173440 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 195575 Page 1 of 1
ONE CIVIC SQUARE MARTIN MARIETTA AGGREGATES
s CARMEL, INDIANA 46032 PO BOX 93186 CHECK AMOUNT: $36.40
CHIGAGO IL 60673 -3186
o CHECK NUMBER: 173440
CHECK DATE: 6/10/2009
DEPARTME ACCOUNT PO NU MBER INVOICE NUMBER AMOUNT DES
2201 4236000 7697688 36.40 GRAVEL
Martin Marietta Materials
Page 1 of 1
V
P.O. Box 30013 FOR BILLING QUESTIONS PLEASE CALL
Raleigh, NC 27622 -0013
Visit eRocks" "g 317 573 -4460
at www.martinmarietta.com
JOB NAME: MISC JOB TAXABLE TRK
SHIP TO:
SOLD TO: 00486 00727 MISCELLANEOUS JOB TAXABLE TRUCK
CITY OF CARMEL- STREET DEPARTME BROOKSHIRE GOLF COURSE
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 I Date
5129650 SO 002 888801 11 25102 1 North Indianapolis 231877 05/18/09 7697688
Ship Date Product Description Quantity UM Unit Price Material Freight Freight Taxes TOTAL
Car /Rar. a Nom Nn� Amount Rate .Amount_ Fees
05112109 0430 IN NO 53 C
074039 3.50 TN 10.40 36.40 36.40
*SUBTOTAL* 3.50 36.40 36.40
TOTAL 3.50 36.40 36.40
INVOICE TOTAL $36.40
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))
05/18/09 7697688 $36.40
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. W A RRA NT NO.
ALLOWED 20
Martin Marietta Materials
IN SUM OF
P. O. Box 93186
Chicago, IL 60673 -3186
$36.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Member:
2201 7697688 42 360.00 $36.40 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
t
Fri Ju�e,0.,5 y2009
S $treet;Gorn missioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund