HomeMy WebLinkAbout200535 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 195575 Page 1 of 1
3 ONE CIVIC SQUARE MARTIN MARIETTA AGGREGATES CHECK AMOUNT: $448.53
CARMEL, INDIANA 46032 PO Box 93186
CHIGAGO IL 60673 -3186 CHECK NUMBER: 200535
CHECK DATE: 8117/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUM A MOUNT DESCRIPTION
2200 4462000 9466979 408.53 OTHER STRUCTURE IMPRO
Page 1 of 1
Martin Marietta Materiels
�A A t=OR' SILLItG QUESTIONS PLEASE CALL
P.O. Box 30013 3EY 513- 44&1)1;
Raleigh, NC 27622 -0013
Visit eRocks at www.martinmadetta.com JOB NAME: MISC JOB TAXABLE TRK
SOLD TO: 002193 003485 SHIP TO:
CITY OF CARMEL- STREET DEPARTMENT MISCELLANEOUS JOB TAXABLE TRUCK
3400 W 131 ST STREET KITTY HAWK COURT
WESTFIELD IN 46074 Indianapolis IN 46240
PAYMENT TERMS: NET 30 DAYS AIR
Order No. Customer PO Dest. Job No. Dist Business Business Unit Name Cust. No. Invoice Invoice No.
No. No, Unit Date
6334129 SO 001 886801 11 25102 North Indianapolis Quarry 231877 6/20111 9466979
Ship Date Product Description Quantity UM Unit Price Material Freight Freight Taxes TOTAL
CgriRarqe No
06/14111 0204 IN NO2
6212657 9.50 TN 11.55 109.73 109.73
"SUBTOTAL' 9.50 109.73 109,73
06114111 0430 IN NO 53 C
6212695 8.67 TN 11.55 100.14 100.14
6212719 7.62 TN 11.55 88.01 88.01
6212727 9.58 TN 11.55 110.65 110.65
`SUBTOTAL` 25.87 298.80 298.80
TOTAL 35.37 408.53 408.53
IINUOICE, dTAL $408.53
www.martinmarietta.com Ticket# 6212657
Sold To:231871Job# 888801 001 Sold From!25102Ncrth Indianapolis Quc
CARMEL CITY OF- STREET DEPARTMENT 4700 East 96th Street
9
3400 W 131ST STREET (317) 846 -6131 Dispatch
WESTFIELD IN 46074 317 575 -3431 Scale 9
Date: 06 /14/11 Time: 11:30 PO No: Job /Dest. Information
Truck:CARMEL205 CARMEL ST DEPT. MISC JOB TAXABLE IRK
Hauler: HaulRate MISCELLANEOUS JOB TAXABLE TRUCK
KITTY HAWK COURT
m
d rP
Lot#
Lds Today To Date Lbs Tons Cash Sale g
Quantity Quantity Gross: (1) 44,780 22.39 Matl
Job: 1 9.50 18.81 Tare: 25, 780 12. 89 Tax IN o m 3
Dest :l 9.50 9.50 Net: 19,000 9.50 Haul D s Z g
Product Number: 0204 Payment Recvd By: 2 0 Z 41
E
Desc: IN NO 2 Total$ a Q• W H
Sec. Product: 0.00 QTY: 9.50 Ton Max GVW: 52,000.00 N
Additional Information: Weighperson: KATHY
LEDGES 8 -14 INDOT SOURCE 2311 Q962010
New Hrs:M -F 7- 4:30,Sat 7 -12
a
n
Driver: Customer:
Martin Ma rietta Materials Standard Terms and Conditions apply (copy available at Site Offi cel.
www.martinmarietta.com Ticket# 6212657
Sold TO:231877Job# 888801 001 Sold From 25102North Indianapolis Quz
CARMEL CITY OF- STREET DEPARTMENT 4700 East 96th Street 19
1
3400 W 131ST STREET (317) 846 -6131 Dispatch rh
WESTFIELD IN 46074 317 575 -3431 Scale
Date: 06 /14/11 Time: 11:30 PO No: Job /Dest. Information
Truck:CARMEL205 CARMEL ST DEPT. MISC JOB TAXABLE TRK
Hauler: HaulRate MISCELLANEOUS JOB TAXABLE TRUCK
KITTY HAWK COURT m.
