205830 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 00350164 Page 1 of 1
ONE CIVIC SQUARE F E HARDING ASPHALT CO, INC
CARMEL, INDIANA 46032 10151 HAGUE ROAD CHECK AMOUNT: $196.89
fro„ co
INDIANAPOLIS IN 46256 CHECK NUMBER: 205830
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 105766 66.28 MATERIALS SUPPLIES
601 5023990 105776 130.61 MATERIALS SUPPLIES
f' f 1�q �j 10151 Hag Road DATE: 12/19/11
��',�JJ'��
Indianapolis, Indiana 46256
®A TM (317) 849 -9666 105766
JA,,-,6i, 11f1rt. www.hardinaasphalt.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 Cust Ord Slsman Clk Terms CpPq
NET 15TH P 0101
Item ordered 7 Shipped D- e s c r i p t i o n- Unit Prc Ext.
INVOICE INVOICEI INVOICE IJINVOICE
270006
12S 1.02 1.02 12 SURFACE 64.98 66.28
TN P
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Sales Tax Freight Misc CD Deposit Cash CD TOTAL
66.28 66.28
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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 REMIT TO: 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.
z
_LASER BUSINESS FORMS INC 317) 915 -500 1- 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
0002
F. E. HARDING ASPHALT CO Purchase Order No.
10151 HAGUE RD Terms
INDIANAPOLIS, IN 46256 Due Date 12/30/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/30/201' 105766 $66.28
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
A/
Date icer
VOUCHER 116624 WARRANT ALLOWED
0002 IN SUM OF
F.E. HARDING ASPHALT CO
10151 HAGUE RD
INDIANAPOLIS, IN 46256
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
105766 01- 7202 -06 $66.28
Voucher Total $66.28
Cost distribution ledger classification if
claim paid under vehicle highway fund
DATE: 12/21/11
P P 10151 Hague Road
Indianapolis, Indiana 46256
rM (317) 849 -9666 105776
/1�atZdif( 00L; Int 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
S t Ord- Date-Sho Date -Ship. Via Sub Acct Cust Ord Slsman Clk Terms CpPg
NET 15TH P'0101
.d: D- i n. U t: Prc. .EVt_.
Item Ordered ,mot e e��s e� r= t -i� -o n
INVOICE INVOICE INVOICE hNVOICE
270016
12S 2.01 2.01 1 SURFACE 64.98 130.61
TN P
i
I i
j
i
e� g
i
Sales Tax Freight Misc CD Deposit Cash -CD TOTAL
130.61 130.61
4 FINANCE CHARGE OF 1 PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE
)F 18% WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD
OR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS, INDIANA 46256
NC. TO ENFORCE THE TERMS OF COLLECTION.
ER BUSINESS FORMS, INC. (317) 915 -5000 1- 8.5 -27 FORM NO. BIN 025SF
�d of Accounts PYABLE voUC
State B °a ACCOUNTS O
scribed by CITY OF CARMEL
itemized muss show,
kind of service, where
bill to be properly
b whom, rates per day, number of units,
An in \jO% or dates o f service rendered, Y
per{ormed etc.
rice pe u nit,
p Payee
Purchase order No.
3501 Asp halt Co. Terms 12/30/2011
F E. Hard Due Date
ue Road
1015 Hag IN 46256
l
Description Amount
In \/ojCe (or note attached invoice(s) or bill(s))
In�o�ce Number $130.61
p
1213012 1 105776
or bill(s) is (are) true and
ify
same in accordance with IC 5- 11- 10 -1.
1 here cert
that the attached invoice(s),
correc and 1 have audited
1.2" h ?hv ✓1 Officer
Date
I Iii
in
ova
ALLOWED
IN SUM OF
1�9 Asphalt CO-
ue Road WMER
S
IN 46Z56 opiR SONS
r Mel Water Utility
C yrIT OF APPROPRIATION FOR
G
O
P' Board members
ACCT
AMOUNT Audit Trail Code
O
Q $130.61
01- 6200 -06
106776
1
�c
v
$130.61
vou cher Total
3 o n ledger classification if
Oostdlst�lb ,Oder Vehicle highway fund
c\ am Pa
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