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209056 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 025100 Page 1 of 1 ONE CIVIC SQUARE BEAVER READY MIX CORP CARMEL, INDIANA 46032 16101 RIVER AVENUE CHECK AMOUNT: $563.50 NOBLESVILLE IN 46062 CHECK NUMBER: 209056 CHECK DATE: 5/22/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236200 M1073780 563.50 CEMENT E MA -RI -AI Corp Invoice, M 1073780 Beaver Ready Mix Date 05/14/2012 16101 River Ave Noblesville, IN 46062 Page Page 1 of 1 317- 773 -0679 �f Bill To: IShip To: CARMEL STREET DEPARTMENT NW corner 3400 W 131 ST STREET E Main St. And Red Oak Ln. CARMEL IN 46074 Jim Ordered B 4 -Y Jod "TYpe.. JobNumber "S:O" No P:O. "Number D ue Da "te. Curbs 32 6/13/12 Ticket ;Truck No. Product No Product Description UOM Quantity. Price �Ext,Ar 'mount 524291 642 6AC #12 4000 PSI 6 BAG #12 GRAVEL CU Yards 2.00 98.00 196.00 524291 642 MINHAUL MINIMUM HAUL CHARGE Each 1.00 125.00 125.00 524291 642 Stealth Stealth Fiber Each/Total 2.00 6.50 13.00 524291 642 AIR MICRO MICRO AIR Each 1.00 0.00 0.00 524294 CP 6AC #1'2 4000 PSI 6 BAG #12 GRAVEL CU Yards 1.00 98.00 98.00 524294 CP MINHAUL. MINIMUM HAUL CHARGE Each 1.00 125,00 125.00 524294 CP Stealth Stealth Fiber Each/Total 1.00 6.50 6.50 524294 CP AIR MICRO MICRO AIR Each 1.00 0.00 0.00 Total _SuiTotal' 563.50 Discount of $9.00 if paid by 6/8/12 Yards Sales; Tax 0.00 Terms: All Accounts past due are subject to service charges at the rate of 1.5% per month. 3.00 INVOICE TOTAL 563.50 PLEASE REFERENCE INVOICE NUMBER WHEN MAKING PAYMENTS THANK YOU! t VOUCHER NO. WARRANT NO. Beaver Ready Mix ALLOWED 20 IN SUM OF 16101 River Avenue Noblesville, IN 46062 $563.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member: 2201 I M1073780 I 42- 362.001 $563.50 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 Thursdary/,,May 17, 2012 v v Street Commis ip er Street CorTitleissoner 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)) 05/14/12 M1073780 $563.50 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