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Home My WebLink About155305 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 358385 Page 1 of 1 ONE CIVIC SQUARE GENERAL SHALE BRICK CARMEL, INDIANA 46032 PO BOX 71917 CHECK AMOUNT: $528.18 CHICAGO IL 60694 -1917 CHECK NUMBER: 155305 CHECK DATE: 1/10/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1 206 4237001 180653037 49.00 STORM SEWER MAINT SUP 206 4237001 180653038 12.70 STORM SEWER MAINT SUP 206 4237001 180653039 12.70 STORM SEWER MAINT SUP 206 4237001 180653986 453.78 STORM SEWER MAINT SUP General Shale BrickMMMMMN Building The American Dream r►.uc Bill To: 279670 CITY OF CARMEL Invoice: 180653037 Invoice Date: 12/27/2007 3400 W 131ST STREET Customer PO: 233 WESTFIELD IN 46074 -8267 USA Bill of Lading: 170747548 Goods Issue Date: 12/27/2007 Order: 8725211 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 Mode of Shipment: Customer Picku 057 Material Material Description Quantity Price Value USD Batch Number and Description 6099008469 50 LB. OF SAND 10 BAG 3.70 37.00 6099010159 WHITEWASH THORO BRUSH RED 2 EA 6.00 12.00 Subtotal 49.00 TAX TOTAL 49.00 LATE PAYMENT CHARGE.of._1.5% PER MONTH. General Shale Brick M Building The American Dream tnv:cr:±ce< 11 Bill To: 279670 CITY OF CARMEL Invoice: 180653038 Invoice Date: 12/27/2007 3400 W 131ST STREET Customer P0: 233 WESTFIELD IN 46074 -8267 USA Bill of Lading: 170747576 Goods Issue Date: 12/27/2007 Order: 8725211 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 Mode of Shipment: Customer Pickulp 057 I Material Material Description Quantity Price Value USD Batch Number and Description 6099010275 4 X 8 X 16 SOLID BLOCK 10 EA 1.27 12.70 Subtotal 12.70 TAX TOTAL 12.70 LATE PAYMENT CHARGE of 1.5% PER MONTH. General Shale Brick W 0 W ME Building The American Dream Bill To: 279670 CITY OF CARMEL Invoice: 180653039 Invoice Date: 12/27/2007 3400 W 131ST STREET Customer PO: 233 WESTFIELD IN 46074 -8267 USA Bill of Lading: 170747982 Goods Issue Date: 12/27/2007 Order: 8725211 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 Mode of Shipment: Customer Pickup 057 Material Material Description Quantity Price Value USD Batch Number and Description 6099010275 4 X 8 X 16 SOLID BLOCK 10 EA 1.27 12.70 Subtotal 12.70 TAX TOTAL 12.70 LATE PAYMENT CHARGE of 1.5% PER MONTH. General Shale ric k Building The American Dream o ce: tnu Bill To: 279670 CITY OF CARMEL Invoice: 180653986 Invoice Date: 12/28/2007 3400 W 131ST STREET Customer PO: 3400 WESTFIELD IN 46074 -8267 USA Bill of Lading: 170747676 Goods Issue Date: 12/27/2007 Order: 8725299 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 Car or Truck -No: DAN Mode of Shipment: Truck 057 I Material Material Description Quantity Price Value USD Batch Number and Description 6099010275 4 X 8 X 16 SOLID BLOCK 288 EA 1.27 365.76 6099000603 8" 8 X 8 X 16 STANDARD 36 EA 1.57 56.52 6099000295 WOOD PALLETS 2 EA 15.75 31.50 Subtotal 453.78 TAX TOTAL 453.78 LATE PAYMENT of 1.51 PER 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, date service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. u Payee llL n zfzA- SI'LQ A k)r I C� Purchase Order No. Terms Date Du Invoice Invoice Description Amount Date Number nn (or note attached invoice(s) or bill(s)) Lk, Lk it K 41 ti L v 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 _n Y k1 Y ,CCt L& ral IN SUM OF Cluca' I L �o�qq jqI ON ACCOUNT OF APPROPRIATION FOR L Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or U 31 0, bill(s) is (are) true and correct and that the I 13�1� 31 0. Ot 11,10 materials or services itemized thereon for �8 0( 560�f 310, d l I 3 which charge is made were ordered and I�'ptc, 5 310, ®i q �L3. `18 received except 7 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund