212181 08/28/2012 CITY OF CARMEL INDIANA VENDOR: 083080 Page 1 of 1
ONE CIVIC SQUARE EDGEWOOD BUILDING SUPPLY
,1< CARMEL, INDIANA 46032
3749 SOLUTIONS CENTER CHECK AMOUNT: $782.46
CHICAGO IL 60677-3007 CHECK NUMBER: 212181
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236200 94434150 782 .46 CEMENT
EDGEWGDn
EDGEWOOD BUILDING SUPPLY
1580 E. EPLER AVE
INDIANAPOLIS, IN 46227
INVOICE
Invoice #: 94434150
Invoice Date: 08/02/2012
CITY OF CARMEL DEPT OF RELATIONS SHIP TO: CITY OF CARMEL DEPT OF RELATIONS
ONE CIVIC SQUARE CPU
CARMEL IN 46032 ONE CIVIC SQUARE
CARMEL IN 46032
CUSTOMER# CUSTOMER PO# SALES ORDER# SALESPERSON CARRIER
1019648 535 COLLEGE DRIVE 10471452 591 9999
DELIVERY DATE DEL.TICKET# QUANTITY PLANT UOM PRICE EXTENDED
DESCRIPTION AMOUNT
08/01/2012 81900343 486.00 4008 EA 1610.00/1000 782.46
WHIT 30 ADA TACTILE PVR STD
NON-TAXABLE TAXABLE SALES TAX TOTAL DUE
TERMS:
782.46 782.46
Before 10 of nxt mo.10%disc-Net bef 30 of nxt
mo. MAKE CHECKS PAYABLE TO:
A service charge of 1-1/2%. per month which is an Edgewood Bldg Supply
annual rate of 18% will accrue 30 days after 3749 Solutions Center
Chicago, IL 60677-3007
1019648/94434150 Page: 1 of 1
www.edgewoodbuildingsupply.com 317-786-9208
Purchases of materials delivered and used in certain municipalities within Illinois and Indiana may be subject to a local use tax that
you should self-assess. Please consult your tax advisor to determine if this tax is applicable to you.
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))
08/02/12 94434150 $782.46
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Edgewood Bldg Supply
IN SUM OF $
3749 Solutions Center
Chicago, IL 60677-3007
$782.46
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 94434150 I 42-362.001 $782.46 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
(1 n T ursda /August 23, 2012
�—jwV Street Commi i ner
Si-rgaE CO.;Titl'e"
Cost distribution ledger classification if
claim paid motor vehicle highway fund