m rp
Lot# o
Lds Today To Date Lbs Tons Cash Sale a
Quantity Quantity Gross: 44,78022.39 Matl G
Job: 1 9.50 18.81 Tare: 1 25,78012.89 Tax IN a m D e*
Dest:l 9.50 9.50 Net: 19,000 9.50 Haul
Product Number: 0204 Payment Recvd By: g n z
Desc: IN NO 2 Total$
Sec. Product: 0.00 QTY: 9.50 Ton Max GVW: 52,000.00 y N
i o
Additional Information: Weighperson: KATHY
LEDGES 8 -14 INDOT SOURCE 2311 Q962010
New Hrs:M -F 7- 4:30,Sat 7 -12
"a
Driver: Customer:
Martin Marietta Materials Standard Terms and Conditions apply (copy available at Site Office).
www.marti,nmarietta.com Ticket# 6212657
Sold To:231877Job# 888801 091 Sold From: 25102 North Indianapolis Qu
CARMEL CITY OF- STREET DEPARTMENT 4700 East 96th Street 19
3400 W 131ST STREET (317) 846 -6131 Dispatch
rr
WESTFIELD IN 46074 317 575 -3431 Scale
Date: 06/14/11 Time: 11:30 PO No: Job /Dent. Information
Truck :CARMEL205 CARMEL ST DEPT. MISC JOB TAXABLE TRK
Hauler: HaulRate MISCELLANEOUS JOB TAXABLE TRUCK
KITTY HAWK COURT
a x r
Lot#
Lds Today To Date Lbs Tons Cash Sale
3
Quantity Quantity Gross: n) 44,780 22.39 Matl D. b 8
Job: 1 9.50 18.81 Tare: 25,780 12.89 Tax IN o m rp
Dest:1 9.50 9.50 Net: 19,000 9.50 Haul b D
o
Product Number: 0204 Payment Rcced By: d 0 z
Desc:IN NO 2 Total$ s C)
Sec. Product 0.00 QTY: 9.50 Ton Max GVW: 52,000.06 Z
Additional Information: Weighperson: KATHY 3
LEDGES 8 °14 INDOT SOURCE 2311 0962010 A m
New Hrs:M -F 7- 4:30,Sat 7 -12
Driver: Customer:
Martin Marietta Materials Standard Terms and Conditions apply {copy available at Site Otfi.ce).
Pursuant to prior oral or written agreement between the parties, delivery occurred and title passed immediately after the products were loaded into the carrier at the point of shipment, All hauling from this plant
or quarry at an agreed rate per ton or yard is performed by independent trucking contractors. Drivers, other than owner drivers. will be employed by the trucking contractor. The trucking contractor assumes all liability
for compensation, public liability, and property damage insurance, also all social security taxes, withholding taxes, and any other taxes assessed.
Aggregates may contain components that could react with alkaline materials in concrete mixtures. This could result in potential deterioration of and damage to the final concrete product "Alkali- Aggregate Reactivity" or
"AAR The potential for AAR should be taken into account in formulating concrete mixtures. Other than warranty of title and conformance to written specifications, MARTIN MARIETTA HEREBY EXCLUDES ANY AND ALL
WARRANTIES OF MERCHANTABILITY AND ALL WARRANTIES OF FITNESS FOR ANY PARTICULAR PURPOSE AND ALL WARRANTIES, EXPRESS OR IMPLIED, AS TO THE PERFORMANCE OF ITS AGGREGATES WITH
RESPECT TO AAR.
This is to certify that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by chapter 7
(commencing with Section 12700) of Division 5 of the California Business and Professions Cade, administered by the Division of Measurement Standards of the California Department of Food and Agriculture.
WARNING: AVOID BREATHING DUST FROM THIS PRODUCT.
This product contains crystalline silica. Prolonged and repeated breathing of crystalline silica dust can cause a progressive lung disease called silicosis.
Several scientific organizations have reported that prolonged and repeated breathing of crystalline silica dust can cause lung cancer.
Crystalline silica is known to the State of California to cause lung cancer.
Silicosis or lung cancer can result in permanent injury or death.
To reduce the risk of injury, prevent excessive and repeated dust exposure or use a NIDSH approved respirator as more fully described in the MSDS.
The risk of sillcosis or lung cancer depends upon the duration and levels of silica exposure.
Read the Material Safety Data Sheet before using or handling this product to determine the appropriate ventilation or respiratory protection necessary to safeguard your health. MSDS are available on our website at
www,martinmarietta.com or ask the plant manager for a copy.
POLVO DE ESTE PRODUCtb a
Este producto contiene silica cristalina. Respirar of polvo de la silica cristalina repetidamente y par periodos prolongados puede causar la silicosis, una enfermedad progresiva de Ids pulmones.
Uarias organizaciones cientificas reportan qua at respirar el polvo de la silica cristalina de forma repetida y par politics prolongados puede causar cancer del pulmdn.
El Estado de California reconoce qua las silica cristalina causar cancer.
La silicosis o at cancer de pulmon pueden causar canes permanentes o la muerte.
Para reducir el riesgo de sufrlr cards a la salad, evlte repetidamente y par periodos prolongados quo este expuesto al polvo de Is silica cristalina o usar on respirador aprobado del NIOSH.
El riesgo de la silicosis o del cancer pulmonar depende de to duracion y de Ids niveles de exposicion a la silica.
Lase la Hoja de Dates sobre la Seguridad de Ids Materiales (Ilamada "Material Safety Data Sheet antes de user a manejar este producto para determiar la ventilacidn apropiada o la protaccion respiratoria
necesario para proteger su salad. La Hoja de Dates sobre la Seguridad de Ios Materiales esta disponible an nuestra side web www.martinmaratta.com e to puede pedir una copia su gerente de plants.
Pursuant to prior oral or written agreement between the parties, delivery occurred and title passed immediately after the products were loaded into the carrier at the point of shipment. All hauling from this plant Q
or quarry at an agreed rate per ton or yard is performed by independent trucking contractors. Drivers, other than owner- drivers, will be employed by the trucking contractor. The trucking contractor assumes all liability i
for compensation, public liability, and property damage insurance, also all social security taxes, withholding taxes, and any other taxes assessed.
Aggregates may contain components that could react with alkaline materials in concrete mixtures. This could result in potential deterioration of and damage to the final concrete product "Alkali- Aggregate Reactivity" or
"AAR"). The potential for AAR should be taken into account in formulating concrete mixtures. Other than warranty of title and conformance to written specifications, MARTIN MARIETTA HEREBY EXCLUDES ANY AND ALL
WARRANTIES OF MERCHANTABILITY AND ALL WARRANTIES OF FITNESS FOR ANY PARTICULAR PURPOSE AND ALL WARRANTIES, EXPRESS OR IMPLIED, AS TO THE PERFORMANCE OF ITS AGGREGATES WITH
RESPECT TO AAR.
This is to certify that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by chapter 7
(commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture.
BREATHING DUST FROM PRODUCT p
This product contains crystalline silica. Prolonged and repeated breathing of crystalline silica dust can cause a progressive lung disease called silicosis.
Several scientific organizations have reported that prolonged and repeated breathing of crystalline silica dust can cause lung cancer.
Crystalline silica is known to the State of California to cause lung cancer
Silicosis or lung cancer can result in permanent injury or death.
To reduce the risk of injury, prevent excessive and repeated dust exposure or use a NIDSH approved respirator as more fully described in the MSDS.
The risk of silicosis or lung cancer depends upon the duration and levels of silica exposure.
Read the Material Safety Data Sheet before using or handling this product to determine the appropriate ventilation or respiratory protection necessary to safeguard your health, MSDS are available on our website at
www.martinmarietta.com or ask the plant manager for a copy.
Este producto contiene silica cristalina. Respirar el polvo de Is silice cristalina repetidamente y par periodos prolengados puede causar la silicosis, una enfermedad progresiva de Ids pulmones.
Uarias organizaciones cientificas reportan qua of respirar of polvo do la silica cristalina de forma repetida y por peridos prolongados puede causar cancer del pulmon.
El Estado de California feconoce qua las silica cristalina causar cancer.
La silicosis o of cancer de pulmon pueden causar taros permanenfes o to muerte.
Para reducir of riesgo de sufrir danos a la salud, evite repetidamente y par periodos prolongados qua esto expuesto at polvo de la silica cristalina o usar on respirador aprobado del NIDSH.
El riesgo de la silicosis o del cancer pulmonar depende de la duracion y de Ios niveles de exposition a la silica.
Lase la Hoja de Dallas sabre la Seguridad de Ids Materiales (Ilamada "Material Safety Data Sheet antes de user o manejar este producto para determiar la ventilacidn apropiada a la proteccidn respiratoria
necesarto para proteger su salad. La Hoja de Dates sabre la Seguridad de Ios Materiales esta disponible on nuestra sitio web www.martinmarietta.cem a le puede pedir una copia su gerente de plants.
Pursuant to prior oral or written agreement between the parties, delivery occurred and title passed immediately after the products were loaded into the carrier at the point of shipment. All hauling from this plant A
or quarry at an agreed rate per ton or yard is performed by independent trucking contractors. Drivers, other than owner- drivers, will be employed by the trucking contractor The trucking contractor assumes all liability 4
for compensation, puhuc hrhllifg, and property damage insurance, also all social security taxes. withholding taxes. and any other taxes assessed.
Aggregates may contain components that could react with alkaline materials in concrete mixtures. This could result in potential deterioration of and damage to the final concrete product "Alkali- Aggregate Reactivity" or
"AAR The potential for AAR should be taken iota account in formulating concrete mixtures. Other than warranty of title and conformance to written specifications. MARTIN MARIETTA HEREBY EXCLUDES ANY AND ALL
WARRANTIES OF MERCHANTABILITY AND ALL WARRANTIES OF FITNESS FOR ANY PARTICULAR PURPOSE AND ALL WARRANTIES, EXPRESS OR IMPLIED, AS TO THE PERFORMANCE OF ITS AGGREGATES WITH
RESPECT TO AAR.
This is to certify that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by chapter 7
(commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture.
I WARNING:"AVOID BREATHING DUST FROM THIS PR ODUCT 4
This product contains crystalline silica Prolonged and repeated breathing of crystalline silica dust can cause a progressive lung disease called silicosis.
Several scientific organizations have reported that prolonged and repeated breathing of crystalline silica dust can cause lung cancer.
Crystalline silica is known to the State of California to cause lung cancer.
Silicosis or lung cancer can result in permanent injury or death.
To reduce the risk of injury, prevent excessive and repeated dust exposure or use a NIDSH approved respirator as more fully described in the MSDS.
The risk of silicosis or lung cancer depends upon the duration and levels of silica exposure.
Read the Material Safety Data Sheet before using or handling this product to determine the appropriate ventilation or respiratory protection necessary to safeguard your health. MSDS are available on our website at
www martinmarietta.com or ask the plant manager for a copy.
4
Este producto contiene silica cristalina. Respirar el polvo de Is silica cristalina repetidamente y por periodos prolongados puede causar la silicosis, una enfermedad progresiva de Ios pulmones.
varias organizaciones cientificas reportan quo el respirar el polve de Is silica cristalina de forma repetfda y per peridos prolongados puede causar cancer del pulmon.
El Estado de California reconoce que las slice cristalina causar cancer.
La silicosis o of cancer de pulmon pueden causar dories permanentes o is muerte.
Para reducir at riesgo de sufrir danos a la salud evite repetidamente y por periodos prolongados qua este expuesto al polvo de la silica cristalina c usar un respirador aprobado del NIDSH.
El riesgo de In silicosis o del cancer pulmonar depende de la duracion y de los niveles de exposition a la silica.
Lase la Hoja de Dates sobre la Seguridad de Ios Materiales (Ilamada "Material Safety Data Sheet antes de osar o manejar este producto pars determiar la ventilation apropiada o la protection respiratoria
necesario para proteger su salud. La Hoja de Dates sobre la Seguridad de Ids Materiales disponible an nuestra sitio web www.martinmarietta.cam o le puede pedir una copia su gerente de planta.
www.martinmarietta.com Ticket# 6212695
Sold To: 231877Job# 888801 001 Sold From:25102North Indianapolis Qua
CARMEL CITY OF- STREET DEPARTMENT 4700 East 96th Street Q)
3400 W 131ST STREET (317) 846 --6131 Dispatch rq'
WESTFIELD IN 46074 317 575 -3431 Scale
Date: 06 /14/11 Time: 12:23 PO No: Job /Dest. Information
Truck:CARMEL206 CARMEL ST DEPT MISC JOB TAXABLE TRK
Hauler: HaulRate MISCELLANEOUS JOB TAXABLE TRUCK
KITTY HAWK COURT
Lot# a
Lds Today To Date Lbs Tons Cash Sale a o
Quantity Quantity Gross: 43,740 21.87 Matl m
Job: 1 8.67 635.94 Tare: (1) 26,400 13.20 Tax IN m
Dest:l 8.67 8.67 Net: 17,340 8.67 Haul D 3 g
S C 3 Z
Product Number: 0430 Payment Recvd By: n z
Desc: 1N NO 53 C Total$ p. G)
Sec. Product: 0.00 QTY: 8.67 Ton Max GVW: 52,000.00 N o
8
Additional Information: Weighperson: KATHY
INDOT SOURCE 2311 Q962010
New Hrs:M -F 7- 4:30,Sat 7 -12
a
0
Driver: Customer:
Martin Marietta Materials standard Terms and Conditions apply (copy available at Site office).
www.martinmarietta.com Ticket# 6212695
F d To: 231877Job# 888801 Sold From: 25102 North Indianapolis Quz
MEL CITY OF STREET DEPARTMENT 4700 East 96th Street
0 w 131ST STREET (317) 846 6131 Dispatch r16 TFIELD IN 96079 317 575 3931 Scale
Date: 06 /14/11 Time: 12:23 PO No: Job /Dest. Information
Truck:CARMEL206 CARMEL ST DEPT MISC JOB TAXABLE TRK
Hauler: HaulRate MISCELLANEOUS JOB TAXABLE TRUCK d
KITTY HAWK COURT
m
rp
Lot# d
Lds Today To Date Lbs Tons Cash Sale g
Quantity Quantity Gross: 43,74021.87 Matl 9
Job: 1 8.67 635.94 Tare: 11 26,40013.20 Tax IN p
Dest:l 6.67 8.67 Net: 17,340 8.67 Haul y T
Product Number: 0430 Payment Recvd By: 0 R Z �1
Desc: IN NO 53 C Total$ O, 0 C) H
Sec. Product: 0.00 QTY: 8.67 Ton Max GVW: 52,000.00
Additional Information: Weighperson: KATHY
INDOT SOURCE 2311 Q962010
New Hrs:M -F 7- 4:30,Sat 7 -12
m
Driver: Customer:
Martin Marietta Materials.Standard Terms and Conditions apply (copy available at Site Office).
ww.martinmarietta.com Ticket# 6212695
Sold To: 231877 Job# 688801 001 Sold From: 25102 North Indianapolis Qu
CARMEL CITY OF- STREET DEPARTMENT 4700 East 96th Street
3400 W 131ST STREET (317) 846 -6131 Dispatch
WESTFIELD IN 46074 317 575 -3431 Scale
Date: 06 /14/11 Time: 12:23 PO No: Job /Dest. Information
Truck:CARMEL206 CARMEL ST DEPT MISC JOB TAXABLE TRK
Hauler: HaulRate MISCELLANEOUS JOB TAXABLE TRUCK
KITTY HAWK COURT
Lot#
ET
Lds Today To Date Lbs Tons Cash Sale
Quantity Quantity Gross: (1) 43,740 21.87 Matl a p G
Job: 1 8.67 635.94 Tare: 1 j 26,400 13.20 Tax IN
Dest:1 8.67 8.67 Net: 17,340 8.67 Haul D
Product Number: 0430 Payment Recvd By: e
Desc: IN NO 53 C Total$ 0, v
Sec. Product: 0.00 QTY: 8.67 Ton Max GVW: 52,000.00 Z y
erson: KATHY h
igp
Additional Information: We a
INDOT SOURCE 2311 Q962010
New Hrs:M -F 7- 4:30,Sat 7 -12
a
Driver: Customer:
Martin Marietta Materials Standard Terms and Conditions apply (copy available at Site Office).
www,martinmarietta.COm Ticket# 6212719
Sold TO:231877JOb# 888601 001 Sold From:25102North Indianapolis Qut
CARMEL CITY OF- STREET DEPARTMENT 4700 East 96th Street 41
3400 W 131ST STREET (317) 846 -6131 Dispatch ev
WESTFIELD IN 46074 317 575 -3431 Scale 3
Date: 06 /14/11 Time: 13:00 PO No: Job /Dest. Information
Truck:CARMEL206 CARMEL ST DEPT MISC JOB TAXABLE TRK
Hauler: HaulRate MISCELLANEOUS JOB TAXABLE TRUCK
KITTY HAWK COURT
Lot# a d
Lds Today To Date Lbs Tons Cash Sale m o
Quantity Quantity Gross: (1) 41,640 20.82 Matl v
Job: 2 16.29 643.56 Tare: 26,400 13.20 Tax IN 8 m D
Dest:2 16.29 16.29 Net: 15,240 7.62 Haul p w
Product Number: 0430 Payment Recvd By: g 3 z 4)
Desc: IN NO 53 C Total$ d p. 47
Sec. Product: 0.00 QTY: 7.62 Ton Max GVW: 52,000.00 z
0
Additional Information: Weighperson: KATHY 3
INDOT SOURCE 2311 Q962010
New Hrs:M -F 7- 4:30,Sat 7 -12
Driver: Customer:
Martin Marietta Materials standard Terms and Conditions apply (copy available at Site Office).
www.martinmarietta.com Ticket# 6212719
Sold To:231877Job# 888801 °0i Sold From:25102North Indianapolis Que
CARMEL CITY OF- STREET DEPARTMENT 4700 East 96th Street
3400 W 131ST STREET (317) 846 -6131 Dispatch
WESTFIELD IN 46074 317 575 -3431 Scale
Date: 06 /14/11 Time: 13:00 PO No: Job /Desc. Information
Truck:CARMEL206 CARMEL ST DEPT MISC JOB TAXABLE TRK
Hauler: HaulRate MISCELLANEOUS JOB TAXABLE TRUCK
KITTY HAWK COURT d a
Lot# U d
Lds Today To Date Lbs Tons Cash Sale g
Quantity Quantity Gross: (1) 41,64020.82 Matl
Job: 2 16.29 643.56Tare: (1) 26,40013.20 Tax IN a In
Dest:2 16.29 16.29 Net: 15,240 7.62 Haul D M
Product Number: 0430 Payment Recvd By: d 0 z 01
Desc: IN NO 53 C Total$ p, d W
Sec. Product: 0.00 QTY: 7.62 Ton Max GVW: 52,000.00 z
Additional Information: Weighperson: KATHY
INDOT SOURCE 2311 Q962010
New Hrs:M -F 7- 4:30,Sat 7 -12
Driver: Customer:
Martin Marietta Materials Standard Terms and Conditions apply (copy available at Site Office)•
www.martinmarietta.com Ticket# 6212719
Sold TO:231877Job# 88$801 001 Sold From:25102NOrth Indianapolis Qu,
CARMEL CITY OF- STREET DEPARTMENT" 4700 East 96th Street
3400 W 131ST STREET (317) 846 -6131 Dispatch r
WESTFIELD IN 46074 317 575 -3431 Scale
Date: 06 /14/11 Time: 13:00 PO No: Job /best. Information
Truck:CARMEL206 CARMEL ST DEPT MISC JOB TAXABLE TRK
Hauler: HaulRate MTSCELLANEOUS JOB TAXABLE TRUCK
KITTY HAWK COURT
m
Lot#
Lds Today To Date Lbs Tons Cash Sale 3
Quantity Quantity Gross: 11) 41,640 20.82 Matl a
Job: 2 16.29 643.56 Tare: 1) 26,900 13.20 Tax IN M
Dest :2 16.29 16.29 Net: 15,290 7.62 Haul D g
3
Product Number: 0430 Payment Recvd By: C Z
n
Desc: IN NO 53 C Total$ d fl 2
Sec. Product: 0.00 QTY: 7.62 Ton Max GVW: 52,000.00 z 3
Additional Information: Weighperson: KATHY
INDOT SOURCE 2311 Q962010
m
New Hrs:M -F 7- 4:30,Sat 7 -12
Driver: Customer:
Martin Marietta Materials Standard Terms and Conditions apply (copy available at Site Off.i,ce).
www.martinmarietta.com Ticket# 6212727
Sold TO:231677Job# 888801 001 Sold FLDm:25102North Indianapolis Quz
CARMEL CITY OF- STREET DEPARTMENT 4700 East 96th Street
3400 W 131ST STREET (317) 846 -6131 Dispatch e�
WESTFIELD IN 46074 317 575 -3431 Scale
Date: 06 /14/11 Time: 13:05 PO No: Job /Dent. Information
Truck CARMEL2 04 CARMEL ST DEPT MISC JOB TAXABLE TRK
Hauler: HaulRate MISCELLANEOUS JOB TAXABLE TRUCK
KITTY HAWK COURT
A
n
Lot#
We Today To Date Lbs Tons Cash Sale m g
Quantity Quantity Gross: 99,980 22.49 Matl
Job: 3 25.87 653.14 Tare: 25,820 12.91 Tax IN 3 M
Dest:3 25.87 25.87 Net: 19,160 9.58 Haul D s X g
Product Number: 0430 Payment Recvd By: c Z 01
De$C IN NO 53 C Total$
Sec. Product: 0.00 QTY: 9.58 Ton Max GVW: 52,000.00 N Z
Additional Information: weighperson: KATHY m 3
INDOT SOURCE 2311 Q962010
New Hrs:M -F 7- 4:30,Sat 7 -12
a
0
Driver: Customer:
Martin Marietta Materials Standard Terms and Conditions apply (copy available at Site Office).
www.marti.nmarietta.com Ticket# 6212727
Sold To:231877Job# 888801 001 Sold From: 25102 North Indianapolis Quz
CARMEL CITY OF- STREET DEPARTMENT 4700 East 96th Street
3400 W 131ST STREET (317) 846 -6131 Dispatch rt
WESTFIELD IN 46074 317 575 -3431 Scale
Date: 06 /14/11 Time: 13:05 PO No: Job /Dent. Information
Truck:CARMEL204 CARMEL ST DEPT MISC JOB TAXABLE TRK
Hauler: HaulRate MISCELLANEOUS JOB TAXABLE TRUCK
KITTY HAWK COURT r
a
9 1�
y
Lot# d
Lds Today To Date Lbs Tons Cash Sale o
Quantity Quantity Gross: 44,98022,49 Matl
Job: 3 25.87 653.14 Tare: (1) 25, 82012. 91 Tax IN 3 m 7
Dest :3 25.87 25.87 Net: 19,160 9.58 Haul D
Product Number: 0430 Payment Recvd Icy: CC: Z' 41
Desc:IN NO 53 C Total$ v q. U, H
Sec, Product: 0.00 QTY: 9.58 Ton Max GVW: 52,000.00 Z
Additional Information: weighperson: KATHY
INDOT SOURCE 2311 Q962010
New Hrs:M -F 7- 4:30,Sat 7 -12
U
Driver: Customer:
Martin Marietta Materials Standard Terms and Conditions apply (copy available at Site Office).
www,marti.nmarieCta com Ticket# 621272
Sold TO:231877Job 888801 001 Sold From:25102North Indianapolis Qua
CARMEL CITY OF- STREET DEPARTMENT 9700 East 96th Street
3400 w 131ST STREET (317) 846 -6131 Dispatch r
WESTFIELD IN 46074 317 575 -3431 Scale 3
Date: 06 /14/11 Time: 13:05 PO No: Job /Dest. Information
Truck:CARMEL204 CARMEL ST DEPT MISC JOB TAXABLE TRK
Hauler: HaulRate MISCELLANEOUS JOB TAXABLE TRUCK a1
KITTY HAWK COURT
m.
A
Lot# a
Lds Today To Date Lbs Tons Cash Sale
Quantity Quantity Gross: (1) 99,980 22.49 Matl "a
Job: 3 25.87 653.14 Tare: (1) 25,820 12.91 Tax IN r
Dest:3 25.87 25.87 Net: 19,160 9.58 Haul D AJ
Product Number: 0430 Payment Recvd Hy: C Z
Desc:IN NO 53 C Total$ d 0,
Sec. Product: 0.00 QTY: 9.58 Ton Max GVW: 52,000.00 Z 9
Additional Information: weighperson: KATHY
INDOT SOURCE 2311 Q962010 a
New Hrs:M -F 7- 4:30,Sat 7 -12 a a
m
Driver: Customer:
Martin Marietta Ma Leriais Standard Terms and Conditions apply (copy available at site office).
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
Martin Marietta Materials
Purchase Order No.
PO Bos 30013
Terms
Raleigh, NC 27622 -0013
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6114/11 9466979 Kitty Hawk Ct. Repair $408.53
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
Martin Marietta Materials IN SUM OF
PO Bos 30013
Raleigh, NC 27622 -0013
$408.53
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
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
9466979 22004462000 $408.53 materials or services itemized thereon for
which charge is made were ordered and
received except
20
f
ignature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund