428.03 y ,?a CARMEL. INDIANA 46032 10151 HAGUE ROAD INDIANAPOLIS IN 46256 CHECK NUMBER: 193087 CHECK DATE: 12122/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 102547 428.03 OTHER EXPENSES STATEMENT F f TM (r f 5145 East 961h Street Indianapolis, Indiana 46240 (317) 849 -9666 www.hardingasphalt.com ACCOUNT NO. CARMEL STREET DEPARTMENT CAR210 3400 W. 131ST ST. STATEMENT DATE CARMEL, IN 46074 11 /30/10 DATE REFERENCE CHARGES CREDITS BALANCE 11/15/10 102529 122.65 2878.70 11/16/10 102537 65.58 2944.28 11/17/10 102538 121.44 3065.72 11/18/10 102547 428.03 3493.75 11/19/10 102555 430.50 3924.25 11/23/10 102573 33.40 3957.65 11/29/10 102583 32.79 3990.44 11/30/10 102592 33.40 4023.84 11/30/10 CURRENT FIN CHRG 27.82 4051.66 I 0 -30 DAYS 31 -60 DAYS 61 -90 DAYS OVER ACCUM. BALANCE 90 DAYS FINANCE CHG. DUE 2169.49 1854.35 .00 00' 27.82 9051.66 YOUR ACCOUNT IS PAST DUE, PLEASE REMIT ANALYSIS OF BALANCE DUE FINANCE CHARGE OF 1 1 12% PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% 'ILL BE INCURRED ON ALL PAST DUE AMOUNTS. 3 BUSINESS FORMS INC. (317) 915 -5000 5 lA7 EMEN I S lA PLEASE RETURN THIS STUB WITH YOUR REMITTANCE TO: 16 ,I J F.E. Harding Asphalt Co., Inc. TM r• f 10151 Hague Road ��SJ,� flirl�f ifJ.l�Ill� Indianapolis IN 46256 5145 East 96th Street Indianapolis, Indiana 46240 (317) 849 -9666 www.har(iingasphalt.com ACCOUNT NO. CARMEL STREET DEPARTMENT CAR210 CARMEL STREET DEPAR'TMEN'7 STATEMENT DATE ACCOUNT NO. STATEMENT DATE 3400 W. 131ST ST. CARMEL, IN 46074 11/30/10 CAR210 11/30/!0 DATE REFERENCE CHARGES CREDITS BALANCE REFERENCE AMOUNT 10 /01 /10 102075 17.57 17.57 102075 17.57 10/04/10 102090 33.40 50.97 102090 33.40 10/05/10 102102 31.57 82.54 102102 31.57 10/06/10 102118 183.37 265.91 102118 183.37 10/01/10 102137 32.18 298.09 102137 32.18 10/08/10 102146 182.16 480.25 102146 182.16 10/11/10 102157 30.97 511.22 102157 30.97 10/12/10 102174 122.05 633.27 102174 122.05 10 /13/10 102185 182.16 815.43 102185 182.16 10/14/10 102221 30.36 845.79 102221 30.36 10/15/10 102232 30.97 876.76 102232 30.97 10/18/10 102247 63.76 940.52 102247 63.76 10 /19/10 102257 182.16 1122.68 102257 182.'.6 10/21/10 102325 61.33 1184.01 102325 61.33 10/22/10 102337 182.16 1366.17 102337 182.16; 10/25/10 102347 214.95 1581.12 102347 214.95 10/27/10 102357 60.11 1641.23 102351 60.11 10/28/10 102369 181.,55 1622.78 102369 181.55 10129110 102389 31.57. 1854.35 102389 31.57 11/01/10 102398 126.30 1980.65 102398 126.30 11/03/10 102414 63.76 2044.41 102414 63.76 11/04/10 102424 61.33 2105.74 1.02424 61.33 11/05/10 102432 30.97 2136.71 102432 30.97 11/08/10 1 024 74 93.51 2230.22 102474 93.51 11/09/10 102482 218.59 2448.81 102482 218.59 11/10/10 102495 216.1.6 2664.97 102495 216.16 11/12/10 102521 91.08 2756.05 1.02521 91.08 0 -30 DAYS 31 60 DAYS 61.90 DAYS OVER RCCUM. BALANCE 90 DAYS FINANCE CHG. DUE CONT BALANCE CONT DUE CHECK ITEMS BEING PAID ANALYSIS OF BALANCE DUE A FINANCE CHARGE OF 1$z% PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18 WILL BE INCURRED ON ALL PAST DUE AMOUNTS, LASER BUSINESS FORMS INC. (317) 915.5000 7\ 10151 Hague Road DATE: 11/18/1 Indianapolis, Indiana 46256 TM r(; '317)849 9666 �g, www.hardingasphalt.com t 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 St Ord Date Shp Date Ship Via Sub Acct Cust Or-d- f S-lsman Clk Terms__ CpP( 1 Item Ordered Shiuued D e s c r i p t i- .o.n..a Unit Prc Ext. INVOICE INVOICEI INVOICE INVOICE 258959 8BDR 4 4.99 4.99 8 BINDER 49.03 244.66 TN p 1258989,957 12S 3.02 3.02 X12 SURFACE i 60.72; 183.37 TN I P I S ales Tax Freig Mi c CD Deposit C D T TAL 428.03 428.03 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 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 I- 8.5 -27 FORM NO BIN 025SF VOUCHER 103624 WARRANT ALLOWED 350164 IN SUM OF F.E. Harding Asphalt Co. 10151 Hague Road WATrR Indianapolis, IN 46256 OPFRA ©NS Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 102547 01- 6200 -06 $428.03 Voucher Total $428.03 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 350164 F.E. Harding Asphalt Co. Purchase Order No. 10151 Hague Road Terms Indianapolis, IN 46256 Due Date 12/14/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/14/201( 102547 $428.03 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- 1 -1.6 Date Officer