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176138 08/19/2009 CITY OF CARMEL., INDIANA VENDOR: 357193 Page 1 of 1 I° ONE CIVIC SQUARE BEAVER GRAVEL CHECK AMOUNT: $334.05 9 CARMEL, INDIANA 46032 16401 RIVER AVENUE NOBLESVILLE IN 46060 CHECK NUMBER: 176138 CHECK DATE: 811912009 DEPARTMENT ACCOUNT PO NU MBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 G1007098 334.05 OTHER EXPENSES Beaver Gra CorAormton 1G1O1 River Ave Noblesville IN 46062 (317) 773-0679 EztM000 Bill To: Ship To: CITY OF CARMEL WATER DISTRIBUT CITY OF CARMEL WATER DISTRIBUT 3450 w. 131 st Street Plant #4, 10675 N. Gray Road. Westfield IN 46074 ASK FOR DA ayme 712 25 net 30 escript 1.00 1.00 653808 AGGIDELIVERY AGGREGATE DELIVERY CHARGE $79.23 $79.23 2096 20.96 653808 FS Fill Sand $4.25 $89.08 1.00 1.00 653813 AGGIDELIVERY AGGREGATE DELIVERY CHARGE $78.02 $78-02 20.64 20.64 653813 FS Fill Sand $4.25 $87.72 ,Tra&Diiscount� $000 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 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 8/11/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/11/2009 G1007098 $334.05 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 Date Officer VOUCHER 092668 WARRANT ALLOWED a'57193 IN OF BEAVER GRAVEL 16101 RIVER AVENUE OBLESVILLE, IN 46060 *R r� y Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code G1007098 01- 6200 -04 $334.05 i II Voucher Total $334.05 Cost distribution ledger classification if claim paid under vehicle highway fund