169440 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 358385 Page 1 of 1
ONE CIVIC SQUARE GENERAL SHALE BRICK CHECK AMOUNT: $81.95
ra CARMEL, INDIANA 46032 PO BOX 71917
CHICAGO IL 60694 -1917 CHECK NUMBER: 169440
CHECK DATE: 3/4/2009
DEPARTMENT ACCOUNT PO NU MBER IN VOICE NUMBE AMOUNT DESCRIPTION
2201 4238900 180972559 40.50 OTHER MAINT SUPPLIES
206 4237001 180979118 41.45 STORM SEWER MAINT SUP
g
f
General Shale
13 rick 0 W M ME
Building The American Dream
Invoice: 180979118 Invoice Date: 02/23/2009
Bill To: 279670 Customer PO: 131 shelbourne
CITY OF CARMEL
3400 W 131ST STREET Bill of Lading: 171105715
WESTFIELD IN 46074 -8267 Goods Issue Date: 02/23/2009
Order: 310402680
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
6099000573 CONCRETE BRICK 50 EA 0.45 22.50
6099008469 50 LB. OF SAND 4 BAG 3.33 13.32
6099010159 WHITEWASH THORO BRUSH RED 1 EA 5.63 5.63
Subtotal 41.45
TAX
TOTAL 41.45
E"F)CUKE IM
AffiQLAT
W RE TT NCP ADDRES
P.0. HOX 7 19J' 7
CTUCA( A H, 6 694 a 917
r rmr. nI1rner— –1TI nr± .-,F ro nnn nRr��lmrr
General Shale
rick W M W ME
Building The American Dream
Invoice: 180972559 Invoice Date: 02/10/2009
Bill To: 279670 Customer PO: SHOP
CITY OF CARMEL
3400 W 131ST STREET Bill of Lading: 171098687
WESTFIELD IN 46074 -8267 Goods Issue Date: 02/10/2009
Order: 310373106
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
6099002538 4 INCH EXPANSION JOINT (FT) 30 EA 1.35 40.50
Subtotal 40.50
TAX
TOTAL 40.50
EMECTI I1Vi[MEMTkL](
NEW REMI` T KNICE A DDRESS
GENERA 11- SHAILE M ICK
P.0 BOX 71911 7
C' CA00 11, 60694 x91'7
T a mF TAT
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))
02/10/09 180972559 $40.50
02/23/09 180979118 $41.45
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
VOUCHE N W N O.
General Shale and Brick ALLOWED 20
IN SUM OF
P. O. Box 71917
hlcago, IL 60694 -1917
$81.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member;
2201 180972559 42- 389.00 $40.50 1 hereby certify that the attached invoice(s), or
206 180979118 42- 370.01 $41.45
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
F iday, Fek��uary 27, 2009
Street Commipsoner
Straat r�
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund