178275 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 195575 Page 1 of 1
ONE CIVIC SQUARE MARTIN MARIETTA AGGREGATES
CHECK AMOUNT: $60.59
CARMEL, INDIANA 46032 PO BOX 93186
oMo CHIGAGO IL•60673 -3186 CHECK NUMBER: 178275
CHECK DATE: 10/1412009
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236000 8024532 60.59 GRAVEL
�s
Martin Maiiet& Materials
AMA i-V;' Page 1 of 1
P.O. Box 30013 FOR BILLING QUESTIONS PLEASE CALL
Raleigh, NC 27622 -0013
Visit eRocks It www.martinmarietta.com 317 -.573 -4460
JOB NAME: MISC JOB TAXABLE TRK
SHIP TO:
SOLD TO: 00434 00645 MISCELLANEOUS JOB TAXABLE TRUCK
CITY OF CARMEL- STREET DEPARTME LAKESHORE DR EAST
r 3400 W 131ST STREET Indianapolis IN 46240
WESTFIELD IN 46074
PAYMENT TERMS: NET 30 DAYS A/R
Order No. Customer PO Dest Job No. Dist Business Business Unit Name Cust. No. Invoice Invoice No.
No. No. Unit Date
5356120 SO 007 888801 11 25103 Carmel Sand 231877 09/28/09 8024532
Ship Date Product Description Quantity UM Unit Price Material Freight Freight Taxes TOTAL
Car /Barge No. No. Amount Rate Amount Fees
09122109 0919 PEA FILL
24191 3.96 TN 15.30 60.59 60.59
*SUBTOTAL* 3.96 60.59 60.59
TOTAL 3.96 60.59 60.59
INVOICE TOTAL $60:59.1
nF nri.mclud this Return Portion with Payment
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))
09/28/09 8024532 $60.59
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.
ALLOWED 20
Martin Marietta Materials
IN SUM OF
P. O. Box 93186
Chicago, IL 60673 -3186
$60.59
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member:
2201 8024532 42- 360.00 $60.59 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
Fridry /Oc r 09, 2009
Street Commissio e
ucct e0li1 i0 i r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund