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HomeMy WebLinkAbout213924 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 358385 Page 1 of 1 `E. ONE CIVIC SQUARE GENERAL SHALE&BRICK ` 0 % CARMEL, INDIANA 46032 PO sox 5825 CHECK AMOUNT: $661.28 4° ? CAROL STREAM IL 60197-5825 CHECK NUMBER: 213924 OM CHECK DATE: 10/2312012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236200 181722810 17 . 02 CEMENT 2201 4236200 181723714 68 . 08 CEMENT 2201 4236200 181725622 576 . 18 CEMENT General Shale Brick 0 Building The American Dreaa® . ......... . . .......... ................. __..... ..... ... ........... ­..........__ . ...... ................. ...... . . . .......... . ..... .................. ...-...... -....... ..................... ....... .. .. .............. ..........__....... ........... ....... ..... ..... ... ... jnvq*Abe . . ......*......,......-. ........ . .. .......... ... ............ ............ Invoice: 181722810 Invoice Date: 10/10/2012 Bill To: 279670 Customer PO: shop CITY OF CARMEL 3400 W 131ST STREET Bill of Lading: 171920065 WESTFIELD IN 46074-8267 Goods Issue Date: 10/10/2012 Order: 315295061 Sales Rep: 399 Ship-To: CITY OF CARMEL Order Loc.: Carmel 3400 W 131ST STREET CARMEL IN WESTFIELD IN 46074-8267 Phone: 317-846-2566 Mode of Shipment: Customer Pickup 057 Job: picked up by richard Material Material Description Quantity Price Value USD Batch Number and Description 6099001047 ESSROC BRIXMENT GRAY TYPE S 2 BAG 8.51 17.02 Subtotal 17.02 TAX TOTAL 17.02 LATE PAYMENT CHARGE of 1.5*1 PER MONTH. PLEASE RETURN THIS PORTION WITH YOUR PAYMENT Accnt#: Customer Name Invoice-Date Invoice Amount Due 279670 CITY OF CARMEL 10/10/2012 181722810 17.02 Remit To: GENERAL SHALE BRICK, INC PO Box 5825 CAROL STREAM IL 60197-5825 Terms: Take discount of $0.34 If paid on or before 11/09/2012 NET 45 DAYS. General Shale Brick M ®® Building The American Dream Invoice: 181725622 Invoice Date: 10/15/2012 Bill To: 279670 Customer PO: shop CITY OF CARMEL 3400 W 131ST STREET Bill of Lading: 171922409 WESTFIELD IN 46074-8267 Goods Issue Date: 10/15/2012 Order: 315299427 Sales Rep: 399 Ship-To: CITY OF CARMEL Order Loc.: Carmel 3400 W 131ST STREET CARMEL IN WESTFIELD IN 46074-8267 Phone: 317-846-2566 Mode of Shipment: Truck / 057 Material Material Description Quantity Price Value USD Batch Number and Description 6099001047 ESSROC BRIXMENT GRAY TYPE S 50 BAG 8.51 425.50 6099010275 4 X 8 X 16 SOLID BLOCK 108 EA 0.96 103.68 FUEL SURCHARGE 47.00 Subtotal 576.18 TAX TOTAL 576.18 LATE PAYMENT CHARGE of 1.5% PER MONTH. PLEASE RETURN THIS PORTION WITH YOUR PAYMENT Accnt#: Customer Name Invoice-Date Invoice Amount Due 279670 CITY OF CARMEL 10/15/2012 181725622 576.18 Remit To: GENERAL SHALE BRICK, INC PO Box 5825 CAROL STREAM IL 60197-5825 Terms: Take discount of $10.58 If paid on or before 11/14/2012 NET 45 DAYS. General Shale Brick M =E Building The American Dream® >; »> :< nv..v�ce .. Invoice: 181723714 Invoice Date: 10/11/2012 Bill To: 279670 Customer P0: shop CITY OF CARMEL 3400 W 131ST STREET Bill of Lading: 171920470 WESTFIELD IN 46074-8267 Goods Issue Date: 10/11/2012 Order: 315299359 Sales Rep: 399 Ship-To: CITY OF CARMEL Order Loc.: Carmel 3400 W 131ST STREET CARMEL IN WESTFIELD IN 46074-8267 Phone: 317-846-2566 — — ---- -" — Mode of Shipment: Customer Pickup / 057 Material Material Description Quantity Price Value USD Batch Number and Description 6099001047 ESSROC BRIXMENT GRAY TYPE S 8 BAG 8.51 68.08 Subtotal 68.08 TAX TOTAL 68.08 LATE PAYMENT CHARGE of 1.5% PER MONTH. PLEASE RETURN THIS PORTION WITH YOUR PAYMENT Accnt#: Customer Name Invoice-Date Invoice Amount Due 279670 CITY OF CARMEL 10/11/2012 181723714 68.08 Remit To: GENERAL SHALE BRICK, INC PO Box 5825 CAROL STREAM IL 60197-5825 Terms: Take discount of $1.36 If paid on or before 11/10/2012 NET 45 DAYS. VOUCHER NO. WARRANT NO. ALLOWED 20 General Shale and Brick IN SUM OF $ P. O. Box 5825 Carol Stream, IL 60197-5825 $661.28 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 181722810 42-362.00 $17.02 1 hereby certify that the attached invoice(s), or 2201 181723714 42-362.00 $68.08 bill(s) is (are) true and correct and that the 2201 181725622 42-362.00 $576.18 materials or services itemized thereon for which charge is made were ordered and received except r� Thursday',/October 18, 2012 V V-,Vv CS Street Commislioner Str�ei uCii iiFIi551Ui 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)) 10/10/12 181722810 $17.02 10/11/12 181723714 $68.08 10/15/12 181725622 $576.18 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