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173728 06/24/2009
CITY OF CARMEL, INDIANA VENDOR: 357193 Page 1 of 1 ONE CIVIC SQUARE BEAVER GRAVEL CHECK AMOUNT: $378.10 CARMEL, INDIANA 46032 16101 RIVER AVENUE NOBLESVILLE IN 46060 CHECK NUMBER: 173728 CHECK DATE: 6/24/2009 DEPARTMENT ACCOUN PO NU MBER I NVOICE NUMBER A MOUNT DESCRIPTION 601 T 5023990 W08788 G1003245 378.10 SAND f G1003245 Beaver Gravel Corporation Date 6/11/2009 16101 River Ave Page, 1 Noblesville IN 46062 Due Date 7/6/2009 (317) 773 -0679 Ext. 0000 Bill To: Ship To: CITY OF CARMEL WATER DISTRIBUT CITY OF CARMEL WATER DISTRIBUT 3450 w. 131st Street 3450 W. 131st ST., CARMEL Westfield IN 46074 2lds WILL SHOW Purchase Order'No. a rrtent Terrris: 1712. 25 net 30 Ordered.: Shi e'tl Ticket Item Number. ©escfi `ton Unit Prvce Exti'Price.,;.�:. 1.00 1.00 651061 AGGDELIVERY AGGREGATE DELIVERY CHARGE $96.99 $96.99 22.82 22.82 651061 FS Fill Sand $4.25 $96.99 1.00 1.00 651063 AGGDELIVERY AGGREGATE DELIVERY CHARGE $92:06 $92.06 21.66` 21.66 651063 FS Fill Sand $4.25 $92.06 S btota 1. $378.10 Misc $0.00 Tax $0.00 Freight. $0.00 =Tr, "ade;Discount`�' �;0 „O0 $378.10 Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER V 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 6/16/2009 Invoice Invoice Description Date dumber (or note attached invoices) or bill(s)) Amount 6116/2009 G1003245 $378.10 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 s Date Officer VOUCHER 092094 WARRANT ALLOWED 307193 F OR IN SUM OF eEAVER GRAVEL Z 16101 RIVER AVENUEp NOBLESVILLE, IN 46060 4p��, Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code G1003245 01- 6200 -06 $378.10 Voucher Total $378.10 Cost distribution ledger classification if claim paid under vehicle highway fund