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HomeMy WebLinkAbout197802 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 00350596 Page 1 of 1 ONE CIVIC SQUARE RIETH -RILEY CONSTRUCTION CO INC CARMEL, INDIANA 46032 PO BOX 276 CHECK AMOUNT: $127.80 INDIANAPOLIS IN 46206 o CHECK NUMBER: 197802 CHECK DATE: 512612011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236300 3236102 127.80 BITUMINOUS MATERIALS PAGE 1 RR0311PPA I Hw Rx Ey CONSTRUCTION C Us INC. 1916 STATEMENT OF ACCOUNT "100 Employee Owned" AS OF DATE 4/30/11 Customer 222181 CARMEL STREET DEPARTMENT Doc Doc Invoice Original Type Number bate Amount Open Amount Current 31 -60 61 -90 90+ Retainage JOB U320685 CARMEL STREET DEPARTMENT RI 3236102 4/25/11 $127.80 $127.80 128 0 0 0 0 JOB TOTAL $127.80 $127.80 128 0 0 0 0 CUSTOMER TOTAL 127.80 128 0 0 0 0 RI Receivable Invoice Finance Charges are calculated at 1.5% Tm RM Credit Memo per month on all past due accounts. *RF Finance Charge Please Remit Payment to: RIETH -RILEY CONSTRUCTION CO INC Amount Due. 127.80 INDIANAPOLIS 1751 WEST MINNESOTA STREET P 0 BOX OLI INDIANAPOLIS IN 46206 Amount Remitted. (317) 634 -5561 *IF PAYING BY CREDIT CARD SEE OTHER SIDE Bill to: 222181 CARMEL STREET DEPARTMENT 3400 W MAIN STREET CARMEL IN 46074 t S PAYIIVG CARD;PLEASE &FILL C}UTBELOW Card Number: Expiration Date: Month Year Cardholder's Verification Number (3 -Digit Code): Cardholder's Name: Amount Signature (Required): VOUCHER NO. WARRANT NO. ALLOWED 20 Rieth Riley IN SUM OF P. O. Box 276 Indianapolis, IN 46206 $127.80 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 2201 3236102 42- 363.00 $127.80 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except I �T h u rsAIM ay 19, 2011 A i Str e ComMl$si•ner StrP.P. ,nmmlc ,stnner 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)) 04/25/11 3236102 $127.80 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