208757 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 00352765 Page 1 of 1
ONE CIVIC SQUARE IRVING MATERIALS INC
CARMEL, INDIANA 46032 PO BOX 7048 CHECK AMOUNT: $878.38
d GROUP #2
o, CHECK NUMBER: 208757
INDIANAPOLIS IN 46207 -7048
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4236100 21320165 878.38 SAND
P.O. Box 7048, Group #2
Indianapolis, IN 46207 -7048
Phone: (317) 326 -3101 Invoice
Irving Materials, Inc. Fax: (317) 326 -3105
Bill TO BROOKSHIRE GOLF -CITY OF CA Customer Account No. 14499
12120 BROOKSHIRE PARKWAY Order No. 68000
CARMEL IN 46032 Invoice Date 04/23/2012
Invoice No. 21320165
Terms .30 TN
Job Number I Project NO. /Name
P.O. Nu mbe Delivery Address 12120 BROOKSHIRE PKWY.
CARMEL, IN 46032
Pit. Quantity UOM Description Price Total Price
68 21.32 to M -3 GOLF, 60% SAND, 20% PEA 27.50 586.30
68 21.32 to Haul Charge 13.45 286.75
68 21.32 to ENVIRONMENTAL FEE .25 5.33
*68074718
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Date l Init
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Account
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Account
Account
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))
04/23/12 21320165 Sand $878.38
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
Irving Materials, Inc.
IN SUM OF
P.O. Box 7048 #2
Indianapolis, IN 46207 -7048
$878.38
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1207 I 21320165 I 42- 361.00 I $878.38 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
Tuesday, May 01, 2012
CA
Director, Brooks t e Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund