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193164 12/22/2010
CITY OF CARMEL, INDIANA VENDOR: 195575 Page 1 of 1 0 tiE ONE CIVIC SQUARE MARTIN MARIETTA AGGREGATES CARMEL, INDIANA 46032 PO BOX 93186 CHECK AMOUNT: $134.75 CHIGAGOIL 60673 -3186 CHECK NUMBER: 193164 CHECK DATE: 12/22/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 R4462000 21371 9057705 122.66 STRUCTURAL IMPROVEMEN 2201 4236000 9057811 12.09 GRAVEL Pagel of 1 M artin M arietta Ma terials 1 T QUESTIONS 1'+Lt =ASS CAL1 P.O. Box 30013 Raleigh, NC 27622 -0013 Visit eRocks at www.martinmarietta.com JOB NAME: MISC JOB TAX EXEMPT TRK SOLD TO: 002355 SHIP TO: CARMEL CITY OF- STREET DEPARTMENT MISCELLANEOUS JOB EXEMPT TRUCK 3400 W 131ST STREET SHOP -131ST SHELBORNE WESTFIELD IN 46074 Noblesville IN 46060 PAYMENT TERMS: NET 30 DAYS -AIR Order No. Customer PO Dest. Job No. Dist Business Business Unit Name Cust. No. Invoice Invoice No. No. No, Unit Date 6063355 SO SHOP 001 888822 11 25108 Noblesville Sand 231877 12/06/10 9057811 Ship Date Product Description Quantity UM Unit Price Material Freight Freight Taxes TOTAL 12101L70 0597._ -COARSE L 678508 .78 TN 15.50 12.09 12.09 "SUBTOTAL" .78 12.09 12.09 TOTAL .78 12.09 12.09 DETACH and Include thus- Return Portion with Payment Ma rtin Marietta Na$elria S A A V REMIT TO: MARTIN MARIETTA MATERIALS CUSTOMER NUMBER: 231877 CARMEL CITY OF -STREE PO Box 93186 INVOICE NUMBER: 9057811 Chicago IL 60673 -3186 PAYMENT DUE $12.09 Please report any potential ethics violations to the Martin Marietta Materials Corporate Ethics Office 919 -510 -4701 or see www.martnmarietta.com- For all other questions call the number above Pi r�AS US Of A[VY� TRAttpN.YOU-MAKE T€INgRDS THE- tNVOICEAMQUNT VOUCHER NO. WARRANT NO. ALLOWED 20 Martin Marietta Materials IN SUM OF P. O. Box 93186 Chicago, 1 60673 -3186 $12.09 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #IT'ITLE AMOUNT Board Members 2201 9057811 42- 360.00 $12.09 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 Thursday, Dec �'ber 16, 2010 k y Street Commissioner Y 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)) 12/06/10 9057811 $12.09 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 Page 1 of 1 Markin Marietta Materials r®�T ®t FOR g1LL1NG QU tdS PLEASE CALL P.O. .O. Box 30013 31 T 573 44fi0 Raleigh, NC 27622 -0013 yu Visit eRocks at www.martinmarietta.com FOB MISC JOB TAX EXEMPT TRK SOLD TO: 001596 002354 SHIP TO: CARMEL CITY OF- STREET DEPARTMENT MISCELLANEOUS JOB EXEMPT TRUCK 3400 W 131 ST STREET 126TH AND FAIRBANKS WESTFIELD IN 46074 Indianapolis IN 46240 PAYMENT TERMS: NET 30 DAYS AIR Order No, Customer PO Dest. Job No- Dist Business Business Unit Name Cust. No. Invoice Invoice No. No. No. Unit Date 6063176 SO 004 888802 11 25102 North Indianapolis Quarry 231877 12/06/10 9057705 Ship Date Product Description Quantity UM Unit Price Material Freight Freight Taxes R TOTAL 121021.10_- 0430__ IN-NO-53 C 6194680 5.91 TN 10.75 63.53 63.53 6194706 5.50 TN 10.75 59.13 59.13 "SUBTOTAL" 11.41 122.66 122.66 TOTAL 11.41 122.66 122.68 INYQIC� T ©TAL $122 6B Martin Marietta Materials Standard 'Perms ana conoicions apply kwpy aa��a��= a� www.martinmarietta.con Ticket 6194680 Sold To: 231877Job4 888802 004 Sold From: 25102North Indianapolis Quz CARMEL CITY OF- STREET DEPARTMENT 4700 East 96th Street 3400 W 131ST STREET 1317) 846 -6131 WESTFIELD IN 46074 CLOSED NOV 25 26 27- HOLIDAY HR Date: 12 /02/10 Time: 10:47 PO No: Job /Dest. Information Truck:CSD110 CARMEL ST DEPT MISC JOB TAX EXEMPT TRK Hauler: HaulRate MISCELLANEOUS JOB EXEMPT TRUCK 126TH AND FAIRBANKS m m: w ;U Lot# Lds Today To Date Lbs Tons Cash Sale g 3 n Quantity Quantity Gross: (l) 32,900 16.45 Matl Job: 1 5.91 598.25 Tare: 21,080 10.54 Tax IN '8 Q- m n Dest:l 5.91 5.91 Net: 11,820 5.91 Haul a n M Z. Product Number: 0430 Payment Recvd By: d. Z Of Desc: IN NO 53 C Total$ 0T a Sec. Product: 0.00 QTY: 5.91 Ton Max GVW: 33,200.00 Z Additional Information: Weighperson CAROLYN INDOT SOURCE 2311 Q962010 NEW HRS:M -F 7AM -4PM *CLOSED SAT n Driver: Customer: Mara. Standard Terms and Conditions apply (copy available at Site office). w.mart— arietta. com Ticket# 6194680 Sold. To: 231877Job# 888802 004 Sold From: 25102North Indianapolis Quz oil CARMEL CITY OF- STREET DEPARTMENT 4700 East 96th Street 3400 W 131ST STREET (317) 846 -6131 WESTFIELD IN 46074 CLOSED NOV 25,26,27-HOLIDAY HR Date: 12 /02/10 Time: 10:47 PO No: Job /Dest. Information Truck:CSDI10 CARMEL ST DEPT MISC JOB TAX EXEMPT TRK Hauler: HaulRate MISCELLANEOUS JOB EXEMPT TRUCK 126TH AND FAIRBANKS w- m Lot# Lds Today To Date Lbs Tons Cash Sale Quantity Quantity Gross: (l,) 32,900 16.45 Matl E Job: 1 5.91 598.25 Tare: 21,080 10.54 Tax IN g.M m Dest:l 5.91 5.91 Net: 11,820 5.91 Haul Product Number: 0930 Payment Recvd By: 0 Z Desc: IN NO 53 C Total$ ca I F Sec. Product: 0.00 QTY: 5.91 Ton Max GvW: 33,200.00 '3;. Additional information: Weighperson CAROLYN':•., INDOT SOURCE 2311 Q962010. NEW HRS:M -F 7AM -4PM *CLOSED SAT m. a Driver: Customer: varri.n Ma *iette Materials Standard Terms and Conditions apply (copy available at Site office). artinmarietta. com Ticket# 6194680 Sold To: 231877Job4 888802 004 Sold From: 25102North Indianapolis Qu, CARMEL CITY OF- STREET DEPARTMENT 4700 East 96th Street 3400 W 131ST STREET (317) 846 -6131 WESTFIELD IN 46074 CLOSED NOV 25,26,27-HOLIDAY HR a Date: 12 /02/10 Time: 10:47 PO No: Job /Dest. Information Truck:CSD110 CARMEL ST DEPT MISC JOB TAX EXEMPT TRK Hauler: HaulRate MISCELLANEOUS JOB EXEMPT TRUCK 126TH AND FAIRBANKS w.. rp Lot# a a Lds Today To Date Lbs Tons Cash Sale 3 Quantity Quantity Gross: (l) 32,900 16.45 Matl 'V Job: 1 5.91 538.25 Tare: 21,080 10.54 Tax IN ..D Dest:l 5.91 5.91 Net: 11,820 5.91 Haul D Recvd B 2 C1 C` 2 3' G) Payment Product Number: 0930 .3 Desc: IN NO 53 C Total$ a O 1 G) N Sec. Product: 0.00 QTY 5.91 Ton Max GVW: 33,200.00 9 Z Additional Information: Weighperson CAROLYN a m,r INDOT SOURCE 2311 Q962010 NEW HRS:M -F 7AM- 4PM *CLOSED SAT m m` Driver: Customer: Martin Marietta Materials Standard Terms and Conditions apply (copy available at Site office). Pursuant to prior oral or written agreement between the parties, delivery occurred and title passed immediately after the products were loaded into the carrier at the point of shipment. All hauling from this plant �f or quarry at an agreed rate per ton or yard is performed by independent trucking contractors. Drivers, other than owner drivers, will be employed by the trucking contractor. The trucking contractor assumes all liability L for compensation, public liability, and property damage insurance, also all social security taxes, withholding taxes, and any other taxes assessed. Aggregates may contain components that could react with alkaline materials in concrete mixtures. This could result in potential deterioration of and damage to the final concrete product ('Alkali- Aggregate Reactivity" or "AAR The potential for AAR should be taken into account in formulating concrete mixtures. Other than warranty of title and conformance to written specifications, MARTIN MARIETTA HEREBY EXCLUDES ANY AND ALL WARRANTIES OF MERCHANTABILITY AND ALL WARRANTIES OF FITNESS FOR ANY PARTICULAR PURPOSE AND ALL WARRANTIES, EXPRESS OR IMPLIED, AS TO THE PERFORMANCE OF ITS AGGREGATES WITH RESPECT TO AAR. This is to certify that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. WARNING: AVOID BREATHING DUST FROM This product contains crystalline silica. Prolonged and repeated breathing of crystalline silica dust can cause a progressive lung disease called silicosis. Several scientific organizations have reported that prolonged and repeated breathing of crystalline silica dust can cause lung cancer. Crystalline silica is known to the State of California to cause lung cancer. Silicosis or lung cancer can result in permanent injury or death. To reduce the risk of injury, prevent excessive and repeated dust exposure or use a NIOSH approved respirator as more fully described in the MSDS. The risk of silicosis or lung cancer depends upon the duration and levels of silica exposure. Read the Material Safety Data Sheet before using or handling this product to determine the appropriate ventilation or respiratory protection necessary to safeguard your health. MSDS are available on our website at www.martinmarietta.com or ask the plant manager for a copy. Este producto contiene silice cristalina. Respirar el polvo de to silica cristalina repetidamente y par periodos prolongados puede causar la silicosis, una enfermedad progresiva de nos pulmones. Varias organizaciones cientificas reportan quo of respirar at polvo de la silice cristalina de forma repetida y par peridos prolongados puede causar cancer del pulmon. Fl Estado de California reconoce que las silice cristalina causar cancer. La silicosis o at cancer de pulmon pueden causar dahos permanentes o la muerte. Para reducir el riesgo de sufrir danos a la salud, evite repetidamente y par periodos prolongados que este expuesto at polvo de la silice cristalina o usar un respirador aprobado del NIOSH EI riesgo de to silicosis o del cancer pulmonar depende de la duration y de los niveles de exposicibn a la silice. Lase la Hoja de Datos sobre to Seguridad de has Materiales (Ramada "Material Safety Data Sheet antes de usar o manejar este producto para determiar to ventinacidn apropiada a to protection respiratoria necesario para proteger su salud. La Hoja de Datos sobre to Seguridad de los Materiales esta disponible en nuestra sitio web www.martinmarietta com o to puede pedir una copia su gerente de planta. Pursuant to prior oral or written agreement between the parties.. delivery occurred and title passed immediately after the products were loaded into the carrier at the point of shipment. All hauling from this plant or quarry at an agreed rate per ton or yard is performed by independent trucking contractors. Drivers, other than owner drivers, will be employed by the trucking contractor. The trucking contractor assumes all liability for compensation. public liability, and property damage insurance. also all social security taxes, withholding taxes, and any other taxes assessed. Aggregates may contain components that could react with alkaline materials in concrete mixtures. This could result in potential deterioration of and damage to the final concrete product "Alkali- Aggregate Reactivity" or "AAR"). The potential for AAR should be taken into account in formulating concrete mixtures Other than warranty of title and conformance to written specifications, MARTIN MARIETTA HEREBY EXCLUDES ANY AND ALL WARRANTIES OF MERCHANTABILITY AND ALL WARRANTIES OF FITNESS FOR ANY PARTICULAR PURPOSE AND ALL WARRANTIES, EXPRESS OR IMPLIED, AS TO THE PERFORMANCE OF ITS AGGREGATES WITH RESPECT TO AAR. This is to certify that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. AV OID BREATHING DUST FROM PRO i This product contains crystalline silica. Prolonged and repeated breathing of crystalline silica dust can cause a progressive lung disease called silicosis. Several scientific organizations have reported that prolonged and repeated breathing of crystalline silica dust can cause lung cancer. Crystalline silica is known to the State of California to cause lung cancer. Silicosis or lung cancer can result in permanent injury or death, To reduce the risk of injury, prevent excessive and repeated dust exposure or use a NIOSH approved respirator as more fully described in the MSDS. The risk of silicosis or lung cancer depends upon the duration and levels of silica exposure. Read the Material Safety Data Sheet before using or handling