HomeMy WebLinkAbout177663 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 358385 Page 1 of 1
ONE CIVIC SQUARE GENERAL SHALE BRICK CHECK AMOUNT: $35.95
?o CARMEL, INDIANA 46032 PO BOX 7191
CHICAGO IL 60694 -1917 CHECK NUMBER: 177663
CHECK DATE: 9/2912009
DEPARTM ACCOU PO NU MBER I NVOIC E NUMBER A MOUN T DESCRIPTION
2201 4235000 181114736 35.95 BUILDING MATERIAL
f
I
I
General Shale
B r 1 c k ME
Building The American Dream
Invoice: 181114736 Invoice Date: 09/17/2009
Bill To: 279670 Customer PO: shop
CITY OF CARMEL
3400 W 131ST STREET Bill of Lading: 171252829
WESTFIELD IN 46074 -8267 Goods Issue Date: 09/17/2009
Order: 311258891
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
6099010275 4 X 8 X 16 SOLID BLOCK 10 EA 1.61 16.10
6099010159 WHITEWASH THORO BRUSH RED 1 EA 5.63 5.63
6099009816 500ft MASON LINE 1 EA 14.22 14.22
Subtotal 35.95
TAX
TOTAL 35.95
LATE PAYMENT CHARGE of 1.5% PER MONTH.
PLEASE RETURN THIS PORTION WITH YOUR PAYMENT
Accnt Customer Name Invoice -Date Invoice Amount Due
279670 CITY OF CARMEL 09/17/2009 181114736 35.95
Remit To: GENERAL SHALE BRICK, INC.
PO Box 71917
CHICAGO IL 60694 -1917
Terms: Take discount of $0.71 If paid on or before 10/17/2009 NET 45 DAYS.
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))
09/17/09 181114736 $35.95
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 N
ALLOWED 20
General Shale and Brick
IN SUM OF
P. O. Box 71917
Chicago, IL 60694 -1917
$35.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 181114736 42- 350.00 $35.95 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
4ThursdqyrSep ber 24, 2009
to
Street Commissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund