212573 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 00350164 Page 1 of 1
Q� ONE CIVIC SQUARE F E HARDING ASPHALT CO, INC. CHECK AMOUNT: $950.00
®l+ CARMEL, INDIANA 46032 10151 HAGUE ROAD
INDIANAPOLIS IN 46256 CHECK NUMBER: 212573
CHECK DATE: 9/1212012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350400 31150 37651 950 . 00 CRACK SEALING
011 � � INVOICE NO.
TPA 00037651
10151 HAGUE ROAD INVOICE DATE
INDIANAPOLIS, IN 462
(317)849-9666 K � __ - —------- 08/27/12
FAX(317)570-4317 `
www.hardingasphalt.co AUG 2 8
CUSTOMER °--—___ JOB
CAR376 420722
Carmel Clay Parks & Rec Monon Greenway
1411 E 116Th St Monon Trail
Carmel, IN 46032 Carmel, In
--#—:�-1-1-5-0
P.O. # TERMS: ATTN:
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Quantity Description Price Amount
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1 . 00 CRACKSEAL COMPLETE 950 . 0000 950 . 00
THANK YOU FOR YOUR BUSINESS ! ! ! ! !
PLEASE REMIT TO:
FE HARDING ASPHALT COMPANIES , INC
10151 HAGUE ROAD, INDIANAPOLIS, IN 46256
Service or finance charges are applicable on past
due accounts at the rate of 1 . 5% per month on
amounts 30 days past due, which is equal to an
annual percentage rate of 180 .
Customer shall also be liable for all costs of
collection and attorney fees incurred by F.E .
Harding Asphalt Companies, Inc . to enforce the
terms of collection.
Purchase / Subtotals 950 . 00
DescriptionMDKON �-{w(e& Q(�c
P.O.#_ 311 52o
----_P F
G.L.# ( a5 4 _ _ Net Amount Due =_> 9 5 0 . 0 0
Budget II
Line Descrrl�(jltilQ$ M�(M
Purchaser
Date
Approval Date
317 9155000 R 040 -
SF
_R FORMS,INC. l
_ -
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
F. E. Harding Terms
10151 Hague Road
Indianapolis, IN 46256
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
8127112 37651 Monon Greenway crack sealing 31150 $ 950.00
Total $ 950.00
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
Voucher No. Warrant No.
F. E. Harding Allowed 20
10151 Hague Road
Indianapolis, IN 46256
In Sum of$
$ 950.00
ON ACCOUNT OF APPROPRIATION FOR
101 - General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
31150 F 37651 4350400 $ 950.00 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
6-Sep 2012
►I
Signature
$ 950.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund