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