HomeMy WebLinkAbout178370 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 363116 Page 1 of 1
�f ONE CIVIC SQUARE ROCK TRANSPORT
s CHECK AMOUNT: $57.34
CARMEL, INDIANA 46032 10101 N GRAY ROAD
ts: Lo INDIANAPOLIS IN 46280 CHECK NUMBER: 178370
CHECK DATE: 10/14/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4238900 2267 57.34 OTHER MAINT SUPPLIES
Rock 'Transport Invoice Date: 24- Sep -09
Remit To: 10 10 1 North Gray Road INVOICE 2267
Indianapolis, IN 46280 JOB BROOKSHIRE GOLF
Sold To:
JOB NAME: CARMELFEST
BROOKSHIRE
BROOKSHIRE GOLF CLUB /CITY OF CA JOB TYPE: TONNAGE
PO
12120 BROOKSHIRE PKWY
CARMEL, IN 46033 WEEK ENDING: 9/19/2009
TONNAGE INVOICE
DATE EMP/TRK# TICKET TONS RATE FSC TONS FSC RATE TOTAL
9/16/2009 1066:RT05 6100835 20.85 2.75 0.00 $0.00 $57.34
TOTAL FOR 9/16 /2909 20.85 0.00 $57.34
roT, TONS: 20.85 0.00
OF TICKETS
PLEASE PAY THIS AMOUNT: TOTAL CUSTOMER INVOICE: $57.34
NET DUE UPON RECEIPT: 1 1/2% ON PAST DUE INVOICES AFTER 30 DAYS
Any questions in regard to this invoice, please call (3 17) 846 -5100
Thank You We Appreciate Your Business
www.martinmarietta.com Ticket# 6100835
Scld TO:252095Job# 2520950389 001 Sold From: 25102North Indianapolis 3
INDIANA DISTRICT P/R ACCOUNT 4700 East 96th Street 1 9
PO BOX 549 (317) 846 -6131
CARMEL IN 46032 3
Date: 09 /16/09 Time: 14:00 PO No: Job /best. Information
486240 Truck:RT5 ROCK TRANSPORT BROOKSHIRE GOLF COURSE
Hauler: DELCAR LLC DBA HaulRate CARMELFEST DONATION
DBA ROCK TRANSPORT 12120 BROOKSHIRE PKWY
17306 WESTFIELD PA
M
e+
Lot# a L11
Lds Today To Date Lbs Tons Cash Sale 3
Quantity Quantity Gross: (l) 67,520 33.76 3
Matl
Job: 1 20.85 40.54 Tare: (1) 25,820 12.91 Tax IN a m d D
Dest:l 20.85 40.54 Net: 41,700 20.85 Haul D s Z 19
Product Number: 0639 Payment 11CCvd 11y: y n 3 Z S1
Desc: IN #73 TYPE O ST Total$ G O. G) H
Sec. Product: 0.00 QTY: 20.85 Ton Max GVW: 68,000.00 y Z o
Additional Information: Weighperson KATHY
LEDGES 8 -14 Q962010 INDOT SOURCE 2311 Q962010
M -F 7:00 4:00 /SAT lam NOON
a.
Driver: ,THAN Customer:
Martin Marietta Materials Standard Terms and Conditions apply (copy available at Site Office).
Pursuant to prior oral or written agreement between the parties, delivery occurred and title passed immediately after the products were loaded into the carrier at the point of
shipment.
All hauling from this plant or quarry at an agreed rate per ton or yard is performed by independent trucking contractors. Drivers, other than owner- drivers, will be employed by
the trucking contractor. The trucking contractor assumes all liability for compensation, public liability, and property damage insurance, also all social security taxes, withholding
taxes, and any other taxes assessed.
9 WARNING: AVOID BREATHING DUST FROM THIS'PRODUCT
This product contains crystalline silica. Prolonged and repeated breathing of crystalline silica dust can cause a progressive lung disease called silicosis.
Also, some researchers have reported that there is evidence that prolonged and repeated breathing of crystalline silica dust might cause lung cancer.
Either silicosis or lung cancer can result in permanent injury or death.
To reduce the risk of injury, limit exposure time and use a dust mask or respirator.
For detailed information, including the manufacturer's position, see the Material Safety Data Sheet before using or handling this product. MSDS are available on our website at
www.martinmarietta.com or ask the plant manager for a copy.
POLVO DE ESTE PRODUCTO c
Este producto contiene silice cristalina. Respirar el polvo de la silice cristalina repetidamente y por periodos prolongados puede causar la silicosis, una enfermedad
progresiva de los pulmones.
Asimismo, algunos investigadores reportan la existencia de evidencia que muestra que el respirar el polvo de la silice cristalina de forma repetida y por periodos prolongados
podria causar cancer del pulm6n.
Tanto la silicosis como el cancer de pulm6n pueden causar danos permanentes o la muerte.
Para reducir el riesgo de sufrir danos a la salud, debe limiter el tiempo que este expuesto al polvo de la silice cristalina y usar una mascarilla que to proteja del polvo o un
respirador.
Para mayor informaci6n, incluyendo el punto de vista del fabricante, favor de ver la Hoja de Datos sobre la Seguridad de los Materiales (Ilamada "Material Safety Data Sheet')
antes de usar o manejar este producto. La Hoja de Datos sobre la Seguridad de los Materiales esta disponible en nuestro sitio web www.martinmarietta.com o le puede pedir
una copia a su gerente de planta.
Martin Mari etta Aggregates NOTES REVISIONS:
CE -;ML DISPATCH
C ROCK TRANSPORT 48624G
DAY ATE: (Q TIfVf-E_�C/VAITED:
NOTES:
I i b t
TRUCKS:
z 96Th St F� Noblesville Belmont N Topsoil
Carmel S &G El Kentucky Ave F] Waverly F S Topsoil
Ei Metric Tax Exempt F� CR Card Quoted Job
Customer
Acct#: Z�Z.��� Job
P.O. HA UL: ZONE:
JOB NAM
LOCATION: ('2 n
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MATERIAL PROD CODE
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RECD BY:
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
L Purchase Order No.
4eTw ��?64ti �r� Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 3
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
IN SUM OF
�2
s-
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
�6 7 9 9 -on 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
20
Signature
64i (S "&Z::
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund