205449 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 00350164 Page 1 of 1
ONE CIVIC SQUARE F E HARDING ASPHALT CO, INC CHECK AMOUNT: $822.65
CARMEL, INDIANA 46032 10151 HAGUE ROAD
INDIANAPOLIS IN 46256 CHECK NUMBER: 205449
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236300 625.76 BITUMINOUS MATERIALS
601 5023990 130.61 OTHER EXPENSES
651 5023990 66.28 OTHER EXPENSES
STATEMENT
STATEMENT
o PLEASE RETURN THIS STUB WITH
YOUR REMITTANCE TO:
F.E. Harding Asphalt Co., Inc.
TM r y i 10151 Hague Road
�r�J�� Indianapolis IN 46256
5145 East 96th Street
Indianapolis, Indiana 46240
(317) 849 -9666
www.hardingasphalt.com
ACCOUNT NO.
CARMEL STREET DEPARTMENT CAR210 CARMEL STREET DEPARTMENT
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STATEMENT DATE ACCOUNT NO. STATEMENT DATE
3400 W. 131ST ST.
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CARMEL, IN 46074 12/31/11 CAR210 12/31/11
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DATE REFERENCE CHARGES CREDITS BALANCE REFERENCE AMOUNT
12/06/11 105662 98.12 98.12 105662 98.12
12/07/11 105669 32.49 130.61 105669 32.49
12/08/11 105689 194.94 325.55 105689 194.94
12/12/11 105711 66.28 391.83 105711 66.28
12/13/11 105724 165.05 556.88 105724 165.05
12/14/11 105735 68.88 625.76 105735 68.88 GG 1
12/19/11 105766 66.28 692.04 105766 66.28
12/21/11 10577,6 130.61 822.65 105776 130.61
0 -30 DAYS 31 -60 DAYS 61 -90 DAYS OVER ACCUM. BALANCE
90 DAYS FINANCE CHG. DUE
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BALANCE
DUE
822.65 .00 -Q 00� .00 822.65 822.65
CHECK ITEMS BEING PAID
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ANALYSIS OF BALANCE DUE
A FINANCE CHARGE OF V /2% PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE OF 18%
WILL BE INCURRED ON ALL PAST DUE AMOUNTS.
LASER BUSINESS FORMS INC. (317) 915 -5000
10151 Hague Road DATE: 12/06/11
IJ
Indianapolis, Indiana 46256
TM (317) 849 -9666 TNVOT( 1 056J
rZ!PjIJ D; i 11n www.hardingasphalt.com INVOICE
BILL TO: CAR210 SHIP TO: 000
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 W. 131ST ST. 3400 W. 131ST ST.
CARMEL, IN 46074 CARMEL, IN 46074
ATTN BONNIE
317 733 2001 Tax Juris: 0001 INDIANA 1
Ord Date Shp Date Ship Via Sub Acct Cust Ord Slsman Clk Terms CpPa
ET 15TH P. 0301
Item Ordered Shipped D e s c r i p t i o n Uhit Prc Ext.
INVOICE INVOICE I INVOICE INVOICE
271272
12S i 1.51 1.51 112 SURFACE 64.98 98.12
TN P
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Sales Tax Freight Misc -CD Deposit Ca -sh CD TOTAL
98.12 98.12
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A FINANCE CHARGE OF 1' PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE
OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD
FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256
INC. TO ENFORCE THE TERMS OF COLLECTION.
OEM
10151 Hague Road DATE: 12/07/11
Indianapolis, Indiana 46256
�TM�� (317) 849 -9666
1r.�TY jij.ditC T,[Iflit,, www.hardingasphalt.com INVOICE
BILL TO: CAR210 SHIP TO: 000
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 W. 131ST ST. 3400 W. 131ST ST.
CARMEL, IN 46074 CARMEL, IN 46074
ATTN BONNIE
317)733-2001 Tax Juris: 0001 INDIANA 1
St Ord- Date Shp Date Ship Via Sub Acct C.ust Ord Slsman Clk Terms CpPa
2 �g 15TH P; 0301
Item Ordered Shipped- D e s c r i t i o n Unf Prc Ext
INVOICE INVOICE INVOICE IiINVOICE
X271292
12S .50 .50 12 SURFACE 64.981 32.49
TN P
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Sales Tax-Freight Misc CD Deposit Cash -CD TOTAL_
32.49. 32.49
0
A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE
OF 18% WILL BE. INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD
FOR ALL COSTS OF- COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256
INC. TO ENFORCE THE TERMS OF COLLECTION.
C' P r/ 10151 Hague Road DATE: 12/08/11
,Xj I —A Indianapolis, Indiana 46256
-Y W 1056891
TM (317) 849 -9666 p\ p
J fl www.hardingasphalt.com INVOICE
BILL TO: CAR210 SHIP TO: 000
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 W. 131ST ST. 3400 W. 131ST ST.
CARMEL, IN 46074 CARMEL, IN 46074
ATTN BONNIE
317 )733 -20.01 Tax Juris: 0001 INDIANA 1
St Ord n Date ,S S,] Date Ship Via Sub Acct Cust Ord V Slsmam Clk Terms CpPa
1 1 5 TH P 0101
Item Ordered Shipped D e s c. r i D t _i o n. Unit Prc Ext
INVOICE I INVOICE 1 INVOICE INVOICE
1271333 1
12S i 3.00 3.00 112 SURFACE 64.98] 194.94
TN P
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Sales Ta- x-- F- reg.ht Misc _CD_:.- Deposit- Cash_ -C.D TOTAL
194-94 194.94
A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE
OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD
FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256
INC. TO ENFORCE THE TERMS OF COLLECTION.
LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF
10151 Hague Road DATE: 12/12/11
Indianapolis, Indiana 46256
(317) 849-9666
www.hardingasphalt.com INVOICE
BILL TO: .CAR210 SHIP TO: 000
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
34.00 W. 131ST ST. 3400 W. 131ST ST.
CARMEL, IN 46074 CARMEL, IN 46074
ATTN BONNIE
317)733-2001 Tax Juris: 0001 INDIANA 1
-St- Ord- Date Shp Date Ship Via Sub Acct Cust Ord Slsman C1k Terms CD
12/1 2'L11' 12 15TH P 0101
Item Ordered Shioloed D e s c r i -P t i o n Unit Prc Ext
INVOICE INVOICE INVOICE INVOICE
271426
12S 1.02 1.02 12 SURFACE 64.98 66.28
TN I P I
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Sales Tax Freight Misc CD Deposit Cash CD TOTAL
66.28 66.28
A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE
OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD
FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256
INC. TO ENFORCE THE TERMS OF COLLECTION.
LASER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO- BIN 025SF
10151 Hague Road DATE: 12/13/11
Indianapolis, Indiana 46256
e �TM�`` (317) 849 -9666 TNVOICEe 105724
P lj dlC f s' www.hardingasphalt.com INVOICE
BILL TO: CAR210 SHIP TO: 000
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 W. 131ST ST. 3400 W. 131ST ST.
CARMEL, IN 46074 CARMEL, IN 46074
ATTN BONNIE
317 733 -2001 Tax Juris: 0001 INDIANA 1
Ord Date ShiD Date Ship Via Sub Acct Cust Ord Terms CpPa
12/12,11 1? 12/ 1 0 00 NET 15TH P 0101
Item Ordered Shipped D e s c r i p t i o n Unit Prc Ext.
INVOICE INVOICE' INVOICE INVOICE
271439
12S 2.54 2.54 12 SURFACE 64.98' 165.05
TN P
1
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Sales Tax Freight Misc CD Deposit Cash CD TOTAL
165.05 165.05
A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE
OF 18% WILL BE INCURRED ON ALL. DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD
FOR ALL COSTS OF COLLECTION ND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256
INC. TO ENFORCE THE TERMS OF COLLECTION.
LASER BUSINESS FORMS, INC. (317) 915 -5000. 1- 8.5 -27 FORM NO. BIN 025SF
10151 Hague Road
DATE: 12/14/11
Indianapolis, Indiana 46256
TM (317) 849 -9666
I TNVOTCE: 1057
f, ,-..tr
'1�, �ly www.hardingasphalt.com INVOICE
BILL TO: CAR210 SHIP TO: 000
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 W. 131ST ST. 3400 W. 131ST ST.
CARMEL, IN 46074 CARMEL, IN 46074
ATTN BONNIE
317 733 2001 Tax Juris: 0001 INDIANA 1
Ord Date Shp Date Ship -Via Sub Acct Cust Ord Slsman Terms CpPa
P 0101
"Ordered Shipped s c r i p t -i o n Unit P•rc Ext
INVOICE INVOICE INVOICE INVOICE
X269804
12S 1.06 1.06 12 SURFACE 64.981 68.88
TN P
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Sales Tax Freight Misc CD Deposit Cash CD TOTAL
68.88 68.88
A FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE
OF 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD
FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256
INC. TO, ENFORCE THE TERMS OF COLLECTION.
LASER BUSINESS FORMS, INC. (317) 915 -5000 f- 8.5 -27. FORM NO. BIN 025SF
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))
12/31/11 $625.47
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. WARRANT NO.
ALLOWED 20
F. E. Harding Asphalt
IN SUM OF
10151 Hague Road
Indianapolis, IN 46256
--$625.47
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 42- 363.00 c 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
n Wednesday, January 11, 2012
"Street Comm ssion�er f f
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund