165291 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 00352765 Page 1 of 1
ONE CIVIC SQUARE IRVING MATERIALS INC
CARMEL, INDIANA 46032 PO BOX 2303 DEPT 122 CHECK AMOUNT: $341.85
INDIANAPOLIS IN 46206 -2303 CHECK NUMBER: 165291
CHECK DATE: 10/29/2008
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1150 4239099 20990579 341.85 OTHER MISCELLANOUS
Q PO. Box 2303, Dept. 122
Indianapolis, IN 46206 -2303
Phone: (317) 326 -3101 Invoice
Irving Materials, Inc. Fax: (317) 326 -3105
Bill To BROOKSHIRE GOLF -CITY OF CA Customer Account No. 14499
12120 BROOKSHIRE PARKWAY Order No. 51066
CARMEL IN 46032 Invoice Date 10/07/2008
Invoice No. 20990579
Terms .30 TN
Job Number Usage Project No. /Name
PO. Number Delivery Address 12120 BROOKSHIRE PKWY
OFF GRAY RD N OF 116TH
Plt. Quantity UOM Description Price Total Price
51 20.47 to PEA FILL (WATER) 13.00 266.11
51 20.47 to Haul Charge 4.00 81.88
51468712
4 'p
Sub totals 347.99
6.14 11/10/08 Tax 7
Discount If Paid By Invoice To tal
Prescribed by State Board of Accounts City Form No. 201 (Rev. 5995)
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))
Total g�
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
i IN SUM OF
3V/
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoices) or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature 4oE) }osoPuKI
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund 001