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HomeMy WebLinkAbout198493 06/22/2011 a CITY OF CARMEL, INDIANA VENDOR: 00350164 Page 1 of 1 t ONE CIVIC SQUARE F E HARDING ASPHALT CO, INC CHECK AMOUNT: $1,180.66 CARMEL, INDIANA 46032 10151 HAGUE ROAD INDIANAPOLIS IN 46256 CHECK NUMBER: 198493 CHECK DATE: 6/22/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236300 STREET 1,180.66 BITUMINOUS MATERIALS STATEMENT TM 5145 East 96th Street Indianapolis, Indiana 46240 (317) 849 -9666 www.hardingasphalt.com ACCOUNT NO. CARMEL STREET DEPARTMENT CAR210 STATEMENT DATE 3400 W. 131ST ST. CARMEL, IN 46074 05/31/11 DATE REFERENCE CHARGES CREDITS BALANCE e 04/01/11 102798 313.99 313.99 04/05/11 102821 58.00 371.99 04/06/11 102845 58.00 429.99 04/07/11 102870 58.00 487.99 04/08/11 102894 32.48 520.47 04/12/11 102907 58.00 578.47 04/13/11 102934 59.74 638.21 04%14/1.1 102958 58.00 696.21 04/15/11 102980 87.58 783.79 04/18/11 102995 58.58 842.37 04/20/11 103013 58 58a "900.95 04/21/11 103032 235'.48 11`3 6°.43 r 04/22/11 103065 187.58 1224 0,1 i t 04/26/11 103076 1205 90, 1429.91 04/28/11 103088 59 16 L� 1489.07 05/04/11 103160 173 42`x 1662.49 05/05/11 103191 1,7516 183 65 05/06/11 103227 58h00tw.(, 1„89.,5'65 05/09/11 103251 243 38. 2139.03 05/10/11 103262 59.16 2198.19 05/11/11 103278 59.16 2257.35 05/12/11 103307 118.90 2376.25 05/17/11 103360 58.00 2434.25 05/19/11 103405 89.32 2523.57 05/23/11 103453 58.00 2581.57 05/24/11 103472 30.16 2611.73 05/25/11 103497 87.58 2699.31 0 -30 DAYS 31 -60 DAYS 61 -90 DAYS OVER ACCUM. BALANCE 90 DAYS FINANCE CHG., DUE CONT' D d ANALYSIS OF BALANCE DUE A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. LASER BUSINESS FORMS INC. (317) 915 -5000 STATEMENT q JI TM 5145 East 96th Street Indianapolis, Indiana 46240 (317) 849 -9666 www.hardingasphalt.com ACCOUNT NO. CARMEL STREET DEPARTMENT CAR210 3400 W. 131ST ST. STATEMENT DATE CARMEL, IN 46074 05/31/11 c( DATE REFERENCE CHARGES CREDITS BALANCE 05/26/11 103544 87.58 2786.89 05/31/11 103565 58.00 2844.89 y 0 -30 DAYS 31-60 DAYS 61- 90DAYS OVER ACCUM. BALANCE DAYS, FINANCE CHG. _DUE S �1355.�82 14;89 07 00 0 00 2844.89 YOUR ACCOUNT IS PAST DUE, PLEASE REMIT ANALYSIS OF BALANCE DUE A FINANCE CHARGE OF V/2 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. LASER BUSINESS FORMS INC. (317) 915 -5000 10151 Hague Road DATE: 05/04/11 4�IJ Indianapolis, Indiana 46256 T� r t:i� 0) (317) 849 -9666 INVOICE 103160 f 1 1fli r t'. www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE 317)733-2001 Tax Juris: 0001 INDIANA 1 St Ord Date Shp Date Ship Via Sub Acct Cust Ord Clk Terms CaPa 1 05/94/11 05/0-4 0 99 LIET 7 5 P 0i n' arc, Shipped D e s c 1 1...12 t -1 o I1. Unit P c Ext INVOICE INVOICE i INVOICE INVOICE ;,260678 12S 2.99 2.99 12 SURFACE 58.00 173.42 TN P1 l i c� n ta> I f I 1 I I I i I E Sales Tax Freight Misc CD Deposit Cash CD TOTAL 173.42 173.42 A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF 10151 Hague Road DATE: 05/06/11 Indianapolis, Indiana 46256 TM r (317) 849 -9666 www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE 317)733-2001 Tax Juris: 0001 INDIANA 1 St Or Date Shp Date Ship Via Sub Acct Cust Ord Slsman Clk Terms CDpg Item Ordered, Shipped D e s c r i p t o n Unit Prc Ext. .INVOICE INVOICEi INVOICE INVOICE :260847 r 12S 1.00 1.00 12 SURFACE 58.00 58.00 TN P I i 6 G I I I 4 I Sales Tax Freight Misc CD Deposit Cash CD TOTAL 58.00 58.00 A FINANCE CHARGE OF 1 1 /2 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF 4 (7 (p� �r 10151 Hague Road DATE: 05/09/11 �,y J Indianapolis, Indiana 46256 rM f �r (317) 849 -9666 t`rlj�� lidil�o I I I li it. www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE 317)733 -2001 Tax Juris: 0001 INDIANA 1 St Ord Date Shp Date Ship Via Sub Acct Cust Ord Slsman Clk Terms CpPca Item Ordered Shipped D e s c r i- p t i o n, Unit Prc Ext. INVOICE INVOICE! INVOICE iNVOICE ;260952 i 5BR 4.04 4.04 BASE 45.601 184.22 TN P 260933 '260933 12S 1.02 1.02 12 SURFACE 58.001 59.16 TN c P1 I j <g f Y °3 I i i 1 i I Sales Tax Freight Misc CD Deposit Cash CD TOTAL 243.38 243.38 A FINANCE CHARGE OF V/z PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF F\ r r 10151 Hague Road DATE: 05/10/11 Indianapolis, Indiana 46256 p TM j y(�? r (317) 849 -9666 TNN. 103262- 1 At'p li1 j5 oti mi,f1fi J. www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE 317)733 2001 Tax Juris: 0001 INDIANA 1 St Ord Date Shp Date Ship Via Sub Acct Cust Ord Slsman Clk Terms CPPP Item Ordered, Shipped D e s c r i p t -i o n -Unit Prc Ext. INVOICE INVOICE INVOICE iNVOICE ;261056 I 12S 1.02 1.02 12 SURFACE 58.00; 59.16 TN P r I I r I 4 j I E j Sales Tax Freight Misc CD Deposit Cash CD TOTAL 59.16 59.16 A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMIT TO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LACER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF oy r, r I 1 10151 Hague Road DATE: 05/11/11 Indianapolis, Indiana 46256 TM (317) 849 -9666 Amp I f www.hardingasphalt.com r j�� jljS�j� ��a 1 tjt. www.hardin as halt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE 317)733-2001 Tax ,7uris: 0001 INDIANA 1 SStt Date Shp Date Ship Via Sub Acct Cust Ord Slsman Clk Terms CPPg Qi 0 00 ET 15TH P 0101 Item Ordered Shipped D s c r i p t i o n Unit Prc Ext. INVOICE INVOICE' INVOICE INVOICE I 1261182- 12S 1.02 1.02 12 SURFACE 58.00 59.16 TN I P i j l I L a` y� I i I Sales Tax Freight Misc CD Deposit Cash CD TOTAL 59.16 59.16 A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF TM 10151 Hague Road DATE: 05/12/11 Indianapolis, Indiana 46256 (317) 849 -9666 103307 www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE 317)733 2001 Tax Juris: 0001 INDIANA 1 St Ord Date Shp Date Ship Via Sub Acct_. Cust Ord Slsman C1 Terms CpPa 0 NET 15TH P 0101 Item Ordered Shipped D e s c r i p t i o n Unit Prc Ext. INVOICE j _.I1NVOIfE, INVOICE INVOICE I 261282 12S 2.05 2.05 i12 SURFACE 58.00I 118.90 TN P I j i i i I j I I I I S ales Tax Frei.ht Misc CD Deposit Cash CD TOTAL 118.90 118.90 A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF tf��10151 Ha ue Road DATE 0 5 17 11 Indianapolis, Indiana 46256 TM �'d V� 317 849 -9666 F y� ��,'O��I� —'i �llj www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE 317)733-2001 Tax Juris: 0001 INDIANA 1 St Ord Date Date Ship Via Sub Acct, Cust Ord V Slsman Clk Terms Cpl 0 101 Item Ordered :Shipp D .e s c r t -i..o n.a- ,..,_U.ni.t P- Fx.t INVOICE INVOICE INVOICE INVOICE 12 61672 12S 1.00 1.00 112 SURFACE 58.00 1 58.00 TN P j i 3 i 1 1 I i Sales Tax Freight Misc CD Deposit Cash CD TOTAL 58.00 58.00 A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO, BIN 025SF 0 10151 Hague Road DATE 05/19/11 L) Indianapolis, Indiana 46256 TM lH y (317) 849 -9666 #`1jp jpjl`'i r,: www.hardingasphalt.com INVOICE BILL TO: CAR210 1 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE 317)733 2001 Tax Juris: 0001 INDIANA 1 St� Ord Date Shp Date Ship Via Sub Acct Cust Ord V Slsman Clk Terms CpPa H P, 0101 It em Orde w hipped D e s c r i t i o n Unit Prc Ext INVOICE INVOICE INVOICE IENVOICE :261805, 7,75 12S 1.54 1.54 '12 SURFACE 58.00 89.32 TN j P I I i t I f Sales -Tax- Freight Misc CD Deposit Cash CD TOTAL 89.32 89.32 A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF F 10151 Hague Road DATE: 0 5 2 4 11 7. �r IJ _JN Indianapolis, Indiana 46256 TM (317) 849 -9666 INVOICE: 10 3 4 7 2 www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE 317)733-2001 Tax Juris: 0001 INDIANA 1 St Ord Date Shp Date. Ship _Via Sub Acct Cust Ord Slsman Terms CCPg 0, 00 NET 15TH P 0101 Hem-i. Ordered Shipped D e s c r i L2 t i o n Unit Prc Ext. INVOICE INVOICE 1 `INVOI'CE INVOICE j 262035 12S .52 .52 d2 'SURFACE 58.00 30.16 TN P I i I I I i i k I; f a i I e 1 r i Sales Tax Freight Misc CD Deposit Cash CD TOTA 30.16 30.16 A FINANCE CHARGE OF 1'12 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS. INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF DATE: 05/25/11 A 10151 Hague Road Indianapolis, Indiana 46256 103 497 TM (317) 849 -9666 www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE 317)733-2001 Tax Juris: 0001 INDIANA 1 st Ord Date Date Ship Via Sub ACCt Cust Ord Terms CDPa NET 15TH R,0101 Item j. Ordered Shipped ,,D e s c r i t i o_ n Unit Prc Ext. INVOICE INVOICE f INVOICE INVOICE 262109,092 12S 1.51 1.51 12 SURFACE 58.00 87.58 TN P i i l 1 I I i i i I I I i I I Sales Tax Freight Misc CD Deposit Cash CD TOTAL 87.58 87.58 A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMIT TO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF F I��" 10151 Hague Road DATE: 0 Indiana 46256 olis Indiana p INVOICE: 103453 TM f (317) 849 -9666 IA,r klld} jjljr-, www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE 317)733-2001 Tax Juris: 0001 INDIANA 1 St Ord Date Shp Date Ship Via- Sub Acct Cust Ord Clk Terms CpPg 0 00.,NET 15TH P 0101 Item Ordered Shipped D s c r iP t i o n Unit Prc. Ext. 1 INVOICE INVOICE INVOICE "INVOhCE 261959 12S j 1.00 1.00 !12 SURFACE 58.00 I� 58.00 TN P i i 1 I f I f i i f I I 1 i 1 i I 3 Sales Tax Freight Misc CD Deposit Cash CD TOTAL 58.00 58.00 A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO, BIN 025SF 10151 Hague Road DATE 05/26/11 Indiana olis, Indiana 46256 TM (317) 849 -9666 www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE 317)73 3-2001 Tax Juris: 0001 INDIANA 1 StI Ord Date Date Via Sub Acct- Cust_Ord Terms CpPg Item Ordered Shipped,D,e s c. r i p t i o n_ Unit Prc, Ext. INVOICE I- I�iVCIC j INVOICE INVOI 262141 12S 1.51 1.51 112 SURFACE 58.00 87.58 TN j P 1 i i a f l T "O r 1 I I Sales Tax' Freight -Misc CD De20si -t C- ash -CD TOTAL 87.58 1 87.58 A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF P L� 10151 Hague Road DATE 05/31/11 Indianapolis, Indiana 46256 TM (317) 849 9666 TNVOTCFD 103565 r�� [IT tt. www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. CARMEL, IN 46074 CARMEL, IN 46074 ATTN BONNIE 317)733-2001 Tax Juris: 0001 INDIANA 1 St Ord Date Shp Date Ship Via- Sub Acct. Cust Ord Slsman Clk Terms C LP- ET 15TH R0101 Item Ordered Shipped ,D e s c r i p t i o n Unit Prc Ext. INVOICE- IAN VOICE j "INVOICE INVOICE 262215 12S 1.00 1.00 '12 SURFACE 58.00 58.00 TN P l i I i k 3 i i I V f x I i Sales -Tax Freight M sa -CD -Deposit Cash -CD TOTA 58.00 I 58.00 A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS. INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF 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)) 05/31/11 $1,180.66 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 VOUCHER NO. W NO. ALLOWED 20 F. E. Harding Asphalt IN SUM OF 10151 Hague Road Indianapolis, IN 46256 $1,180.66 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 42- 363.00 $1,180.66 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 0 Thursc!0/ une 16, 2011 er er Title Cost distribution ledger classification if claim paid motor vehicle highway fund