174953 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 00352765 Page 1 of 1
ONE CIVIC SQUARE IRVING MATERIALS INC CHECK AMOUNT: $673.93
CARMEL, INDIANA.46032 PO BOX 2303 DEPT 122
INDIANAPOLIS IN 46206 -2303 CHECK NUMBER: 174953
CHECK DATE: 7/2212009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4236000 22014 21049514 673.93 STONE
P.O. Box 2303, Dept. 122
I M Indianapolis, IN 46206 -2303
Phone: (317) 326 -3101 I nvoice
Irving Materials, Inc. Fax: (317) 326 -3105
Bill To CARMEL /CLAY PAR _E+ 9E REA Customer Account No. 25414
1411 E 116TH STREET Order No. 61014
CARMEL IN 46032 JUN 18 Cully Invoice Date 06/15/2009
Invoice No. 21049514
BY: Terms Net Cust
Job Number TERRY 442 Usage Project No. /Name
P.O. Number P O 2 2 014 IDelivery Address PLEASANT GROVE PARK CARMEL
445 E. 111TH ST.- -465W TO 31
Pit. _m__ Quantity UOM Descr ptioyn Price Total Price
61 41.60 to #53 COMMERICAL STONE 10.60 440.96
61 41.60 to Haul Charge 5.35 222.56
61 41.60 to ENVIRONMENTAL FEE .25 10.41
61382857, 61382886
W_ Purchem. STOK( E FO:R
PO.'8 2=1'— F= P�, y E5 CT
1 42�•24C�� 42.3
I (3.L =5 0
Budget, �12AVEL
Y Line
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i
Sub- totals 673.93
07/10/09 Tax
Discount If Paid By Invoice Total
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
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
6/15/09 21049514 Stone at Pleasant Grove 22014 F 673.93
Total 673.93
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_
'Ax Y Clerk- Treasurer
r*
Voucher No. Warrant No.
00352765 Irving Materials, Inc. Allowed
P.O. Box 2303, Dept. 122
Indianapolis, IN 46206-2303
In Sum of
673.93
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
22014 F 21049514 4236000 673.93 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
16 -Jul 2009
Signature
673.93 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund