173394 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 00352765 Page 1 of 1
ONE CIVIC SQUARE IRVING MATERIALS INC CHECK AMOUNT: $687.99
CARMEL, INDIANA 46032 PO BOX 2303 DEPT 122
'troN_LO INDIANAPOLIS IN 46206 -2303 CHECK NUMBER: 173394
CHECK DATE: 6/10/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIP
1125 4236000 20948 21041734 687.99 STONE
0 0
P.O. Box 2303, Dept. 122
Indianapolis, IN 46206 -2303
Phone: (317) 326 -3101 IIffi�Oo
Irving Materials, Inc. Fax: (317) 326 -3105
Bill To CARMEL /CLAY PARKS RECREA Customer Account No. 25414
1411 E 116TH STREET Order No. 61001
CARMEL IN 46032 Invoice Date 05/21/2009
Invoice No. 21041734
Terms Net Cust
Job Number Usage Project No. /Name
P.O. Num IDelivery Address PLEASANT GROVE PARK CARMEL
445 E. 111TH ST.
l Pit. Quantity UOM Description Price Total Price
61 42.45 to 453 COMMERICAL STONE 10.60 449.97
61 42.45 to Haul Charge 5.35 227.11
61 42.45 to ENVIRONMENTAL FEE .25 10.61
61381325, 61381326
MAY 2 8 200
D u
Pu rchm
P.O. a ao�tig p� Igo
Budget
Line uesoi
Purchas$r
Approv
Sub totals 687.69
06/10/09 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)) 09 48 687.69
Amount
209
5/21/09 21041734 Stone at Pleasant Grove
Total 687.69
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 r
In Sum of
687.69 v ,0C-5
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
20948 F 21041734 4236000 687.69 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
4 -Jun 2009
Signature
687.69 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund