198074 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 083080 Page 1 of 1
ONE CIVIC SQUARE EDGEWOOD BUILDING SUPPLY
CHECK AMOUNT: $1,014.00
CARMEL INDIANA 46032
3749 SOLUTIONS CENTER
«o CHICAGO IL 60677 -3007 CHECK NUMBER: 198074
CHECK DATE: 6/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 5023990 94297445 1,014.00 OTHER EXPENSES
EDGEWGDD
EDGEWOOD BUILDING SUPPLY
1580 E. EPLER AVE
INDIANAPOLIS, IN 46227
INVOICE
Invoice 94297445
Invoice Date: 05/24/2011
CITY OF CARMEL DEPT OF RELATIONS SHIP TO: CITY OF CARMEL DEPT OF RELATIONS
ONE CIVIC SQUARE VETERANS MALL
CARMEL IN 46032 ONE CIVIC SQUARE
CARMEL IN 46032
CUSTOMER# CUSTOMER PO# SALES ORDER# SALESPERSON CARRIER
1019648 VETERANS MALL 10341702 702 9999
DELIVERY DATE DEL.TICKET# QUANTITY PLANT UOM PRICE EXTENDED
DESCRIPTION AMOUNT
05/24/2011 81768669 49.00 4008 EA 18.00/1 882.00
ENGRAVING CHARGE
8X8X2.25 ENGRAVED PAVER
05/24/2011 81768669 11.00 4008 EA 12.00/1 132.00
ENGRAVING CHARGE
4X8X2.25 PAVER ENGRAVED
NON TAXABLE TAXABLE SALES TAX TOTAL DUE
TERMS: 1,014.00 1,014.00
Before 10 of nxt mo.10% disc -Net bef 30 of nxt
mo. MAKE CHECKS PAYABLE TO:
A service charge of 1 -112% per month which is an Edgewood Bldg Supply
annual rate of 18% will accrue 30 days after 3749 Solutions Center
Chicago, IL 60677 -3007
1019648/94297445 Page:1 of 1
www.edgewoodbuildingsupply.com 317 786 -9208
Purchases of materials delivered and used in certain municipalities within Illinois and Indiana may be subject to a local use tax that
you should self- assess. Please consult your tax advisor to determine if this tax is applicable to you.
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))
/24/11 94297445 Veterans Brick $1,014.00
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
1 20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Edgewood Building Supply IN SUM OF
3749 Solutions Center
Chicago, IL 60677 -3007
$1,014.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
1160 Mayor's Office #854
Gift Fund
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1 94297445 $1,014-00 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
M or
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund