HomeMy WebLinkAbout206679 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 358385 Page 1 of 1
ONE CIVIC SQUARE GENERAL SHALE BRICK
CARMEL, INDIANA 46032 PO sox 5825 CHECK AMOUNT: $103.68
CAROL STREAM IL 66197 -5825 CHECK NUMBER: 206679
CHECK DATE: 2128/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 181577426 103.68 OTHER EXPENSES
General Shale
B rickZ=.
Building The American Dream
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Invoice: 181577426 Invoice Date: 02/10/2012
Bill To: 279670 Customer PO: MIKE WITH WATER DEPT
CITY OF CARMEL
3400 W 131ST STREET Bill of Lading: 171762699
WESTFIELD IN 46074 -8267 Goods Issue Date: 02/10/2012
Order: 314361491
Sales Rep: 399
Ship -To:
CITY OF CARMEL Order Loc.: Carmel
3400 W 131ST STREET CARMEL IN
WESTFIELD IN 45074 -8267 Phone: 317- 846 -2566
Mode of Shipment: Customer Pickup 057
Job: MIKE WITH WATER DEPT
Material Material Description Quantity Price Value USD
Batch Number and Description
6099010275 4 X 8 X 16 SOLID BLOCK 108 EA 0.96 103.68
Subtotal 103.68
TAX
TOTAL 103.68
LATE PAYMENT CHARGE cif l.5% PER MONTH_
VOUCHER 113804 WARRANT ALLOWED
358385 IN SUM OF
GENERAL SHALE BRICK WATER
OPERA I1ONS
Po BOX 5s25
CAROL STREAM, IL 60197 -5825
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
181577426 01- 6200 -06 $103.68
5
Voucher Total $103.68
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
358385
GENERAL SHALE BRICK Purchase Order No.
PO BOX 5825 Terms
CAROL STREAM, IL 60197 -5825 Due Date 2/20/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2120/2012 181577426 $103.68
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
Date Offi er