212922 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 357193 Page 1 of 1
ONE CIVIC SQUARE BEAVER GRAVEL CHECK AMOUNT: $753.86
CARMEL, INDIANA 46032 16101 RIVER AVENUE
NOBLESVILLE IN 46060 CHECK NUMBER: 212922
CHECK DATE: 9125/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 G1084674 753 . 86 OTHER EXPENSES
HAVER
Beaver Gravel Corp Invoice# G 1084674
16101 River Ave Date. 09/06/2012
Noblesville, IN 46062
317-773-0679 Page Page 1 of 1
Bill To: IShip To:
CITY OF CARMEL WATER DISTRIBUTION Hrs. 08:00 ! 16:30 gates..
3450 w. 131 st Street 3450 W. 131st St., Carmel 8:00 to 16:30
CARMEL IN 46074 'u' 4-LDS WILL SHOW AT SITE_
J"ofj..Type . _:. Job Number S.O. No. P.O. Number T,, Due Date
MIKE 2 112
Ticket# Truck No. Product No. Product Description UOM Quantity Price _ Ext. Amount
702185 104 Roudebus FSU FILL SAND- UNWASHED Tons 22.39 4.25 95.16
702185 104 Roudebus AGGDELIVER AGGREGATE DELIVERY CH Each 1.00 95.16 95.16
702197 104 Roudebus FSU FILL SAND-UNWASHED Tons 22.53 4.25 95.75
702197 104 Roudebus AGGDELIVER AGGREGATE DELIVERY CH Each 1.00 95.75 95.75
702208 104 Roudebus FSU FILL SAND- UNWASHED Tons 21.97 4.25 93.37
702208�" 104 Foudebus AGGDELIVER AGGREGATE DELIVERY CH Each 1.00 93.37 93.37
702215 104 Roudebus FSU FILL SAND- UNWASHED Tons 21.80 4.25 92.65
702215 104 Roudebus AGGDELIVER AGGREGATE DELIVERY CH Each 1.00 92.65 92.65
"Total SubTotal $ 753.86 "
Tons Sales Tai $ 0.00
Terms: All Accounts past due are subject to service charges at the rate of 1.5%per month.
88.69 INVOICE TOTAL $ 753.86
PLEASE REFERENCE INVOICE NUMBER WHEN MAKING PAYMENTS -THANK YOU!
VOUCHER # 122137 WARRANT # ALLOWED
357193 IN SUM OF $
BEAVER GRAVEL
16101 RIVER AVENUE
NOBLESVILLE, IN 46060
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
J
G1084674 01-6200-06 $753.86
Voucher Total $753.86
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
357193
BEAVER GRAVEL Purchase Order No.
16101 RIVER AVENUE Terms
NOBLESVILLE, IN 46060 Due Date 9/17/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/17/2012 G1084674 $753.86
I 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
Date Officer