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203541 11/09/2011
CITY OF CARMEL, INDIANA VENDOR: 195575 Page 1 of 1 ONE CIVIC SQUARE MARTIN MARIETTA AGGREGATES CHECK AMOUNT: $530.70 CARMEL, INDIANA 46032 PO BOX 93186 CHIGAGO IL 60673 -3186 CHECK NUMBER: 203541 CHECK DATE: 11/9/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 9746261 125.20 BUILDING REPAIRS MA 601 5023990 9822947 405.50 MATERIALS SUPPLIES Page 1 of 1 Ma rtin Marietta �OAateilials �r�,P E ©Et SILLiI�t t..(IESTION°.f f'LEA1;E GALL P.O. Box 30013 377- 573 44fi0 Raleigh, NC 27622 -0013 Visit eRocks at www.martinmarietta.com JOB NAME: MISC JOB TAXABLE TRK SOLD TO: 001833 002790 SHIP TO: CARMEL UTILITIES MISCELLANEOUS JOB TAXABLE TRUCK 3450 W 131ST STREET 9609 HAZELDELL CARMEL IN 46074 Indianapolis IN 46240 PAYMENT TERMS: NET 30 DAYS A/R Order No. Custo PO Dest. Job No. Dist Business Business Unit Name Cust. No. Invoice Invoice No. No. No. Unit Date 6501888 BLAINE 001 888801 1 11 25102 North Indianapolis Quarry 236534 9/26/11 9746261 Ship Date Prod Description Quantity UM Unit Price Material Freight Freight Taxes TOTAL Car /Ba a No. o. Amount Rate Amount Fees 0921111 0430 IN NO 53 C 6240729 10.84 TN 11.55 125.20 125.20 *SUBTOTAL* 10.84 125.20 125.20 TOTAL 10.84 125.20 125.20 INVOICE TOTAL $125 2Q www.martinmarietta.com Ticket# 6240729 Sold To:236534Job# 888801 001 r(�3 d From: 25102 North Indianapolis QuE CARMEL UTILITIES 0 East 96th Street 3450 W 131ST STREET 7896 -6 131 Dispatch CARMEL IN 46074 7 575 -3431 Scale 3 Date: 09 /21/11 Time: 11:16 PO No: BLAINE Job /Dest. Information Truck:COC28 CITY OF CARMEL MISC JOB TAXABLE TRK Hauler: HaulRate MISCELLANEOUS JOB TAXABLE TRUCK 9609 HAZELDELL m M Lot# a Lds Today To Date Lbs Tons Cash Sale n g 3 Quantity Quantity Gross: (1) 47,400 23.70 Matl 9 Job: 1 10.84 1, 163.75 Tare: (1) 25,720 12.86 Tax IN o m Dest:l 10.84 10.84 Net: 21,680 10.84 Haul yn i V Product Number: 0430 Payment Rccvd By: g 6 Z Ot Desc: IN NO 53 C Total$ p. m U, N o Sec. Product: 0.00 QTY: 10.84 Ton Max GVW: 52,000.00 H Z Additional Information: Weighperson: KATHY INDOT SOURCE 2311 Q962010 W a New Hrs:M -F 7- 4:30,Sat 7 -12 0 Driver: Customer: Martin Marietta Materials Standard Terms and Conditions apply (copy available at Site Office). www.martinmarietta.com Ticket# 6240729 Sold To: 236534 Job# 888801 001 Sold From: 25102 North Indianapolis Qua 3 CARMEL UTILITIES 4700 East 96th Street i 3450 W 131ST STREET (317) 846 -6131 Dispatch CARMEL IN 46074 317 575 -3431 Scale Date: 09 /21/11 Time: 11:16 PO NO: BLAINE Job /best. Information 9 Truck:COC28 CITY OF CARMEL MISC JOB TAXABLE TRK 3 Hauler: HaulRate MISCELLANEOUS JOB TAXABLE TRUCK d 9609 HAZELDELL d m v Lot# d Lds Today To Date Lbs Tons Cash Sale g 3 Quantity Quantity Gross: 47,40023.70 Matl Job: 1 10.84 1, 163.75 Tare: (1) 25,72012.86 Tax IN 8 m D Dest:l 10.84 10.84 Net: 21,68010.84 Haul m C Z q Product Number: 0430 Payment Recvd By: n Z f� Desc:IN NO 53 C Total$ O H O� Sec. Product: 0.00 QTY: 10.84 Ton Max GVW: 52,000.00 H Z a 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 StandaiZI+Terms and Conditions apply (copy available at Site Office). www.marti— arietta.com Ticket# 6240729 Sold TO:236534Job# 888801 001 Sold From: 25102 North Indianapolis Qui CARMEL UTILITIES 4700 East 96th Street 01 3450 W 131ST STREET (317) 846 -6131 Dispatch r rt CARMEL IN 46074 317 575 -3431 Scale 3 Date: 09 /21/11 Time: 11:16 PO No: BLAINE Job /Dest. Information 1> Truck:COC28 CITY OF CARMEL MISC JOB TAXABLE TRK Hauler: HaulRate MISCELLANEOUS JOB TAXABLE TRUCK 9609 HAZELDELL m. m u PP Lot# a A) Lds Today To Date Lbs Tons Cash Sale 7 Quantity Quantity Gross: (1) 47,400 23.70 Matl y 3 Job: 1 10.84 1, 163.75 Tare: 25,720 12.86 Tax IN a m .1 ;z rp Dest:l 10.84 10.84 Net: 21,680 10.84 Haul D M Product Number: 0430 Payment Rccvd By: W C Z Desc: IN NO 53 C Total$ a 0, z Sec. Product: 0.00 QTY: 10.84 Ton Max GVW: 52,000.00 Z N Weighperson: KATHY Additional Information: o. INDOT SOURCE 2311 Q962010 New Hrs:M -F 7- 4:30,Sat 7 -12 a m m 0 Driver: Customer: Martin Marietta Materials Standard Terms and Conditions apply (copy available at Site Office). 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 Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. 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 NIOSH 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. a o DEIESTEPRODOCT.0 Este producto contiene silice cristalina. Respirar el polvo de la silice cristalina repetidamente y par periodos prolongados puede causar la silicosis, una enfermedad progresiva de los pulmones. Varias organizaciones cientificas reportan que el respirar el polvo de la silice cristalina de forma repetida y par peridos prolongados puede causar cancer del pulm6n. El Estado de California reconoce que las silice cristalina causar cancer. La silicosis o el cancer de pulm6n pueden causar danos permanentes o la muerte. Para reducir el riesgo de sufrir danos a la salud, evile repetidamente y par periodos prolongados que est6 expuesto at polvo de la silice cristalina o usar un respirador aprobado del NIOSH. El riesgo de la silicosis o del cancer pulmonar depende de la duraci6n y de los niveles de exposici6n a la silice. Lase la Hoja de Dalos sabre la Seguridad de los Materiales (Ilamada "Material Safety Data Sheet antes de usar o manejar este producto para determiar la ventilaci6n apropiada o la protecci6n respiratoria necesario para proteger su salud. La Hoja de Datos sabre la Seguridad de los Materiales esta disponible en nuestra sitio web www,martinmarietta.com o le puede pedir una copia su gerente de planta. 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 a7 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. AV 01115AJIREATHWGID ROMtH ••0e 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 NIOSH 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. e e tsft PR6DUcTo. a Este producto contiene silice cristalina. Respirar el polvo de la silice cristalina repetidamente y por periodos prolongados puede causar la silicosis, una enfermedad progresiva de los pulmones. Varias organizaciones cientificas reportan que el respirar el polvo de la silice cristalina de forma repetida y par peridos prolongados puede causar cancer del pulm6n. El Estado de California reconoce que las silice cristalina causar cancer. La silicosis o el cancer de pulm6n pueden causar danos permanentes o la muerte. Para reducir el riesgo de sufrir danos a la salud, evite repetidamente y por periodos prolongados que est6 expuesto at polvo de la silice cristalina o usar un respirador aprobado del NIOSH. El riesgo de la silicosis o del cancer pulmonar depende de la duraci6n y de los niveles de exposici6n a la silice. Lase la Hoja de Datos sabre la Seguridad de las Materiales (Ilamada "Material Safety Data Sheet antes de usar o manejar este producto para determiar la ventilaci6n apropiada o la protecci6n respiratoria necesario para proteger su salud. La Hoja de Datos sobre la Seguridad de Ins Materiales esta disponible en nuestra sitio web www.martinmarietta.com o le puede pedir una copia su gerente de planta. V 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, 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. t o 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 NIOSH 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. •o o e •-oe Este producto contiene silice cristalina. Respirar el polvo de la silice cristalina repetidamente y par periodos prolongados puede causar la silicosis, una enfermedad progresiva de los pulmones. Varias organizaciones cientificas reportan que el respirar el polvo de la silice cristalina de forma repetida y por peridos prolongados puede causar cancer del pulm6n. El Estado de California reconoce que las silice cristalina causar cancer. La silicosis o el cancer de pulm6n pueden causar danos permanentes o la muerte. Para reducir el riesgo de sufrir danos a la salud, evre repetidamente y por periodos prolongados que est6 expuesto at polvo de la silice cristalina o usar un respirador aprobado del NIOSH. El riesgo de la silicosis o del cancer pulmonar depende de la duraci6n y de Ins niveles de exposici6n a la silice. Lase la Hoja de Datos sabre la Seguridad de los Materiales (Ilamada "Material Safety Data Sheet antes de usar a manejar este producto para determiar la ventilaci6n apropiada o la protecci6n respiratoria necesario para proteger su salud. La Hoja de Datos sobre la Seguridad de los Materiales esta disponible en nuestra sitio web www.martinmarietta.com o le puede pedir una copia su gerente de planta. 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)) 6240729 Sta. 43 Lift Repairs $125.20 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 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Martin Marietta Materials IN SUM OF PO Box 93186 Chicago, IL 60673 $125.20 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members 1120 I 6240729 I 43- 501.00 I $125.20 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 V n Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Marietta Page 1 of 1 Martin Marietta Mateeials AAAA FOR BILLIi iG gUESTiONS PLEASE CALL P.O. Box 30013 ..3f7 573460 Raleigh, NC 27622 -0013 Visit eftcks at www.martinmarietta.com JOB NAME: MISC JOB TAX EXEMPT TRK SOLD TO: 002112 003276 SHIP TO: CARMEL UTILITIES MISCELLANEOUS JOB EXEMPT TRUCK 3450 W 131ST STREET 10675 NORTH GRAY RD CARMEL IN 46074 Indianapolis IN 46240 r PAYMENT TERMS: NET 30 DAYS A/R Order No. Customer PO Dest. Job No. Dist Business Business Unit Name Cust. No. Invoice Invoice No. No. No. Unit Date 6547952 SO DAN 111411 003 888802 11 25103 Carmel Sand 236534 10/24/11 9822947 Ship Date Product Description Quantity UM Unit Price Material Freight Freight Taxes TOTAL Car/Barge No. No. Amount Rate Amount Fees 10/17111 0919 PEA FILL F 468723 21.12 TN 16.75 353.76 2.45 51.74 405.50 'SUBTOTAL` 21.12 353.76 51.74 405.50 TOTAL 21.12 353.76 51.74 405.50 INVOICE TOTAL $4iia.3t#= 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 195575 MARTIN MARIETTA AGGREGATES -IL Purchase Order No. PO BOX 93186 Terms CHICAGO, IL 60673 -3186 Due Date 10/31/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/31/201' 9822947 $405.50 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 it ly/1 dam Date Officer VOUCHER 112769 WARRANT ALLOWED 195575 IN SUM OF MARTIN MARIETTA AGGREGATES -IL PO BOX 93186 CHICAGO, IL 60673 -3186 WATER O PERAn ON S Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 9822947 01- 6200 -03 $405.50 Voucher Total $405.50 Cost distribution ledger classification if claim paid under vehicle highway fund