HomeMy WebLinkAbout160872 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 358385 Page 1 of 1
ONE CIVIC SQUARE GENERAL SHALE BRICK
0 CHECK AMOUNT: $37.00
CARMEL, INDIANA 46032 Po aox 71917 CHICAGO IL 60694 -1917 CHECK NUMBER: 160872
CHECK DATE: 6/25/2008
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER, AMOUNT D ESCRIPTION
2201 4237000 180786026 37.00 REPAIR PARTS
S
l
General Shale
Brick
Building The American Dream
Bill To: 279670
CITY OF CARMEL Invoice: 180786026 Invoil a Date: 06/05/2008
3400 W 131ST STREET Customer PO: 131ST AND SHELBORNE
WESTFIELD IN 46074 -8267
Bill of Lading: 170893862
Goods Issue Date: 06/05/2008
Order: 9369096
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
6099008469 50 LB. OF SAND 10 BAG 3.70 37.00
Subtotal 37.00
TAX
TOTAL 37.00
LATE PAYMENT CHARGE of 1 PLEASE RETURN THIS PORTION WITH YOUR PAYMENT
Accnt Customer Name Invoice -Date Invoice Amount Due
279670 CITY OF CARMEL 06/05/2008 180786026 37.00
Remit To: GENERAL SHALE BRICK, INC.
PO Box 71917
CHICAGO IL 60694 -1917
Terms: Take discount of $3.70 If paid on or before 10th of next month.
VOUCHER NO. WARRANT NO.
ALLOWED 20
General Shale and Brick
IN SUM OF
P. O. Box 71917
Chicago, IL 60694 -1917
$37.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 180786026 42- 370.01 $37.00 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
Thursday, June 19, 2008
f/ Street e mmissioner
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))
06/05/08 180786026 $37.00
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