167284 12/23/2008 CITY OF CARMEL, INDIANA VENDOR: 037000 Page 1 of 1
g 0 ONE CIVIC SQUARE CARGILL INC CHECK AMOUNT: $16,113.10
CARMEL, INDIANA 46032 PO BOX 640283
PITTSBURG PA 15264 -0283 CHECK NUMBER: 167284
4�uM �p
CHECK DATE: 12/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU AMOUNT DESCRIPTION
2201 4236500 18758 2392269 16,113.10 ROAD SALT
r'
t
INVOICE
�a 1! TERMS: Net 30 Days NO, 2392269
INV DATE: 12/17/2008 LIST INVOICE NUMBERS
DUE DATE: 01/16/2009 ON CHECK STUB.
Mail CARGILL, INCORPORATED
Checks P O BOX 640283 Page: 1 of I
Only TO: PITTSBURGH PA 15264 -0283
SHIP TO CARMEL CITY OF BILL TO: CARMEL CITY OF
211 2ND STREET SW 3400 WEST 131ST STREET
CARMEL IN 46032 WESTFIELD IN 46074
CUSTOMER SERVICE: 800 -600 -7258 Cargill Deicing Technology 41
CUST PO NO. 16732 SALES ORDER NO. TERRITORY SHIP TO BILL TO DATE SHIPPED
PO RLS E NO. so 2126P92 062 60069045 50344431 12/17/2008
SHIPPED FROM CARRIER FREIGHT TERM TICKET NUMBER
Indianpolis IN 4090 BROOKFIELD TRANSPORT, INC Freight Prepaid 1136655
ITEM 'DESCRIPTION UOM QUANTITY PRICE AMOUNT
1136655 Indianpolis IN 4090 41,080.0000 20.5400 70.5200
1136658 Indianpolis IN 4090 42,720.0000 21.3600 10.5200
1136661 Indianpolis IN 4090 38,980.0000 19.4900 70.5200
1136664 Indianpolis IN 4090 40,200.0000 20.1000 70.5200
1136665 Indianpolis IN 4090 39,960.0000 19.9800 70.5200
1136667 Indianpolis IN 4090 41,940.0000 20.9700 70.5200
1136668 Indianpolis IN 4090 37,620.0000 18.8100 70.5200
1136669 Indianpolis IN 4090 44,540.0000 22.2700 70.5200
1136670 Indianpolis IN 4090 40,880.0000 20.4400 70.5200
1136671 Indianpolis IN 4090 46.900.0000 23.4500 70.5200
1136672 Indianpolis IN 4090 42,160.0000 21.0800 70.5200
8545 BULK CLEARLANE ENHANCED DEICER TN 228.4900
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This sale of goods is subject to the terms and conditions of sale found at
http: /www.cargillsalt.com /cargillsalt /clause.html.
A written copy of the terms and conditions of sale may be obtained by contacting
customer service at 800 377 -1017 or at the above referenced website.
Seller represents that with respect to the production of the goods cove red UOM NET 456, 980.00 INVOICE 16, 113.1
by this invoice, it has fully complied with the provisions of Section 6,7 and WEIGHT AMOUNT
12 of the Fair Labor Standards Act of 1938, as amended, and of
regulations and orders of the United States Department of Labor issued
under Section 14 thereof.
VOUCHE NO. WARRANT NO.
ALLOWED 20
Cargill, Inc.
IN SUM OF
P. O. Box 98220
Chicago, IL 60693 -8220
$16,113.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
18758 2392269 42- 365.00 $8,717.69 1 hereby certify that the attached invoice(s), or
18732 2392269 42- 365.00 $7,395.41 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, December 18, 2008
Street missioner
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))
12/17108 2392269 $8,717.69
12/17/08 2392269 $7,395.41
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
Cleric- Treasurer