158896 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 358385 Page 1 of 1
ONE CIVIC SQUARE GENERAL SHALE BRICK
o CARMEL, INDIANA 46032 PO 60x71917 CHECK AMOUNT: $44.40
CHICAGO IL 60694 -1917 CHECK NUMBER: 158896
n., CHECK DATE: 4/30/2008
DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRI
2201 J 4236100 180725438 14.80 SAND
2201 4236100 180725439 29.60 SAND
I
General Shale
Brick ==MWME
Building The American Dream
Bill To: 279670
CITY OF CARMEL Invoice: 180725438 Invoice Date: 04/07/2008
3400 W 131ST STREET
WESTFIELD IN 46074 -8267 Bill of Lading: 170827852
Goods Issue Date: 04/07/2008
Order: 9086827
Sales Rep: 199
Ship -To:
CITY OF CARMEL
Order Loc.: Carmel
3400 W 131ST STREET CARMEL IN
WESTFIELD IN 46074 -8267
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 4 BAG 1 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 04/07/2008 180725438 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
Br1ckMWM==M
Building The American Dream
[n�� ..c..e
Bill To: 279670
CITY OF CARMEL Invoice: 180725439 Invoice Date: 04/07/2008
3400 W 131ST STREET
WESTFIELD IN 46074 -8267 Bill of Lading: 170827889
Goods Issue Date: 04/07/2008
Order: 9086994
Sales Rep: 199
Ship -To:
CITY OF CARMEL
Order Loc.: Carmel
3400 W 131ST STREET
CARMEL IN
WESTFIELD IN 46074 -8267
Phone: 317 846 -2566
Mode of Shipment: Custom) r Pickup 057
Material Material Description Quantity Price Value USD
Batch Number and Description
6099008469 50 LB. OF SAND 8 BAG 3.70 29.60
Subtotal 29.60
TAX
TOTAL 29.60
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 04/07/2008 180725439 29.60
Remit To: GENERAL SHALE BRICK, INC.
PO Box 71917
CHICAGO IL 60694 -1917
Terms: Take discount of $2.96 If paid on or before 10th of next month.
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
4 YA'I7Toi 6ka.L a.n C Purchase Order No.
Terms
Date Due
I
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
n
-0
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
'J
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
I861d543e 3 81Q bill(s) is (are) true and correct and that the
18 01 3 uo I materials or services itemized thereon for
which charge is made were ordered and
received except
APR z 8 2008 20
Signat r
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund