212291 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 195575 Page 1 of 1
s ONE CIVIC SQUARE MARTIN MARIETTA AGGREGATES CHECK AMOUNT: $355.32
CARMEL, INDIANA 46032 PO BOX 93186
o� CHIGAGO IL 60673-3186 CHECK NUMBER: 212291
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236100 10752235 355 . 32 SAND
Page 1 of 1
Martin Marietta Materials
mmmw j`-A� t`OR 1iiLL1N6 QUESitONS PLEASE CALL
P.O.Box 30013 v % 317=573 4460
Raleigh,NC 27622-0013
Visit eRocks at www.martinmarietta.com JOB NAME:MISC JOB TAX EXEMPT TRK
SOLD TO: 001966 003141 SHIP TO:
CITY OF CARMEL-STREET DEPARTMENT MISCELLANEOUS JOB EXEMPT TRUCK
3400 W 131ST STREET 131ST&SHELBOURNE
WESTFIELD IN 46074 Indianapolis IN 46240
PAYMENT TERMS: NET 30 DAYS-AIR
Order No. Customer PO Dest. Job No. Dist Business Business Unit Name Cust.No. Invoice Invoice No.
No. No. Unit Date
7054742 SO 001 888802 11 25103 Carmel Sand 231877 8/13/12 10752235
S�;p Date Product Description Quantity UM Unit Price Material Freight Freight Taxes& TOTAL
Car/Barge No. No. Amount Rate Amount I Fees
08/07/12 0974 FA9 MASON S
480756 13.64 TN 26-05 355.32 355.32
*SUBTOTAL* 13.64 355.32 355.32
TOTAL 13.64 355.32 35532
INVOICE TOTAL $355.32<
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))
08/13/12 10752235 $355.32
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
Martin Marietta Materials
IN SUM OF $
P. O. Box 93186
Chicago, IL 60673-3186
$355.32
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
2201 I 10752235 I 42-361.001 $355.32 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
Thursdpy, A g st 23, 2012
V Street Commiss
Street Cc 0"l issioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund