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177195 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 00350164 Page 1 of 1 ONE CIVIC SQUARE F E HARDING ASPHALT CO, INC CARMEL, INDIANA 46032 10151 HAGUE ROAD CHECK AMOUNT: $654.97 INDIANAPOLIS IN 46256 CHECK NUMBER: 177195 CHECK DATE: 9/1512009 DEPARTMENT ACCOUN PO NUM INV OICE NUMBER A MOUNT DESCRIPTIO 2201 4236300 654.97 BITUMINOUS MATERIALS STATEMENT TM 5145 East 96th Street Indianapolis, Indiana 46240 (317) 849 -9666 www.hardingasphalt.com ACCOUNT NO. CITY OF CARMEL CAR210 STREET DEPARTMENT 3400 W. 131ST ST. STATEMENT DATE WESTFIELD, IN 46074 08/31/09 DATE REFERENCE CHARGES CREDITS BALANCE 08/21/OS 091299 209.47 209.47 08/24/05 091317 247.50 456.97 08/25/OS 091325 27.50 484.47 08/26/OS 091340 27.50 511.97 08/27/0 091357 57.75 569.72 08/28/0 091375 57.20 626.92 08/31/0 091391 28.05 654.97 0 -30 DAYS 31 -60 DAYS 61 -90 DAYS OVER ACCUM. BALANCE 90 DAYS FINANCE CHG. DUE 654.97 00 00- .00 .00 654.9' ANALYSIS OF BALANCE DUE A FINANCE CHARGE OF 1 1 /2% PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18 WILL BE INCURRED ON ALL PAST DUE AMOUNTS. LASER BUSINESS FORMS INC. (317) 915 -5000 10151 Hague Road DATE: 08/21/09 Indianapolis, Indiana 46256 TM (317) 849 9666 INVOICE: 0 9129 9 OpAfl (fi �Aj�, www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CITY OF CARMEL CITY OF CARMEL STREET DEPARTMENT STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. WESTFIELD, IN 46074 WESTFIELD, IN 46074 ATTN BONNIE (3- 17)733 -2001 Tax Juris: 0001 INDIANA 1 St Date Date ,Ship Via ,i ,Sub Acct .i _Cust Ord 17 SlsmanClk Terms Cppg 0., _08 21 0:9,: 0`8� 21 09.` av i 0, 00,1 NET 15TH P 0301 Item -Ordered' D e s c r i p t i o n Unit Prc Ext INVOICE INVOICE INVOICE INVOICE 247147,,247143' 12S 4.51 4.51 12 SURFACE. L 55.00 24-8 f05 TN i l a F ZY it t 16 i 6 f� 1 r- `Sales Tax Freight:, Misc CD: Deposit Cash CD TOTAL 248.05 248.05 A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMIT TO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF x a h 10151 Hague Road DATE: 08/24/09 Indianapolis, Indiana 46256 INVOICE: 091317 1 (317) 849 -9666 www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CITY OF CARMEL CITY OF CARMEL STREET DEPARTMENT STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. WESTFIELD, IN 46074 WESTFIELD, IN 46074 ATTN BONNIE (317)733 -2001 Tax Juris: 0001 INDIANA 1 St_ Ord :Date Shp Date Ship Via, Sub Acct Cust Ord Slsman Clk Terms CpPa 08 24 .0- -9 ---0 -8 -2.4 -,09�-- �,H_ �0 00 NET 15TH P_0301 Item Ordered Shipped_D e s c r i p t i o n. Unit Pr'c Ext. INVOICE INVOICE INUOICE'" INVOICE 24720 12S 4.50 4.50 12 SURFACE 55.00 247.50 TN a I Y 't) 5 Sales Tax Freight' Misc CD' Deposit Casn CD' TOTAL 247.50 247 5T_ I 1 A FINANCE CHARGE OF 1'/2 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915 -5000 I- 8.5 -27 FORM NO. BIN 025SF 10151 Hague Road DATE: 08/25/09 Indianapolis, Indiana 46256 INVOICE: 091325 T M (311) 849 9666 www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CITY OF CARMEL CITY OF CARMEL STREET DEPARTMENT STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. WESTFIELD, IN 46074 WESTFIELD, IN 46074 ATTN BONNIE 1 317)733 -2001 Tax Juris: 0001 INDIANA 1 _St_ Date Date Ship Via, Sub Acct: Ord #Slsman Clk Terms CpPg 01 08/25, 08-/25 r- 71, t 0 00` -NET 15TH P Item Ordered: Shipped D e s c r i p t i o n Unit Prc Ext. INVOICE IINVOICE+ INVOICE INVOICE a 2 4 7'`2 4` °t 12S� a .50 .50 12 SURFACE 55.00 27.50 TN 1 @f i. 1i r r i r 1 '4 Y Sales" Tax Freight Misc CD° Deposit Cash CD TOTAL 27.50 27.50 J1 Ir, it A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS, CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF r DATE: 08/26/09 f 10151 Hague Road I 44, Indianapolis, Indiana 46256 .r' V`� INVOICE: 091340 TM (317) 849 -9666 jt�r,j�1;��,,� ��jl www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CITY OF CARMEL CITY OF CARMEL STREET DEPARTMENT STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. WESTFIELD, IN 46074 WESTFIELD, IN 46074 ATTN BONNIE (317)733 -2001 Tax Juris: 0001 INDIANA 1 �S_t_ Date Shp Date Ship Via Sub Acct,_ Ord Slsman Clk Terms Cppg 01 08 26 .0'9 -08 X26 '09, i I 0- 0"O:.NET 15TH P 0301 Item Ordered Shipped D e s c r i P i o n Unit Prc Ext. INVOICE INVOICE I-NVO;ICE INVOICE 247293 12S .50 .50 12 SURFACE. 55.00 27.50 TN s I T t t ry I I 7 1 j 3 Sales Tax Freight Misc CD Deposit Cash CD TOTAL 27.50 2 A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF 10151 Hague Road DATE: 08/27/09 q I U I--� Indianapolis, Indiana 46256 r' `r INVOICE 091357 TM (317) 849 9666 www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CITY OF CARMEL CITY OF CARMEL STREET DEPARTMENT STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. WESTFIELD, IN 46074 WESTFIELD, IN 46074 ATTN BONNIE (317)733 -2001 Tax Juris: 0001 INDIANA 1 S�t_ DateShp Date L Ship Via :Sub Acct,', Gust Ord Slsman Clk Terms -.01 08 2.709 08 27 09 0. 00, NET '15TH P 0301 Item Ordered;, Shipped D e s c r i p t i o n Unit Prc Ext. INVOICE INVOICE INVOICE INVOICE I 247336 12S ,1.05 1.05 12 SURFACE 55.00 57.75 TN f P Sales Tax Freight, Misc CD` Deposit Cash CD TOTAL 57.75 57.75 A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF r p, 10151 Hague Road DATE: 08/28/09 Indianapolis, Indiana 46256 (317) 849 -9666 INVOICE: 091 7 5 rr\ t5^s www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CITY OF CARMEL CITY OF CARMEL STREET DEPARTMENT STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. WESTFIELD, IN 46074 WESTFIELD, IN 46074 ATTN BONNIE (•317)733 -2001 Tax Juris: 0001 INDIANA 1 St'L Date; Date, ,_Ship Via Sub Acct i,, Cust Ord Clk Terms Cppg 0.14 08/28/,09 08/28/09; L 0; 00 NET 15TH P 0301 Item Ordered' Shipped D e s_ c r i pt i o n Unit Prc Ext INVOICE INVOICE INVOICE INVOICE 24 73 7 °6 12S 1 04 1.04 12 ,SURFACE 55.00 57 20 -TN I w li t I 1 1 s i ("l Sales' Tax 'Freight Misc CD Deposit Cash CD TOTAL 57.20 57 .20 20 A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF DATE: 08/31/09 P� I^� '�J V India Hague Road Indianapolis, Indiana 46256 TM (317) 849 -9666 INVOICE: 091391 www.hardingasphalt.com INVOICE BILL TO: CAR210 SHIP TO: 000 CITY OF CARMEL CITY OF CARMEL STREET DEPARTMENT STREET DEPARTMENT 3400 W. 131ST ST. 3400 W. 131ST ST. WESTFIELD, IN 46074 WESTFIELD, IN 46074 ATTN BONNIE 317)733 -2001 Tax Juris: 0001 INDIANA 1 StIL Ord.-Da;te l Shp_ Date _Ship Via Sub Acct Cust Ord Clk Terms CpPg 0.11 08 3.1 0,9.i� 08 31 09ia 0 00 NET 15TH P 0301 .Item Ordered:' Shipped D e s c r i p t i o n Unit Prc Ext. INVOICE INVOICE INVOICE INVOICE 247443 12S .51 .51 12 SURFACE l 55.00 28.05 TN ra P r; I i �fr Sales Tak Freight` Misc CD Deposit as 28 28.05 A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMIT TO: 10151 HAGUE ROAD FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256 INC. TO ENFORCE THE TERMS OF COLLECTION. LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF 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)) 08/31/09 $654.97 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 F. E. Harding Asphalt IN SUM OF 10151 Hague Road Indianapolis, IN 46256 $654.97 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 42- 363.00 $654.97 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 4 �/Thursday�Sep�, ber 10, 2009 r Street Commissio We l Title� Cost distribution ledger classification if claim paid motor vehicle highway fund