177570 09/29/2009 �A CITY OF CARMEL, INDIANA VENDOR: 357193 Page 1 of 1
ONE CIVIC SQUARE BEAVER GRAVEL
CARMEL, INDIANA 46032 16101 RIVER AVENUE CHECK AMOUNT: $356.66
NOBLESVILLE IN 45060 CHECK NUMBER: 177570
I�An c
CHECK DATE: 9/29/2009
DEPARTMENT ACCOUNT PO NUMBE IN NUMB A MOUN T DESCRIPTION
601 5023990 G1010008 356.66 OTHER EXPENSES
G1010008
Beaver Gravel Corporation DateF 9/17/2009
16101 River Ave 1
Noblesville IN 46062
Due EDate:. 10/1212009
(317) 773 -0679 Ext. 0000
Bill To: Ship To:
CITY OF CARMEL WATER DISTRIBUT DU CITY OF CARMEL WATER DISTRIBUT
3450 w. 131 st Street 3450 W. 131 st ST., CARMEL
Westfield IN 46074 lids WILL SHOW
T7 77
.F..a rnent rernis 4
rchase- Or8er•?'i��, Sales ei•�e,nelD���
1712 25 net 30
Ordered f Shi etl Ticket'# ,.r "Item- Numker bescri tion Unit.Prioe Ezt °Price
1.00 1.00 655769 AGGDELIVERY AGGREGATE DELIVERY CHARGE $89.72 $89.72
21.11 21.11 655769 FS Fill Sand $4.25 $89.72
1.00 1.00 655783 AGGDELIVERY AGGREGATE DELIVERY CHARGE $88.61 "`$88.61
20.85 20.85 655783 FS Fill Sand $4.25 $88.61
i
Subfiital'¢ r $356.66
MIsc $0.00
Tax $0.00
Fretghfi_. $0.00
Trade Discount`
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL 4,
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
357193
BEAVER GRAVEL Purchase Order No.
16101 RIVER AVENUE Terms
NOBLESVILLE, IN 46060 Due Date 9/22/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/22/2009 G1010008 $356.66
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
9 51 -P h�
Date Officer
OUCHER 093029 WARRANT ALLOWED
:57193 IN SUM OF
BEAVER GRAVEL�'�
16101 RIVER AVENUE Y-{� to
NOBLESVILLE, IN 46060 p eN
h
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
q 1�
Qa! G1010008 01- 6200 -06 $356.66
ry
Voucher Total $356.66
Cost distribution ledger classification if
claim paid under vehicle highway fund