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Home My WebLink About196343 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 358385 Page 1 of 1 g 0 ONE CIVIC SQUARE GENERAL SHALE BRICK CHECK AMOUNT: $2,063.30 CARMEL, INDIANA 46032 PO sox 5825 CAROL STREAM IL 60197 -5825 CHECK NUMBER: 196343 CHECK DATE: 4/13/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 206 R4237001 27481 0181396017 83.30 STORM SEWER MAINT SUP 206 R4237001 21378 0181397563 118.85 STORM SEWER MAINT SUP 206 R4237001 27481 0181397563 75.05 STORM SEWER MAINT SUP 206 R4237001 21378 0181398950 1,751.40 STORM SEWER MAINT SUP 206 R4237001 21378 0181399612 34.70 STORM SEWER MAINT SUP General Shale Brick CUSTOMER STATEMENT DATA CUSTOMER NUMBER`.,;. 03/31/2011 279670 CITY OF CARMEL 3400 W 131ST STREET WESTFIELD IN 46074 -8267 remit to: GENERAL SHALE BRICK, INC PO Box 5825 PLEASE NOTE CAROL STREAM IL 60197 -5825 NEW REMIT TO Date Inv. Number Discount Charges 03/23/2011 0181396017 1.66 83.30 03125/2011 0181 397563 3.89 194.35 03/29/2011 0181398950 33.52 1,751.40 03/3012011 0181399612 0.69 34.70 Key date balance 03131/2011: 2,063.75 Current Past Due Total Aging 2,063.75 0.00 2,063.75 General Shale Brick M W M W 02 Building The American Dream Invoice: 181398950 Invoice Date: 03/29/2011 Bill To: 279670 Customer PO: shop CITY OF CARMEL 3400 W 131ST STREET Bill of Lading: 171567641 WESTFIELD IN 46074 -8267 Goods Issue Date: 03/29/2011 Order: 313147160 Sales Rep: 399 Ship -To: CITY OF CARMEL Order Loc.: Carmel 3400 W 131ST STREET CARMEL IN WESTFIELD IN 46074 -8267 Phone: 317 846 -2566 Mode of Shipment: Truck 057 Car or Truck -No: DAN Material Material Description Quantity Price Value USD Batch Number and Description 6099010275 4 X 8 X 16 SOLID BLOCK 240 EA 1.03 247.20 6099000573 CONCRETE BRICK 1,440 EA 0.43 619.20 6099001047 ESSROC BRIXMENT GRAY S 100 BAG 8.10 810.00 6000000000 Additional Freight 1.000 UOB 75.00 75.00 Subtotal 1,751.40 TAX TOTAL 1,751.40 LATE PAYMENT CHARGE of 1.5% PER MONTH. PLEASE RETURN THIS PORTION WITH YOUR PAYMENT Accnt Customer Name Invoice -Date Invoice Amount Due 279670 CITY OF CARMEL 03/29/2011 181398950 1,751.40 Remit To: GENERAL SHALE BRICK, INC PO Box 5825 CAROL STREAM IL 60197 -5825 Terms: Take discount of $33.52 If paid on or before 04/28/2011 NET 45 DAYS. General Shale Brick MMMMME Building The American Dream nlvvJ: ce Invoice: 181399612 Invoice Date: 03/30/2011 Bill To: 279670 Customer PO: shop CITY OF CARMEL 3400 W 131ST STREET Bill of Lading: 171568653 WESTFIELD IN 46074 -8267 Goods Issue Date: 03/30/2011 Order: 313164798 Sales Rep: 399 Ship -To: CITY OF CARMEL Order Loc.: Carmel 3400 W 131ST STREET CARMEL IN WESTFIELD IN 46074 -8267 Phone: 317 -846 -2566 Mode of Shipment: Customer Pickup 057 Material Material Description Quantity Price Value USD Batch Number and Description 6099008469 50 LB. OF SAND 10 BAG 3.47 34.70 Subtotal 34.70 TAX TOTAL 34.70 LATE PAYMENT CHARGE Of 1.5o PER MONTH. PLEASE RETURN THIS PORTION WITH YOUR PAYMENT Accnt Customer Name Invoice -Date Invoice Amount Due 279670 CITY OF CARMEL 03/30/2011 181399612 34.70 Remit To: GENERAL SHALE BRICK, INC PO Box 5825 CAROL STREAM IL 60197 -5825 Terms: Take discount of $0.69 If paid on or before 04/29/2011 NET 45 DAYS. General Shale Brick M W ME Building The American Dream nuance Invoice: 181396017 Invoice Date: 03/23/2011 Bill To: 279670 Customer P0: SHOP CITY OF CARMEL 3400 W 131ST STREET Bill of Lading: 171564579 WESTFIELD IN 46074 -8267 Goods Issue Date: 03/23/2011 Order: 313135681 Sales Rep: 399 Ship -To: CITY OF CARMEL Order Loc.: Carmel 3400 W 131ST STREET CARMEL IN WESTFIELD IN 46074 -8267 Phone: 317 --846 -2566 Mode of Shipment: Customer Pickup 057 Material Material Description Quantity Price Value USD Batch Number and Description 6099001047 ESSROC BRIXMENT GRAY S 6 BAG 8.10 48.60 6099008469 50 LB. OF SAND 10 BAG 3.47 34.70 Subtotal 83.30 TAX TOTAL 83.30 LATE PAYMENT CHARGE of 1.56 PER MONTH. PLEASE RETURN THIS PORTION WITH YOUR PAYMENT Accnt Customer Name Invoice -Date Invoice Amount Due 279670 CITY OF CARMEL 03/23/2011 181396017 83.30 Remit To: GENERAL SHALE BRICK, INC PO Box 5825 CAROL STREAM IL 60197 -5825 Terms: Take discount of $1.66 If paid on or before 04/22/2011 NET 45 DAYS. General Shale Brick M ME Building The American Dream InrrID1ce< Invoice: 181397563 Invoice Date: 03/25/2011 Bill To: 279670 Customer PO: shop CITY OF CARMEL 3400 W 131ST STREET Bill of Lading: 171566313 WESTFIELD IN 46074 -8267 Goods issue Date: 03/25/2011 Order: 313146527 Sales Rep: 3 9 9 Ship -To: CITY OF CARMEL Order Loc.: Carmel 3400 W 131ST STREET CARMEL IN WESTFIELD IN 46074 -8267 Phone: 317 -846 -2566 Mode of Shipment: Customer Pickup 057 Material Material Description Quantity Price Value USD Batch Number and Description 6099001047 ESSROC BRIXMENT GRAY S 5 BAG 8.10 40.50 6099008469 50 LB. OF SAND 5 BAG 3.47 17.35 6099000573 CONCRETE BRICK 30 EA 0.43 12.90 6099010275 4 X 8 X 16 SOLID BLOCK 120 EA 1.03 123.60 Subtotal 194.35 TAX TOTAL 194.35 LATE PAYMENT CHARGE of 1.5% PER MONTH. PLEASE RETURN THIS PORTION WITH YOUR PAYMENT Accnt Customer Name Invoice -Date Invoice Amount Due 279670 CITY OF CARMEL 03/25/2011 181397563 194.35 Remit To: GENERAL SHALE BRICK, INC PO Box 5825 CAROL STREAM IL 60197 -5825 Terms: Take discount of $3.89 If paid on or before 04/24/2011 NET 45 DAYS. VOUCHER NO. WAR N O. ALLOWED 20 General Shale and Brick IN SUM OF P. O. Box 5825 Carol Stream, IL 60197 -5825 $2,063.75 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #fTITLE AMOUNT Board Members 206 pa 42- 370.01 $159.00 1 hereby certify that the attached invoice(s), or X 796` 42- 370.01 $1,904.75 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 Th, ursday�April 07, 2011 Street Commi s10 l I! Street Com,, ,jr,,sioner 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)) 03/31/11 $159.00 03/31/11 $1,904.75 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