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207597 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 00350596 Page 1 of 1 ONE CIVIC SQUARE RIETH -RILEY CONSTRUCTION CO INC CHECK AMOUNT: $1,542.30 CARMEL, INDIANA 46032 PO BOX 276 INDIANAPOLIS IN 46206 CHECK NUMBER: 207597 CHECK DATE: 3/26/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236300 3237636 1,542.30 BITUMINOUS MATERIALS o� L INVOICE RIETH -RILEY CONSTRUCTION CO.. INC. KENTUCKY ANTE. PLAINT (325) Page 1 of I REMIT TO: P.O. BOX 276 Invoice: 3237636 INDIANAPOLIS, IN 46206 Invoice Date: 2/29/12 (317)241 -8234 Customer Number: 222181 BILL TO: Job Number: U320247 CARMEL STREET DEPARTMENT Plant Number: 325 3400 W. MAIN STREET CARMEL IN 46074 KENTUCKY AVE. PLANT (325) TERMS: NET ON RECEIPT Customer P. O.: Material------ Freight Other Tax Date Ticket Product Description Qty Rate Amount Rate Amount Charges Fees Amount Total 2/29/12 1255847 UPM COLD MIX 14.55 106.00 1,542.30 0.00 0.00 0.00 0.00 0.00 1,542.30 14.55 Ton $1,542.30 $0.00 $0.00 $0.00 $0.00 $1,542.30 Subtotal Invoice Total 14.55 $1,542.30 $0.00 $0.00 $0.00 $0.00 $1,542.30 Total Invoice $1,542.30 THANK YOU FOR YOUR BUSINESS (317)634 -5561 A Service Charge of 1 -1/2 (18 Annual Rate) will be made on all account balances not paid, according to the terms stated. Please make all checks payable to: RIETH -RILEY CONSTRUCTION CO.. INTC. 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)) 02/29/12 3237636 $1,542.30 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 VOUCHE NO. WARRANT NO. ALLOWED 20 Rieth Riley IN SUM OF P. O. Box 276 Indianapolis, IN 46206 $1,542.30 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 1 3237636 1 42- 363.001 $1,542.30 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 March 22, 2012 A Street Commis strnni �r�w�r.lcelnn r el...... Title Cost distribution ledger classification if claim paid motor vehicle highway fund