162335 08/07/2008 CITY OF CARMEL, INDIANA VENDOR: 358385 Page 1 of 1
ONE CIVIC SQUARE GENERAL SHALE BRICK CHECK AMOUNT: $492.50
,ra CARMEL, INDIANA 46032 PO BOX 71917
CHICAGO IL 60694 -1917 CHECK NUMBER: 162335
CHECK DATE: 8/7/2008
DE PARTMENT A CCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
1 206 4237001 180831462 492.50 STORM SEWER MAINT SUP
I
General Shale
Brick M
Building The American Dream
Bill To: 279670
CITY OF CARMEL Invoice: 180831462 Invoice Date: 07/21/2008
3400 W 131ST STREET Customer P0: STOCK
WESTFIELD IN 46074 -8267
Bill of Lading: 170942676
Goods Issue Date: 07/21%2008
Order: 9578937
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
Job: DELIVER MONDAY Mode of Shipment: Truck 057
Car or Truck -No: KEVIN
I
Material Material Description Quantity Price Value USD
Batch Number and Description
6099009662 BRIXMENI' TYPE S 50 BAG 9.85 492.50
Subtotal 492.50
TAX
TOTAL 492.50
T _7VrV ETIVML'TTT OW ADO -V F 1 Cc, DVV MnWTTPW
VOUCHER,NO. WARRANT NO.
ALLOWED 20
General Shale and Brick
IN SUM OF
P. O. Box 71917
Chicago, IL 60694 -1917
$492.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
206 180831462 42- 370.01 $492.50 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
Thursday, July 3 021 08
C
Street C issioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Fc•m_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))
07/21/08 180831462 $492.50
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
20
Clerk- Treasurer