this product to determine the appropriate ventilation or respiratory protection necessary to safeguard your health. MSDS are available on our website at www.niartinmarietta.com or ask the plant manager for a copy. P OLVO DE ESTE P Este producto contiene silice cristalina. Respirar el polvo de la silice cristalina repetidamente y par period puede causar prolongados pu causar la silicosis, un a a enfermedad progresiva de nos pulmones. Varias organizaciones cientificas reportan que el respirar of polvo de to silice cristalina de forma repetida y par peridos prolongados puede causar cancer del gunman. EI Estado de California reconoce que las silice cristalina causar cancer. La silicosis o el cancer de pulmon pueden causar donors permanentes o to muerte. Para reducir el riesgo de sufrir danos a la salud, evite repetidamente y par periodos prolongados que este expuesto al polvo de la silice cristalina o usar un respirador aprobado del NIOSH. EI riesgo de is silicosis o del cancer pulmonar depende de la duration y de nos niveles de exposition a la silice. Lase to Hoja de Datos sobre la Seguridad de Its Materiales (Ilamada "Material Safety Data Sheet antes de usar o manejar este producto para determiar la ventiiacidn apropiada a la proteccfdn respiratoria necesario para proteger su salud. La Hoja de Datos sabre la Seguridad de Ins Materiales esta disponible an nuestra strip web www.martinmarietia.com o le puede pedir una copia su gerente de planta. Pursuant to prior oral or written agreement between the parties, delivery occurred and title passed immediately after the products were loaded into the carrier at the point of shipment. All hauling from this plant /t or quarry at an agreed rate per ton or yard is performed by independent trucking contractors. Drivers, other than owner- drivers, will be employed by the trucking contractor The trucking contractor assumes all liability 4 for compensation, public liability, and property damage insurance, also all social security taxes, withholding taxes, and any other taxes assessed. Aggregates may contain components that could react with alkaline materials in concrete mixtures. This could result in potential deterioration of and damage to the final concrete.product f "Alkali- Aggregate Reactivity" or "AAR The potential for AAR should be taken into account in formulating concrete mixtures. Other than warranty of title and conformance to written specifications, MARTIN MARIETTA HEREBY EXCLUDES ANY AND ALL WARRANTIES OF MERCHANTABILITY AND ALL WARRANTIES OF FITNESS FOR ANY PARTICULAR PURPOSE AND ALL WARRANTIES, EXPRESS OR IMPLIED, AS TO THE PERFORMANCE OF ITS AGGREGATES WITH RESPECT TO AAR. This is to certify that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. WARNING: AVOID BREATHING DUST FROM THIS -PRODUCT This product contains crystalline silica. Prolonged and repeated breathing of crystalline silica dust can cause a progressive lung disease called silicosis Several scientific organizations have reported that prolonged and repealed breathing of crystalline silica dust can cause lung cancer. Crystalline silica is known to the State of California to cause lung cancer Silicosis or lung cancer can result in permanent injury or death. To reduce the risk of injury, prevent excessive and repeated dust exposure or use a NIOSH approved respirator as more fully described in the MSDS. The risk of silicosis or lung cancer depends upon the duration and levels of silica exposure. Read the Material Safety Data Sheet before using or handling this product to determine the appropriate ventilation or respiratory protection necessary to safeguard your health. MSDS are available on our website at www martinmarietta.com or ask the plant manager for a copy. a DE ESTE PRODUCTO Este roducto contiene silice cristalina. Respirar el vivo de la spice cristalina repetidamente p p p y par periodos prolongados puede causar to silicosis, una enfermedad progresiva de nos pulmones. Varias organizaciones cientificas reportan que of respirar of polvo de to silice cristalina de forma repetida y por peridos prolongados puede causar cancer del pulmon. EI Estado de California reconoce que las silice cristalina causar cancer. La silicosis o el cancer de pulmon pueden causar cards permanentes o to muerte. Para reducir el riesgo de sufrir danos a la salud, evite repetidamente y par periodos prolongados que este expuesto al polvo de la silice cristalina o usar un respirador aprobado del NIOSH. EI riesgo de la silicosis o del cancer pulmonar depende de la duration y de los niveles de exposicibn a to silice. Lase la Hoja de Datos sobre to Seguridad de Los Materiales (Ilamada "Material Safely Data Sheet antes de usar o manejar este producto para determiar la ventinacfnn apropiada o to proteccfdn respiratoria necesario para proteger su salud. La Hoja de Dall sobre to Seguridad de nos Materiales esta disponible en nuestra sitio web www.martinmarietta.com o le puede pedir una copia su gerente de planta. www.martinmarietta.COm Ticket# 6194706 Sold TO:231877Job# 888802 °09 Sold From: 25102North Indianapolis Quz CARMEL CITY OF- STREET DEPARTMENT 4700 East 96th Street q 3400 W 131ST STREET (317) 846 -6131 s WESTFIELD IN 46074 CLOSED NOV 25,26,27-HOLIDAY HR Date: 12 /02/10 Time: 12:53 PO No: Job /Dest. Information Truck:CSD110 CARMEL ST DEPT MISC JOB TAX EXEMPT TRK Hauler: HaulRate MISCELLANEOUS SOB EXEMPT TRUCK 126TH AND FAIRBANKS rw� "m A ZL d Lot# a Lds Today To Date Lbs Tons Cash Sale g Quantity Quantity Gross: Ill 32,080 16.04 Matl a Job: 2 11.41 603.75 Tare: 21,080 10.54 Tax IN n Dest:2 11.41 11.41 Net: 11,000 5.50 Haul m C i Product Number: 0430 Payment Reevd By: m 0. Z 01 Desc: IN NO 53 C Total$ 9 +7 Sec. Product: 0.00 QTY: 5.50 Ton Max GVW: 33,200.00 9 z Additional Information: Weighperson CAROLYN., INDOT SOURCE 2311 Q962010 NEW HRS:M -F 7AM -4PM *CLOSED SAT s a Driver: Customer: Mae; K %::ic :_.;•!a tc�.r i.;_3; Standard.T_erms and Condi tions apply (copy -a vai..1 a le at Site Office). www.martinmarietta com Ticket# 6194706 Sold To: 231877 Job# 888802 004 Sold From: 25102 North Indianapolis Qua CARMEL CITY OF- STREET DEPARTMENT 4700 East 96th Street 3400 W 131ST STREET (317) 846 -6131 R WESTFIELD IN 46074 CLOSED NOV 25,26,27-HOLIDAY HR 3 Date: 12 /02/10 Time: 12:53 PO No: Job /best. Information Truck:CSD110 CARMEL ST DEPT MISC JOB TAX EXEMPT TRK Hauler: HaulRate MISCELLANEOUS JOB EXEMPT TRUCK 126TH AND FAIRBANKS Lot# Lds Today To Date Lbs Tons Cash Sale a 8 Quantity Quantity Gross: 32,080 16.04 Matl Job: 2 11.41 603.75 Tare: 21,080 10.54 Tax IN M Dest:2 11.41 11.41 Net: 11,000 5.50 Haul C Z Product Number, 0430 Payment Recvd By: a n Z Desc: IN NO 53 C Total$ m p= C Sec. Product. 0.00 QTY: 5.50 Ton Max GVW: 33,200.00 Z a Additional Information: Weighperson CAROLYN INDOT SOURCE 2311 Q962010 NEW HRS:M -F ?AM- 4PM *CLOSED SAT m Driver: Customer: Martin Marietta Materials Standard Terms and Conditions apply (copy available at Site Office). www.martinmarietta.com Ticket# 6194706 Sold To:2318770ob# 888802 ON Sold From: 2510214orth Indianapolis Qu, CARMEL CITY OF- STREET DEPARTMENT 4700 East 96th Street 3400 W 131ST STREET (317) 846 -6131 rt WESTFIELD IN 46074 CLOSED NOV 25,26,27-HOLIDAY HR Date: 12 /02/10 Time: 12:53 PO No: Job /best. Information Truck:CSD110 CARMEL ST DEPT MISC JOB TAX EXEMPT TRK Hauler: HaulRate MISCELLANEOUS JOB EXEMPT TRUCK 126TH AND FAIRBANKS m A u m A Lot# o Lds Today To Date Lbs Tons Cash Sale o Quantity Quantity Gross: 11 32,080 16.04 Matl q, 0 Job: 2 11.41 603.75 Tare: 21,080 10.54 Tax IN 3 m ,A D rp Dest:2 11.41 11.41 Net: 11,000 5.50 Haul W C' a- 49 5Z Product Number: 0430 Payment Reevd By: n Z pi Desc: IN NO 53 C Total$, Sec. Product: 0.00 QTY 5.50 Ton Max GVW: 33,200.00 Z a. Additional Information: Weighperson CAROLYN INDOT SOURCE 2311 Q962010 m NEW HRS:M -F 7AM 4PM *CLOSED SAT m 0 Driver: Customer: Martin Marietta Materials Standard Terms and Conditions apply (copy available at Site office). Pursuant to prior oral or written agreement between the parties. delivery occurred and title passed immediately after the products were loaded into the carrier at the point of shipment. All hauling from this plant or quarry at an agreed rate per ton or yard is performed by independent trucking contractors. Drivers. other than owner- drivers, will be employed by the trucking contractor. The trucking contractor assumes all liability for compensation, public liability, and property damage insurance, also all social security taxes, withholding taxes, and any other taxes assessed. Aggregates may contain components that could react with alkaline materials in concrete mixtures. This could result in potential deterioration of and damage to the final concrete product 1 "Alkali- Aggregate Reactivity" or "AAR The potential for AAR should be taken into account in formulating concrete mixtures. Other than warranty of title and conformance to written specifications, MARTIN MARIETTA HEREBY EXCLUDES ANY AND ALL WARRANTIES OF MERCHANTABILITY AND ALL WARRANTIES OF FITNESS FOR ANY PARTICULAR PURPOSE AND ALL WARRANTIES, EXPRESS OR IMPLIED, AS TO THE PERFORMANCE OF ITS AGGREGATES WITH RESPECT TO AAR This is to certify that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. WARNING: AVOID BREATHING DUST FROM THI&PRODUCT This product contains crystalline silica, Prolonged and repeated breathing of crystalline silica dust can cause a progressive lung disease called silicosis.� Several scientific organizations have reported that prolonged and repeated breathing of crystalline silica dust can cause lung cancer Crystalline silica is known to the State of California to cause lung cancer. Silicosis or lung cancer can result in permanent injury or death. To reduce the risk of injury, prevent excessive and repeated dust exposure or use a NIOSH approved respirator as more fully described in the MSDS. The risk of silicosis or lung cancer depends upon the duration and levels of silica exposure. Read the Material Safety Data Sheet before using or handling this product to determine the appropriate ventilation or respiratory protection necessary to safeguard your health. MSDS are available on our website at www martinmarietta corn or ask the plant manager for a copy. r POLVO DE ESTE ..•r Este producto contiene silica cristalina. Respirar of polvo de la silica cristalina repetidamente y por periodos prolongados puede causer la silicosis, una enfermedad progresiva de Ids pulmones. Varias organizaciones cientificas reportan que el respirar el polvo de la silica cristalina de forma repetida y por periods prolongados puede causar cancer del pulmon. El Estado de California reconoce que las silice cristalina causar cancer. La silicosis o el cancer de pulmon pueden causar Banos permanentes o la muerte. Para reducir el riesgo de sufrir danos a la salud, evite repetidamente y per periodos prolongados que este expuesto at polvo de la silice cristalina o usar un respirador aprobado del NIOSH. EI riesgo de la silicosis o del cancer pulmonar depende de la duracion y de Ids niveles de exposicion a la silice. Lase la Hoja de Dates sabre la Seguridad de los Materiales (Ilamada "Material Safety Data Sheet antes de usar o manejar este producto para determiar la ventilacion apropiada o la proteccion respiratoria necesario pars proteger su salud. La Hoja de Dates sobre is Seguridad de Ids Materiales esta disponible on nueslra sitio web www.martinmarietta com o le puede pedir una copia su gerente de planta. Pursuant to prior oral or written agreement between the parties, delivery occurred and title passed Immediately after the products were loaded into the carrier at the point of shipment. All hauling from this plant 9 or quarry at an agreed rate per ton or yard is performed by independent trucking contractors. Drivers, other than owner drivers, will be employed by the trucking contractor. The trucking contractor assumes all liability a for compensation, public liability, and property damage insurance, also all social security taxes, withholding taxes, and any other taxes assessed. Aggregates may contain components that could react with alkaline materials in concrete mixtures. This could result in potential deterioration of and damage to the final concrete product "Alkali- Aggregate Reactivity" or `AAR" The potential for AAR should be taken into account in formulating concrete mixtures. Other than warranty of title and conformance to written specifications. MARTIN MARIETTA HEREBY EXCLUDES ANY AND ALL WARRANTIES OF MERCHANTABILITY AND ALL WARRANTIES OF FITNESS FOR ANY PARTICULAR PURPOSE AND ALL WARRANTIES, EXPRESS OR IMPLIED, AS TO THE PERFORMANCE OF ITS AGGREGATES WITH RESPECT TO AAR. This is to certify that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. WA RNING: r BREATHING DUST F ROM PROD This product contains crystalline silica. Prolonged and repeated breathing of crystalline silica dust can cause a progressive lung disease called silicosis. Several scientific organizations have reported that prolonged and repeated breathing of crystalline silica dust can cause lung cancer. Crystalline silica is known to the State of California to cause lung cancer. Silicosis or lung cancer can result in permanent injury or death. To reduce the risk of injury, prevent excessive and repeated dust exposure or use a NIOSH approved respirator as more fully described in the MSDS. The risk of silicosis or lung cancer depends upon the duration and levels of silica exposure. Read the Material Safety Data Sheet before using or handling this product to determine the appropriate ventilation or respiratory protection necessary to safeguard your health. MSDS are available on our website at www.martinrnariella.com or ask the plant manager for a copy- r VERTENCIA EVITE RESPIRAR EL POLVO DE ESTE PRODUCTO Este producto contiene silice cristalina. Respirar of polvo de la silice cristalina repetidamente y por periodos prolongados puede causar la silicosis, una enfermedad progresiva de Ids pulmones. Varias organizaciones cientificas reportan que el respirar el polvo do la silice cristalina de forma repetida y per peridos prolongados puede causar cancer del pulmon, El Estado de California reconoce que las silice cristalina causar cancer La silicosis d el cancer de pulmon pueden causar ducts permanentes d la muerte. Para reducir of riesgo de sufrir danos a la salud, evite repetidamente y per periodos prolongados que este expuesto at polvo de la silice crisfalina o usar un respirator aprobado del NIOSH. El riesgo de la silicosis o del cancer pulmonar depende de la duracion y de Ids niveles de exposition a la silice. Lase to Hoja de Dalos sobre la Seguridad de los Materiales (Ilamada "Material Safety Data Sheet antes de usar o manejar este producto pare determiar la ventilacion apropiada o la proteccion respiratoria necesario para proteger su salud. La Hoja de Dates sobre la Seguridad de Ids Materiales esia disponible an nuestra sitio web www.martinmarietta.com o le puede pedir una copia su gerente de planta. Pursuant to prior oral or written agreement between the parties, delivery occurred and title passed immediately after the products were loaded into the carrier at the point of shipment. All hauling from this plant A or quarry of an agreed rate per ton or yard is performed by independent trucking contractors. Drivers, other than owner drivers. will be employed by the trucking contractor. The trucking contractor assumes all liability 4 for compensation, public liability, and property damage insurance, also all social security taxes, withholding taxes, and any other taxes assessed. Aggregates may contain components that could react with alkaline materials in concrete mixtures. This could result in potential deterioration of and damage to the final concrete product "Alkali- Aggregate Reactivity" or "AAA The potential for AAR should be taken into account In formulating concrete mixtures. Other than warranty of title and conformance to written specifications, MARTIN MARIETTA HEREBY EXCLUDES ANY AND ALL WARRANTIES OF MERCHANTABILITY AND ALL WARRANTIES OF FITNESS FOR ANY PARTICULAR PURPOSE AND ALL WARRANTIES, EXPRESS OR IMPLIED, AS TO THE PERFORMANCE OF ITS AGGREGATES WITH RESPECT TO AAR. This is to certify that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. WARNING: AVOID BREATHING DUST FROM THIS This product contains crystalline silica,Prolonged and repeated breathing of crystalline silica dust can cause a progressive lung disease called silicosis. y Several scientific organizations have reported that prolonged and repeated breathing of crystalline silica dust can cause lung cancer. Crystalline silica is known to the State of California to cause lung cancer. Silicosis or lung cancer can result in permanent injury or death. To reduce the risk of injury, prevent excessive and repealed dust exposure or use a NIOSH approved respirator as more fully described in the MSDS. The risk of silicosis or lung cancer depends upon the duration and levels of silica exposure. Read the Material Safety Data Sheet before using or handling this product to determine the appropriate ventilation or respiratory protection necessary to safeguard your health. MSDS are available on our website at www.martinrnarietta.com or ask the plant manager for a copy. r VERTENCIA: EVITE RESPIRAR EL POLVO DE ESTE PRODUCTO Este producto contiene silice cristalina. Respirar el polvo de la silice cristalina repetidamente y por periodos prolongados puede causar la silicosis, una enfermedad progresiva de los pulmones. Varias organizaciones clentlfleas reportan que at respirar ei polvo de la silice cristalina de forma repetida y por peridos prolongados puede causar cancer del pulmon. EI Fstado de California reconoce que las silice cristalina causar cancer. La silicosis o el cancer de pulmon pueden causar danos permanentes o la muede. Para reducir el riesgo de sufrir danos a la salud, evite repetidamente y per periodos prolongados que este expuesto al polvo de to silice cristalina o usar un respirator aprobado del NIOSH. EI riesgo de la silicosis o del cancer pulmonar depende de la duracion y de Ids niveles de exposicion a la silice. Lase la Heja de Dates sabre Ea Seguridad de los Materiales (Ilamada "Material Safety Data Sheet antes de usar o manejar este producto para determiar la ventilacion apropiada d la proteccion respiratoria necesario para proteger su salud. La Hoja de Dates sobre la Seguridad de Ids Materiales esta disponible en nuestra sitio web www.madinmarietta.com o le puede pedir una copia su gerente de planta- Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 Martin Marietta Materials Purchase Order No. PO Bos 30013 Terms Raleigh, NC 27622 -0013 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/20/10 9057705 Stone for access maintenance at 126th and Fairbanks $122.66 s Total 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. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Martin Marietta Materials IN SUM OF PO Bos 30013 Raleigh, NC 27622-0b!3 $92.88 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members Po# or INVOICE NO. ACCT /TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 21371 9057705 200- R4462000 $122.66 materials or services itemized thereon for which charge is made were ordered and received except �Z I c7 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund