HomeMy WebLinkAbout174325 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 358385 Page 1 of 1
ONE CIVIC SQUARE GENERAL SHALE BRICK
CARMEL, INDIANA 46032 PO Box 71917 CHECK AMOUNT: $369.00
CHICAGO IL 60694 -1917
CHECK NUMBER: 174325
CHECK DATE: 7/8/2009
DEP A CCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIP
206 4237001 181058132 369.00 STORM SEWER MAINT SUP
General Shale
Brick
Building The American Dream
Invoice
Invoice: 181058132 Invoice Date: 06/26/2009
Bill To: 279670 Customer PO: shop
CITY OF CARMEL
3400 W 131ST STREET Bill of Lading: 171191410
WESTFIELD IN 46074 -8267 Goods Issue Date: 06/26/2009
Order: 310908065
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
6099001046 ESSROC BRIXMENT GRAY N 50 BAG 7.38 369.00
Subtotal 369.00
TAX
TOTAL 369.00
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 06/26/2009 181058132 369.00
Remit To: GENERAL SHALE BRICK, INC.
PO Box 71917
CHICAGO IL 60694 -1917
Terms: Take discount of $7.38 If paid on or before 07/26/2009 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))
06/26/09 181058132 $369.00
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. WAR NO.
ALLOWED 20
General Shale and Brick
IN SUM OF
P. O. Box 71917
Chicago, IL 60694 -1917
$369.00
JN ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
206 181058132 42- 370.01 $369.00 I 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
Wbd�es y July 01, 2009
0
Street Commi i er
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund