208614 05/10/2012 \,f CITY OF CARMEL, INDIANA VENDOR: 366235 Page 1 of 1
ONE CIVIC SQUARE BLUE MAX MATERIALS CHECK AMOUNT: $101.52
CARMEL, INDIANA 46032 PO BOX 242489
CHARLOTTE NC 28224 -2489 CHECK NUMBER: 208614
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 I166082 101.52 REPAIR PARTS
a
Mailing Address: nvolce No, 1166082
PO Box 242489 Date 4/26/2012
Charlotte, NC
28224 -2489 Order No.
Shipper ID XS163245
Order Type Counter Sale
www.bluemaxmaterials.com Customer ID CITYOFCA
Order Date 4/26/2012
Site WH
City of Carmel David Huffman
3400 W.131 st Street City of Carmel
Carmel, IN 46074 3400 W.131st Street
Carmel, IN 46074
Notes: If you have any questions or need to order any more product, PAGE 1
please contact 704 821 -2426.
o o e e
Cash PICKUP
PAV- PATHO- STABILIZER Pathway Stabilizer TechniSoil 5 gal. 1.00 EACH 69.90 69.90
MIS- FRGHT- Freight 1.00 EACH 31.62 31.62
Sales Total 101.52
Discount 0.00
Shipping Handling 0.00
4/26/2012 2:02:18PM Misc. Charges 0.00
Tax Total 0.00
101.52
Paid with Check Number Less Paid Amount 0.00
AUTHORIZED SIGNATURE 101.52
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))
04/26/12 1166082 $101.52
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
VOUCH NO. WARRANT NO.
ALLOWED 20
Blue Max Materials
IN SUM OF
P. O. Box 242489
Charlotte, NC 28224 -2489
$101.52
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 I 1166082 I 42- 370.001 $101.52 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
Wednp day,,M 2$02,012 2
A
U I
Street Commissio
tree t:-jr miss loner
Cost distribution ledger classification if
claim paid motor vehicle highway fund