204374 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 00350596 Page 1 of 1
ONE CIVIC SQUARE RIETH -RILEY CONSTRUCTION CO INC CHECK AMOUNT: $1,423.09
i s CARMEL. INDIANA 46032 PO BOX 276
INDIANAPOLIS IN 46206 CHECK NUMBER: 204374
CHECK DATE: 1216!2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236300 3237308 1,423.09 BITUMINOUS MATERIALS
gy
INVOICE
4
RIETH -RILEY CONSTRUCTION CO.. INC.
Page I of 1.
REMIT TO:
P.O. BOX 276 Invoice: 3237308
INDIANAPOLIS, IN 46206
Invoice Date: 11/10/11
BILL TO: Customer Number: 222181
CARMEL STREET DEPARTMENT Job Number: U320247
3400 W. MAIN STREET
CARMEL IN 46074 Plant Number: 325
TERMS: NET ON RECEIPT
'Customer_ P.O.:
Material------ Freight Tax
Date Ticket Product Description Qty Rate Amount Rate Amount Amount Total
11110/11 1251993 UPM COLD MIX 14.09 101.0D 1,423.09 O.OD 0.00 0 1,423.09
14.09 Ton $1,423.09 SO.00 0.00 $1,423.09
Subtotal
Invoice Total 14.09 Ton $1,423.09 s0.00 $000 $1,423.09
Total Invoice $1,423.09
THANK YOU FOR YOUR BUSINESS
(317)634 -5561
A Service Charge of 1 -1 /2 (1S Annual. Rate) will be made on all account balances not paid, according to the
terms stated. Please make all checks payable to: RIETH -RILEY CONSTRUCTION CO.. INC.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Rieth Riley
IN SUM OF
P_ O. Box 276
Indianapolis, IN 46206
$1,423.09
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 3237308 42- 363.00 $1,423.09 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
of Thursday/, December 01, 220011
Street Commissioner
0
�`:..�i Title'
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))
11/1 0/11 3237308 $1,423.09
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