177309 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 195575 Page 1 of 1
ONE CIVIC SQUARE MARTIN MARIETTA AGGREGATES
0 i PO BOX 93186 CHECK AMOUNT: $177.84
CARMEL, INDIANA 46032
CHIGAGOIL 60673 -3186 CHECK NUMBER: 177309
1 CHECK DATE: 911512009
DEPARTMENT ACC OUNT PO N UMBE R INVOICE NUMBER AMO DESC RIPTION
2201 4236100 7964289 177.84 SAND
Martin M;wrietta Materials Page 1 of 1
P.O. Box 30013 FOR BILLINGQUESTIONS PLEASE CALL
Raleigh, NC 27622 -0013
T w 73 -4460
Visit eRocks �t tvww.martinmarietta.com 317
JOB NAME: MISC JOB TAXABLE TRK
SHIP TO:
SOLD TO: 00486 00729 MISCELLANEOUS JOB TAXABLE TRUCK
CITY OF CARMEL- STREET DEPARTME 3400 W 131ST ST
3400 W 131ST STREET OFFICE
WESTFIELD IN 46074 Indianapolis IN 46240
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
5311372 SO 006 888801 11 25103 Carmel Sand 231877 08/31/09 7964289
Ship Date Product Description Quantity UMI Unit Price Material Freight Freight Taxes TOTAL
Car /Bar a No. I No. I Amount Rate Amount Fees
08131/09 0939 FILL SAND
22951 9.53 TN 9.20 87.68 87.68
22952 9.80 TN 9.20 90.16 90.16
*SUBTOTAL* 19.33 177.84 177.84
TOTAL 19.33 177.84 177.84
INVQICEiTOTA $177 84';
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))
08/31/09 7964289 $177.84
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. WAR NO.
ALLOWED 20
Martin Marietta Materials
IN SUM OF
P. O. Box 93186
Chicago, IL 60673 -3186
$177.84
ION ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 7964289 42- 361.00 $177.84 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
hursday, Se'fember 10, 2009
Street Comrnissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund