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Home My WebLink About165778 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 358385 Page 1 of 1 s ONE CIVIC SQUARE GENERAL SHALE BRICK CARMEL, INDIANA 46032 PO BOX 71917 CHECK AMOUNT: $194.98 CHICAGO IL 60694 -1917 CHECK NUMBER: 165778 CHECK DATE: 11/12/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 180914575 27.00 OTHER MAINT SUPPLIES 2201 4238900 180914576 73.12 OTHER MAINT SUPPLIES 2201 4238900 180914577 94.86 OTHER MAINT SUPPLIES General Shale Brick CUSTOMER STATEMENT CUSTOMER NUMBER 10/31/2008 279670 CITY OF CARMEL 3400 W 131ST STREET WESTFIELD IN 46074 -8267 remit to: GENERAL SHALE BRICK, INC. PO Box 71917 CHICAGO IL 60694 -1917 Date Inv. Number Discount Charges 10/21/2008 0180914575 0.54 27.00 10/21/2008 0180914576 1.46 73.12 10/21/2008 0180914577 1.90 94.86 Key date balance 10/31/2008: 194.98 Current Past Due Total Aging 194.98 0.00 194.98 General Shale Brick MMMMMM Building The American Dream tnaRCe' Bill T 7 70 CITY OF CARMEL Invoice: 180914575 Invoice Date: 10/21/2008 3400 W 131ST STREET Customer P0: stock WESTFIELD IN 46074 -8267 Bill of Lading: 171035530 Goods Issue Date: 10/20/2008 Order: 310040911 Ship -To: Sales Rep: 199 CITY OF CARMEL 3400 W 131ST STREET Order Loc.: Carmel WESTFIELD IN 46074 -8267 CARMEL IN Phone: 317- 846 -2566 Mode of Shipment: Customer Pickup 057 Material Material Description Quantity Price Value USD Batch Number and Description 6099002538 4" EXPANSION JOINT (FT) 20 EA 1.35 27.00 Subtotal' 27.00 TAX TOTAL 27.00 LATE PAYMENT CHARGE of 1.5 PER MONTH. PLEASE RETURN THIS PORTION WITH YOUR PAYMENT Accnt Customer Name_, Invoice -Date Invoice Amount Due 279670 CITY OF CARMEL 10/21/2008 180914575 27.00 Remit To: GENERAL SHALE BRICK, INC. PO Box 71917 CHICAGO IL 60694 -1917 Terms: Take discount of $0.54 If paid on or before 11/20/2008 NET 45 DAYS. General Shale Brick 0=0MME Building The American Dream Bill To: 279670 Invoice: 180914577 Invoice Date: 10/21/2008 CITY OF CARMEL Customer P0: OAKRIDGE 3400 W 131ST STREET WESTFIELD IN 46074 -8267 Bill of Lading: 171036763 Goods Issue Date: 10/21/2008 Order: 310046014 Ship -To: Sales Rep: 199 CITY OF CARMEL 3400 W 131ST STREET Order Loc.: Carmel WESTFIELD IN 46074 -8267 CARMEL IN Phone: 317- 846 -2566 Mode of Shipment: Customer Pickup 057 Material Material Description Quantity Pr ice Value USD Batch Number and Description 6017006220 VERSA -LOK BLOCK BUFF WEATHERED #17 17 EA 5.58 94.86 Subtotal 94.86 TAX TOTAL 94.86 LATE PAYMENT CHARGE of 1.5o PER MONTH. PLEASE RETURN THIS PORTION WITH YOUR PAYMENT Accnt Customer Name Invoice -Date Invoice Amount Due 279670 CITY OF CARMEL 10/21/2008 180914577 94.86 Remit To: GENERAL SHALE BRICK, INC. PO Box 71917 CHICAGO IL 60694 -1917 Terms: Take discount of $1.90 If paid on or before 11/20/2008 NET 45 DAYS. General Shale Brick 0 W M W ME Building The American Dream tn vQ� ce Bill To: 279670 CITY OF CARMEL Invoice: 180914576 Invoice Date: 10/21/2008 3400 W 131ST STREET Customer P0: OAKRIDGE WESTFIELD IN 46074 -8267 Bill of Lading: 171036138 Goods Issue Date: 10/21/2008 Order: 310046014 Ship -To: Sales Rep: 199 CITY OF CARMEL 3400 W 131ST STREET Order Loc.: Carmel WESTFIELD IN 46074 -8267 CARMEL IN Phone: 317- 846 -2566 Mode of Shipment: Customer Pickuip 057 Material Material Description Quantity Price Value USD Batch Number and Description 6017006224 VERSA -LOK CAP BUFF WEATHERED #17 8 EA 3.56 28.48 6017006220 VERSA -LOK BLOCK BUFF WEATHERED #17 8 EA 5.58 44.64 Subtotal 73.12 TAX TOTAL 73.12 LATE PAYMENT CHARGE of 1.5% PER MONTH. PLEASE RETURN THIS PORTION WITH YOUR PAYMENT Accnt Customer Name Invoice -Date Invoice Amount Due 279670 CITY OF CARMEL 10/21/2008 180914576 73.12 Remit To: GENERAL SHALE BRICK, INC. PO Box 71917 CHICAGO IL 60694 -1917 Terms: Take discount of $1.46 If paid on or before 11/20/2008 NET 45 DAYS. VOUCHER NO. WARRANT NO. ALLOWED 20 General Shale and Brick IN SUM OF P. 10. Box 71917 Chicago, IL 60694 -1917 $194.98 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 2201 180914576 42- 389.00 $73.12 1 hereby certify that the attached invoice(s), or 2201 180914577 42- 389.00 $94.86 bill(s) is (are) true and correct and that the 2201 180914575 42- 389.00 $27.00 materials or services itemized thereon for which charge is made were ordered and received except Friday, November 07, 2008 XI-4 Street Commissi n r 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)) 10/21/08 180914576 $73.12 10/21/08 180914577 $94.86 10/21/08 180914575 $27.00 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