202115 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 358385 Page 1 of 1
ONE CIVIC SQUARE GENERAL SHALE BRICK CHECK AMOUNT: $956.09
CARMEL, INDIANA 46032 PO BOX 5825
CAROL STREAM IL 60197 -5825
CHECK NUMBER: 202115
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 R4462000 21371 181463710 567.45 STRUCTURAL IMPROVEMEN
2201 4236100 181497802 194.32 SAND
2201 4236100 181502498 194.32 SAND
General Shale
Brick M
Building The American Dream
Invoice: 181497802 Invoice Date: 09/07/2011
Bill To: 279670 Customer PO: hand rail
CITY OF CARMEL
3400 W 131ST STREET Bill of Lading: 171677084
WESTFIELD IN 46074 -8267 Goods Issue Date: 09/07/2011
Order: 313 8532 01
Sales Rep: 399
Ship -To:
CITY OF CARMEL Order Loc.: Carmel
3400 W 131ST STREET CARMEL IN
WESTFIELD IN 46074 -8267 Phone: 317- 846 -2566
Mode of Shipment: Customer Pickup 057
Material Material Description Quantity Price Value USD
Batch Number and Description
6099008469 50 LB. OF SAND 56 BAG 3.47 194.32
Subtotal 194.32
TAX
TOTAL 194.32
LATE PAYMENT CHARGE of 1.S% PER MONTH.
General Shale
Brick ®ill.E
Building The American Dream'
l ice
Invoice: 181502498 Invoice Date: 09/14/2011
Bill To: 279670 Customer PO: HAND RAIL PROJECT
CITY OF CARMEL
3400 W 131ST STREET Bill of Lading: 171682068
WESTFIELD IN 46074 -8267 Goods Issue Date: 09/14/2011
Order: 313883603
Sales Rep: 399
Ship -To:
CITY OF CARMEL Order Loc.: Carmel
3400 W 131ST STREET CARMEL IN
WESTFIELD IN 46074 -8267 Phone: 317 -846 -2566
Mode of Shipment: Customer Pickup 057
Material Material Description Quantity Price Value USD
Batch Number and Description
6099008469 50 LB. OF SAND 56 BAG 3.47 194.32
Subtotal 194.32
TAX
TOTAL 194.32
LATE PAYMENT CHARGE of 1.5% PER MONTH.
VOUCHER NO. WARRANT NO.
ALLOWED 20
General Shale and Brick
IN SUM OF
P. O. Box 5825
Carol Stream, IL 60197 -5825
$388.64
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 181497802 42- 361.00 $194.32 1 hereby certify that the attached invoice(s), or
2201 181502498 42- 361.00 $194.32 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
a
l T�ursday, Septem 22, 2011
Street Commissioner
�iie`
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
09/07/11 181497802 $194.32
09/14111 181502498 $194.32
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
2a
Clerk- Treasurer
General Shale
Brick W0=ME
Building The American Dream
Invoice: 181463710 Invoice Date: 07/15/2011
Bill To: 279670 Customer P0: 111TH ON THE MONON
CITY OF CARMEL
3400 W 131ST STREET Bill of Lading: 171640285
WESTFIELD IN 46074 -8267 Goods Issue Date: 07/15/2011
Order: 313634413
Sales Rep: 399
Ship -To:
CITY OF CARMEL Order Loc.: Carmel
3400 W 131ST STREET CARMEL IN
WESTFIELD IN 46074 -8267 Phone: 317 -846 -2566
Mode of Shipment: Customer Pickup 057
Job: 111TH ON THE MONON
Material Material Description Quantity Price Value USD
Batch Number and Description
6099009216 HANDICAP PAVERS 230 EA 2,250.00 517.50
6099032390 POLYSWEEP POLYMERIC SAND TAN 3 EA 16.65 49.95
Subtotal 567.45
TAX
TOTAL 567.45
LATE PAYMENT CHARGE of 1.5a PER MONTH.
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 2Dt(Rev.1995)
CITY OF CARMEL
An invoice or bill to be property itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
u'CL. S Purchase Order No.
?oig �g2 S Terms
C_0' cS�r e.Qam r L_ Coo k9 S$Z Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total _T
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
l��flY4a �Y��te IN SUM OF
S
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
13� Eh -2cc S �•4S� 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
20
Signat re
cc I„�
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund