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161830 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 358385 Page 1 of 1 ONE CIVIC SQUARE GENERAL SHALE BRICK CHECK AMOUNT: $99.80 CARMEL, INDIANA 46032 PO BOX 7191 CHICAGO IL 60694 -1917 CHECK NUMBER: 161830 CHECK DATE: 7/2312008 a DEPA ACCOUNT P NUMBE IN VOICE NUMBER AMOUNT DESCRIPTION "2201 4237000 180811773 27.10 REPAIR PARTS ;,2201 4237000 180813230 57.90 REPAIR PARTS )2201 4237000 180818892 14.80 REPAIR PARTS General Shale Brick =MM is Building The American Dream 11V ©ICS:; Bill To: 279670 CITY OF CARMEL Invoice: 180818892 Invoice Date: 07/08/2008 3400 W 131ST STREET Customer P0: SHELBOURNE WESTFIELD IN 46074 -8267 Bill of Lading: 170930813 Goods Issue Date: 07/08/2008 Order: 9530295 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 6099008469 50 LB. OF SAND 4 BAG 3.70 14.80 Subtotal 14.80 TAX TOTAL 14.80 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 07/08/2008 180818892 14.80 Remit To: GENERAL SHALE BRICK, INC. PO Box 71917 CHICAGO IL 60694 -1917 Terms: Take discount of $1.48 If paid on or before 10th of next month. General Shale Brick Building The American Dream Invc�rce Bill To: 279670 CITY OF CARMEL Invoice: 180811773 Invoil Date: 06/30/2008 3400 W 131ST STREET Customer PO: PEN AND CARMEL WESTFIELD IN 46074 -8267 Bill of Lading: 170922587 Goods Issue Date: 06/30/2008 Order: 9487219 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 Pickulp 057 Material Material Description Quantity Price Value USD Batch Number and Description 6099009662 BRIXMENT TYPE S 2 BAG 9.85 19.70 6099008469 50 LB. OF SAND 2 BAG 3.70 7.40 Subtotal 27.10 TAX TOTAL 27.10 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 06/30/2008 180811773 27.10 Remit To: GENERAL SHALE BRICK, INC. PO Box 71917 CHICAGO IL 60694 -1917 Terms: Take discount of $2.71 If paid on or before 10th of next month. General Shale Brick MM® Building The American Dream Bill T 27 70 B o 96 1 CITY OF CARMEL Invoice: 180813230 Invoice Date: 07/01/2008 3400 W 131ST STREET Customer P0: 131 SHELBOURNE WESTFIELD IN 46074 -8267 Bill of Lading: 170923578 Goods Issue Date: 07/01/2008 Order: 9494931 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 PickulD 057 Material Material Description Quantity P Value USD Batch Number and Description 6099009662 BRIXMENT TYPE S 4 BAG 9.85 39.40 6099008469 50 LB. OF SAND 5 BAG 3.70 18.50 Subtotal 57.90 TAX TOTAL 57.90 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 07/01/2008 180813230 57.90 Remit To: GENERAL SHALE BRICK, INC. PO Box 71917 CHICAGO IL 60694 -1917 Terms: Take discount of $5.79 If paid on or before 10th of next month. VOUCHER NO WARRANT N ALLOWED 20 General Shale and Brick IN SUM OF P. O. Box 71917 Chicago, IL 60694 -1917 $99.80 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 2201 180811773 42- 370.01 $27.10 1 hereby certify that the attached invoice(s), or 2201 180813230 42- 370.01 $57.90 bill(s) is (are) true and correct and that the 2201 180818892 42- 370.01 $14.80 materials or services itemized thereon for which charge is made were ordered and received except Thursday, July 17, 2008 Str eL6Commissioner 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)) 06/30/08 180811773 $27.10 07/)1/08 180813230 $57.90 07/08/08 180818892 $14.80 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