179730 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 00352765 Page 1 of 1
ONE CIVIC SQUARE IRVING MATERIALS INC CHECK AMOUNT: $308.29
CARMEL, INDIANA 46032 PO BOX 2303 DEPT 122
INDIANAPOLIS IN 46206 -2303 CHECK NUMBER: 179730
CHECK DATE: 11/24/2009
DEPA ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4235000 21092533 308.29 BUILDING MATERIAL
P.O. Box 2303, Dept. 122
IL M I Indianapolis, IN 46206 -2303
Phone: (317) 326 -3101 Invoice
Irving Materials, Inc. Fax: (317) 326 -3105
Bill To CARMEL /CLAY PARKS RECREA Customer Account No. 25414
1411 E 116TH STREET Order No. 61000
CARMEL IN 46032 Invoice Date +1- 1 -_0 4% 2-0 0 9
Invoice No. c 21-0 9 2 -5 3 -3_
Terms Net Cus t
Job Number Usage Project No. /Name
P.O. Nurn jDeliveryAddreSS 1195 CENTRAL PARK DR. WEST
465W TO 31 T/R (N) TO 111TH
PIt._m_ Quantity UOM Description _,.dmv_ Price Total Price
61 19.03 to #53 COMMERCIAL STONE 10.60 201.72
61 19.03 to Haul Charge 5.35 101.81
61 19.03 to ENVIRONMENTAL FEE .25 4.76
61394484
pumhas
P.O. P or F
O.LA
BU 0
Unge
Data
1k1 Im Date
Sub totals 308.29
12/10/09 Tax
Discount If Paid By Invoice Total T
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind (if 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.
00352765 Irving Materials, Inc. Terms
P.O. Box 2303, Dept. 122
Indianapolis, IN 46206 -2303
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
11/4/09 21092533 Gravel 22847 F 308.29
Total 308.29
1 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
Voucher No. Warrant No.
00352765 Irving Materials, Inc. Allowed 20
P.O. Box 2303, Dept. 122
Indianapolis, IN 46206 -2303
In Sum of
308.29
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 21092533 4235000 308.29 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
19 -Nov 2009
Signature
308.29 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund