HomeMy WebLinkAbout158410 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 358385 Page 1 of 1
ONE CIVIC SQUARE GENERAL SHALE BRICK
CARMEL, INDIANA 46032 PO BOX 71917 CHECK AMOUNT: $210.00
CHICAGO IL 60694 -1917 CHECK NUMBER: 158410
CHECK DATE: 4/15/2008
DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
206 4237001 180719253 210.00 STORM SEWER MAINT SUP
c,
I
General Shale
Brick MMMMME
Building The American Dream
C ..vo.
Bill To: 279670
CITY OF CARMEL Invoice: 180719253 Invoice Date: 03/28/2008
3400 W 131ST STREET
WESTFIELD IN 46074 -8267 Bill of Lading: 170820138
USA Goods Issue Date: 03/28/2008
Order: 9044191
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
USA
Mode of Shipment: Truck 057
Car or Truck -No: VINCENT
Material Material Description Quantity Price Value USD
Batch Number and Description
6099009886 80LB. CONC MIX 42 BAG 5.00 210.00
6099000295 WOOD PALLETS 1 EA
Subtotal 210.00
TAX
TOTAL 210.00
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 03/28/2008 180719253 210.00
Remit To: GENERAL SHALE BRICK, INC.
PO Box 71917
CHICAGO IL 60694 -1917
Terms: Take discount of $21.00 If paid on or before 10th of next month.
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
.5` Purchase Order No.
i
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
a-� o G o C
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.
C ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
eA P 6ac)Lf
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1 601 Lq i 5 3 3'1 O. C 1 1 10-00 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
APR 4 2008 20
-Jfr� �0 AAA On
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund