173890 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 00352765 Page 1 of 1
ONE CIVIC SQUARE IRVING MATERIALS INC
CARMEL, INDIANA 46032 PO BOX 2303 DEPT 122 CHECK AMOUNT: $137.01
INDIANAPOLIS IN 46206 -2303
CHECK NUMBER: 173890
CHECK DATE: 6/24/2009
.D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236000 21045479 137.01 GRAVEL
P.O. Box 2303, Dept. 122
Indianapolis, IN 46206 -2303
I Phone: (317) 326 -3101 Invoice
Irving Materials, Inc. Fax: (317) 326 -3105
Bill To CARMEL STREET DEPT Customer Account No. 17955
3400 W. 131ST STREET Order No. 61031
WESTFIELD IN 46074 Invoice Date 06/02/2009
Invoice No. 21045479
Terms Net Cust
Job Number Usage Project No. /Name
P.O. Number IDelivery Address
Plt. Quantity U0 Description Price Total Price
61 8.59 to REVETMENT RIPRAP, LEDGES 7- 15.70 134.86
61 8.59 to ENVIRONMENTAL FEE .25 2.15
61382089
Sub totals 137.01
Tax
07/10/09
Discount If Paid By invoice Total
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 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))
06/02/09 21045479 $137.01
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
VOU CHER NO. WARRA NO.
ALLOWED 20
Irving Materials, Inc.
IN SUM OF
P. O. Box 2303, Dept. 122
Indianapolis, IN 46206 -2303
$137.01
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member
2201 21045479 42- 360.00 $137.01 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
Thursday, June 18, 2009
A 13
r
4 L� rget Com ssf e
Title
Street Commissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund