214419 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 00350596 Page 1 of 1
ONE CIVIC SQUARE RIETH-RILEY CONSTRUCTION CO INC CHECK AMOUNT: $1,281.54
;` ?o CARMEL, INDIANA 46032 PO BOX 276
o co INDIANAPOLIS IN 46206 CHECK NUMBER: 214419
CHECK DATE: 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236300 3239638 1, 281 . 54 BITUMINOUS MATERIALS
r INVOICE
RIETH-RILEY CONSTRUCTION CO.. INC.
KENTUCKY AVE. PLANT (325) Page 1 of 1
REMIT TO:
P.O. BOX 276 Invoice: 3239638
INDIANAPOLIS, IN 46206
Invoice Date: 10/23/12
(317)241-8234
Customer Number: 222181
BILL TO: Job Number: Q320157
CARMEL STREET DEPARTMENT Plant Number: 325
3400 W. MAIN STREET
CARMEL , IN 46074 KENTUCKY AVE. PLANT (325)
TERMS: NET ON RECEIPT
Customer P. O.:
-----------Material------------ ------Freight------ Other Tax
Date Ticket Product Description Qty Rate Amount Rate Amount Charges Fees Amount Total
10/23/12 1275227 UPM COLD MIX 12.09 106.00 1,281.54 0.00 0.00 0.00 0.00 0.00 1,281.54
Subtotal 12.09 Ton $1,281.54 $0.00 $0.00 $0.00 $0.00 $1,281.54
Invoice Total 12.09 $1,281.54 $0.00 $0.00 $0.00 $0.00 $1,281.54
Total Invoice ----- > $1,281.54
111k/_
THANK YOU FOR YOUR BUSINESS
(317)634-5561
A Service Charge of 1-1/2 % (18 % Annual Rate) will be made on all account balances not paid, according to the
terms stated. Please make all checks payable to: RIETH-RILEY CONSTRUCTION CO.. INC.
For electronic payment,please e-mail Dru Buck at dbuck @rieth-riley.com for more information.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Rieth Riley
IN SUM OF $
P. O. Box 276
Indianapolis, IN 46206
$1,281.54
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 3239638 I 42-363.00j $1,281.54 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
s Frid`ay, November 02, 2012
Street Commissioner
CfrP4at ( nmmiezirnar
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))
10/23/12 3239638 $1,281.54
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