157935 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 358385 Page 1 of 1
ONE CIVIC SQUARE GENERAL SHALE BRICK CHECK AMOUNT: $36.82
CARMEL, INDIANA 46032 PO BOX 71917
CHICAGO IL 60694 -1917 CHECK NUMBER: 157935
CHECK DATE: 4/1/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DES CRIPTION
2201 4239099 180710418 36.82 OTHER MISCELLANOUS
General Shale
Brick M W
Building The American Dream
In VQ[C�'
Bill To: 279670
CITY OF CARMEL Invoice: 180710418 Invoice Date: 03/19/2008
3400 W 131ST STREET Customer P0: CROSS WALKS
WESTFIELD IN 46074 -8267
USA Bill of Lading: 170810432
Goods Issue Date: 03/18/2008
Order: 9012145
Ship -To: Sales Rep: 199
CITY OF CARMEL
3400 W 131ST STREET
Order Loc.: Carmel
WESTFIELD IN 46074 -8267 CARMEL IN
USA Phone: 317 846 -2566
Job: CROSS WALKS Mode of Shipment: Customer Pickup 057
60 PAVERS
Material Material Description Quantity Price Value USD
Batch Number and Description
6099009915 HALFMARK OTTAWA CREEK 1 14 EA 2.63 36.82
Subtotal 36.82
TAX
TOTAL 36.82
LATE PAYMENT CHARGE of 1.5% PER MONTH.
PLEASE RETURN THIS PORTION WITH YOUR PAYMENT A
Accnt Customer Name Invoice -Date Invoice Amount Due
279670 CITY OF CARMEL 03/19/2008 180710418 36.82
Remit To: GENERAL SHALE BRICK, INC.
PO Box 71917
CHICAGO IL 60694 -1917
Terms: Take discount of $3.68 If paid on or before 10th of next month.
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
z CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dat s 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))
0� )r`� �(o��
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I ha le audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
t4k W 61 d CSC. IN SUM OF
0, `'"t '�1 I q M
ON ACCOUNT OF APPROPRIATION FOR
b e tt
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
LIAR 3 1 2008 20
S gn i e
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund