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167691 01/07/2009 CITY OF CARMEL, INDIANA VENDOR: 00350596 Page 1 of 1 ONE CIVIC SQUARE RIETH -RILEY CONSTRUCTION CO INC CHECK AMOUNT: $1,281.60 CARMEL, INDIANA 46032 PO BOX 276 INDIANAPOLIS IN 46206 CHECK NUMBER: 167691 CHECK DATE: 1/7/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 R4350200 18709 3231347 1,281.60 2008 PAVING ILEY THR INVOICE RIETH-RILEY CONSTRUCTION CO.. INC. Page 1 of 1 REMIT TO: P.O. BOX 276 Invoice: 3231347 INDIANAPOLIS, IN 46206 Invoice Date: 12/18/08 BILL TO Customer Number: 222181 CARMEL STREET DEPARTMENT Job Number: N320147 3400 W. 131 ST STREET Plant Number: 325 WESTFIELD IN 46074 �j TERMS: NET ON RECEIPT Customer P.O.: Material------ Freight Tax Date Ticket Product Description Qty Rate Amount Rate Amount Amount Total 12/17/08 1175853 UPM 14.24 90.00 1,281.60 0.00 0.00 0.00 1,281.60 14.24 Ton $1,281.60 $0.00 0.00 $1,281.60 Subtotal Invoice Total 14.24 $1,281.60 $0.00 $0.00 $1,281.60 Total Invoice $1,281.60 THANK YOU FOR YOUR BUSINESS (317)634 -5561 A Service Charge of 1 -1/2 (18 Am1ual Rate) will be made on all account balances not paid, according to the terms stated. Please make all checks payable to: RIETH -RILEY CONSTRUCTION CO.. INC. J 1 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)) 12/18/08 3231347 $1,281.60 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Rieth Riley IN SUM OF P. O. Box 276 Indianapolis, IN 46206 $1,28 1.60 ON ACCOUNT OF APPRO IATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member; 18709 3231347 43 502.00 $1,281.60 I 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 v` f r \W e d n #a y, b�4, 2008 v F +7. i S m'ss�l� her Title Cost distribution ledger classification if claim paid motor vehicle highway fund