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205316 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 357193 Page 1 of 1 ONE CIVIC SQUARE BEAVER GRAVEL CARMEL, INDIANA 46032 16101 RIVER AVENUE NOBLESVILLE IN 46060 CHECK AMOUNT: $907.19 CHECK NUMBER: 205316 CHECK DATE: 1/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTIO 601 5023990 G1064479 907.19 OTHER EXPENSES BEAVER Beaver Gravel Carp Invoice' G1064479 16101 River Ave 12/20/2011 Noblesville, IN 46062 Pa e 317 -773 -0679 9 Page 1 of 1 Bill To: IShip To: CITY OF CARMEL WATER DISTRIBUTION 3450 w. 131st Street 3450 W. 131st ST., CARMEL CARMEL IN, 46074 5-LDS WILL SHOW AT SITE.. areEere d.Ey Job T.;ype Job Number:. S O No P O: :Nurrrfer Due Date Shawn 3 1119112 Tlcke TruckjNa Product No Product Descrlptton UOM Quanttty Brice i" xt, Amount 691355 104 ROLIdebus FSU FILL SAND UNWASHED Tons 22.05 4.25 93.71 AGGDELIVER AGGREGATE DELIVERY CH Each 1.00 93.71 93.71 691370 104 Roudebus FSU FILL SAND UNWASHED Tons 21.44 4.25 91.12 AGGDELIVER AGGREGATE DELIVERY CH Each 1.00 91.12 91.12 691378. 104 Roudebus. FSU FILL SAND UNWASHED Tons 20.18 4.25 85.77 AGGDELIVER AGGREGATE DELIVERY CH Each 1.00 85.76 85.76 691385 104 Roudebus FSU FILL SAND UNWASHED Tons 22.33 4.25 94.90 AGGDELIVER AGGREGATE DELIVERY CH Each 1.00 94.90 94.90 691390 104 Roudebus FSU FILL SAND UNWASHED Tons 20.73 4.25 88.10 AGGDELIVER AGGREGATE DELIVERY CH Each 1.00 88.10 8810 Total SubTo a 907.19 ions Sales fax, 0.00 Terms: All Accounts past due are subject to service charges at the rate of 1.5% per month. 106.73 JNVOICE TGTAL 907.19 PLEASE REFERENCE INVOICE NUMBER WHEN MAKING PAYMENTS THANK YOU! VOUCHER 113368 WARRANT ALLOWED 357193 IN SUM OF BEAVER GRAVEL WATER 16101 RIVER AVENUE OgERkfi6 S NOBLESVILLE, IN 46060 Carmel Water Utility ON ACCOUNT OF PROPRIATION FOR ;I Board members AW PO INV ACCT AMOUNT Audit Trail Code G1064479 01- 6200 -06 $90719 r Voucher Total $907.19 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 357193 BEAVER GRAVEL Purchase Order No. 16101 RIVER AVENUE Terms NOBLESVILLE, IN 46060 Due Date 12/29/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12129/201' G1064479 $907.19 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 1 3 A Date Officer