205399 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 025100 Page 1 of 1
ONE CIVIC SQUARE BEAVER READY MIX CORP
CARMEL, INDIANA 46032 16101 RIVER AVENUE CHECK AMOUNT: $461.00
NOBLESVILLE IN 46062
CHECK NUMBER: 205399
CHECK DATE: 1/17/2012
DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 M1065211 461.00 CEMENT
tBa E
MA�RI�AI Corp n
volce M1065211
Beaver Ready Mix Date 01/06/2012
16101 River Ave
Noblesville, IN 46062 Page Page 1 of 1
317- 773 -0679
Bill To: IShip To:
CARMEL STREET DEPARTMENT
3400 W 131 ST STREET Haverstick Coachman
CARMEL IN, 46074 Boyd 417.5056
Ordered By Job 7:ype Job Number -S.0 No P U Number Gue Gate
28 2/5/12
1 icket Product No; Product ',bescr! tlon UCOM
Truck Na p. Quantity Pnce Ext Arilount
517563 641 6A #12 6 BAG #12 GRAVEL MIX CU Yards 4.00 105.75 423.00
Stealth Stealth Fiber Each /Total 4.00 6.50 26.00
AIR MICRO MICRO AIR Each 1.00 0.00 0.00
Winter Charge Winter Surcharge Per Yard 4.00 3.00 12.00
Teti l SubTatal! 461.00
Discount of $12.00 if paid by 1/31/12 Yards
Sales Yax 0.00
Terms: All Accounts past due are subject to service charges at the rate of 1.5% per month.
4.00 LNVQICE TUTA 461.00
PLEASE REFERENCE INVOICE NUMBER WHEN MAKING PAYMENTS THANK YOU!
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))
01/06/12 M1065211 $461.00
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 NO.
ALLOWED 20
Beaver Ready Mix
IN SUM OF
16101 River Avenue
Noblesville, IN 46062
$461.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member:
2201 M1065211 42- 362.00 $461.00 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
//�N edne� day, i� 11 ry 11, 2012
Streets. ommiss over
St r
reet ommissloner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund