HomeMy WebLinkAbout211649 08/14/2012 - CITY OF CARMEL, INDIANA VENDOR: 358786 Page 1 of 1
ONE CIVIC SQUARE BOTTAMILLER LLC CHECK AMOUNT: $520.00
CARMEL, INDIANA 46032 9800 N GRAY ROAD
INDIANAPOLIS IN 46280 CHECK NUMBER: 211649
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 5102 520 . 00 OTHER MAINT SUPPLIES
B®ttamlller LLC INVOICE
9800 N. Gray Road
Indianapolis, IN 46280 DATE INVOICE#
317-844-8800 8/2/2012 5102
317-844-8834 Fax
BILL TO DELIVERED
CITY OF CARMEL STREET DEPARTMENT
3400 WEST 131ST STREET
CARMEL, IN 46074
P.O. NO. TERMS DUE DATE SHIP DATE SHIP VIA ORDERED BY
NET 30 DAYS 9/1/2012 8/2/2012 PICK UP ...
QTY ITEM DESCRIPTION RATE AMOUNT
52 PTS PULVERIZED TOPSOIL - 15 TONS PLUS 10.00 520.00
ON ALL LOADS
PRICES SUBJECT TO CHANGE WITHOUT NOTICE
Total
$520.00
*Unpaid balance subject to a late charge of 1 1/2% per month
on the outstanding balance.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bottamiller LLC
IN SUM OF $
9800 N. Gray Road
Indianapolis, IN 46380
$520.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 5102 I 42-389.001 $520.00 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
n , � Thdr/day ust 09, 201;
6 k ke
Street Commislid4er
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))
08/02112 5102 $520.00
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