207119 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 00352765 Page 1 of 1
ONE CIVIC SQUARE IRVING MATERIALS INC CHECK AMOUNT: $174.84
CARMEL, INDIANA 46032 PO BOX 7048
'tiy�; Via` GROUP #2 CHECK NUMBER: 207119
INDIANAPOLIS IN 46207 -7048
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236000 21303965 174.84 GRAVEL
PO. Box 7048, Group #2
imi Indianapolis, IN 46207 -7048
Phone: (317) 326 -3101 Invoice
Irving Materials, Inc. Fax: (317) 326 -3105
Bill To CARMEL STREET DEPT Customer Account No. 17955
3400 W. 131ST STREET Order No. 61044
WESTFIELD IN 46074 Invoice Date 02/28/2012
Invoice No. 21303965
Terms Net Cust
Job Number Usage Project NO. /Name
P.O. Nu mbe Delivery Address
Pit. Quantity UOM Description Price Total Price
61 14.57 to #53 COMMERICAL STONE 11.75 171.20
61 14.57 to ENVIRONMENTAL FEE .25 3.64
*61451065
RI JT
t
j y
I
Sub- totals 174.84
Tax
Discount If Paid By 03/10/12 Invoice Total
V OUCHE R NO. WAR RANT NO.
ALLOWED 20
Irving Materials, Inc.
IN SUM OF
P. O. Box 7048, Group #2
Indianapolis, IN 46207 -7048
$174.8
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Member:
2201 21303965 42- 360.00 $174.84 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
1
Thursday March 08, 2012
Street Commissioner
grrPA; r ,-,r- m "loner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
02118/12 21303965 $174.84
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