176275 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 363017 Page 1 of 1
ONE CIVIC SQUARE INDIAN CREEK STONE PRODUCTS
CARMEL, INDIANA 46032 CHECK AMOUNT: $8,417.50
PO BOX 96
HIGHWAY 50 WEST CHECK NUMBER: 176275
HURON IN 47470
CHECK DATE: 8/191 2009
DEPARTMEN A CCOU NT PO NUM INVOICE NUMBER AMO UNT DESCRIPTION
1192 4350400 20647 6373 8,417.50 VARIGATED LIMESTONE
Indian Creek Stone Products Invoice
Post Office Box 96 Date Invoice
Huron, Indiana 47437
812- 247 -3342 812- 247 -3441 FAX 7/16/2009 6373
Bill to Ship to
City of Carmel Job Site
One Civic Square 96th Ditch
Carmel, Indiana 46032 Carmel, IN
P.O. No. Project ICSP Ship Date Terms Due Date
5518 7/16/2009 7/16/2009
Quantity Unit Item Description Rate Amount
Variegated Limestone for Round about project
Limestone Special Order Block A 8 pcs 12" x 18" x 47" 0.00 O.00T
Limestone Special Order Block B 8 pcs 24" x 18" x 47" 0.00 O.00T
Limestone Special Order Block C 4 pcs 36" x 18" x 47" 0.00 O.00T
Limestone Special Order Block D 1 pc 36" x 18" x 62" all blocks were 8417.50 8,417.50
cut to approved dimension's from shop tickets priced
as pkg
Subtotal $8,417.50
Sales Tax (7.0 $0.00
Total $8,417.50
Payments /Credits $0.00
Balance Due $8,417.50
Prescribed by State Board of Accounts City Form No.' 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER n
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))
07/16/09 6373 Variegated Limestone for roundabout project $8,417.50
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
20
Clerk- Treasurer
VOiJCHER NO. WARRANT N
ALLOWED 20
Indian Creek Stone Products
IN SUM OF
Highway 50 West, P.O. Box 96
Huron, IN 47437
$8,417.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
20647 6373 43- 504.00 $8,417.50 1 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
Monda August 17, 2009
ector, DO
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund