169400 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 362589 Page 1 of 1
ONE CIVIC SQUARE CONCRETE INDUSTRIES INC
CARMEL, INDIANA 46032 10340 PLEASANT STREET STE 400 CHECK AMOUNT: $177.85
NOBLESVILLE IN 46060
CHECK NUMBER: 169400
CHECK DATE: 3/4/2009
DEPARTME ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 132028 177.85 OTHER EXPENSES
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C IMNCR ETE Concrete Industries, Inc. I
10340 Pleasant Street, Suite 400 I
INDUSTRIES Noblesville, IN 46060
Phone 317 776 -1828 CUSTOMER NO. DATE INVOICE NO. PAGE
i INC Fax 317- 773 -6227 05584 0 2/ 17 2 0 0 9 13028 1
3�
CARMEL UTILITIES
760 THIRD AVE SW, SUITE 110
CARMEL, IN 46032
DATE JOB NUMBER JOB LOCATION -ADDRESS UNIT TAX TOTAL
QUANTITY JUN IT DESCRIPTION PRICE
110 96TH HAZELDEL
02/17/09 1.00 CY 6 BAG GRAVEL 89.850 0.00 89.85
1.00 LD MINIMUM LOAD 85.000 0.00 85.00
1.00 CY WINTER HEAT CHARGE NOV —M 3.000 0.00 3.00
TICKET DATE TOTALS: 0.00 177.85
TICKETS: 001- 145198
JOB TOTALS 177.85 0.00 177.85
AMOUNT DUE 177.85
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.
v
Payee
362589
CONCRETE INDUSTRIES INC Purchase Order No.
10340 PLEASANT STREET STE 400 Terms
NOBLESVILLE, IN 46060 Due Date 2/24/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/24/2009 13028 $177.85
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
�z. Z.,
Date Officer
i
VOUCHER 095138 WARRANT ALLOWED
362589 IN SUM OF
CONCRETE INDUSTRIES INC
10?40 PLEASANT STREET STE 400
NOBLESVILLE, IN 46060
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
13028 01- 7202 -05 $177.85
Voucher Total $177.85
Cost distribution ledger classification if
claim paid under vehicle highway fund