214627 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 00350164 Page 1 of 1
0 ONE CIVIC SQUARE F E HARDING ASPHALT CO,INC
CARMEL, INDIANA 46032 10151 HAGUE ROAD CHECK AMOUNT: $2,960.81
yiori-o INDIANAPOLIS IN 46256 CHECK NUMBER: 214627
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236300 2, 960 . 81 BITUMINOUS MATERIALS
STATEMENT
TM
/A l����J,��`n it"o.,lint.
5145 East 96th Street
Indianapolis,Indiana 46240
(317)849-9666
www.hardingasphalt.com
ACCOUNT NO.
CARMEL STREET DEPARTMENT CAR210
STATEMENT DATE
3400 W. 131ST ST.
CARMEL, IN 46074 10/31/12
DATE REFERENCE CHARGES CREDITS BALANCE
10/03/12 108447 50.99 50.99
10/05/12 108480 66.42 117.41
10/08/12 108491 299.89 417.30
10/09/12 108503 33.55 450.85
10/10/12 108524 201.27 652.12
10/11/12 108532 373.69 1025.81
10/12/12 108540 132.84 1158.65
10/15/12 108563 222.07 1380.72
10/15/12 108564 1110.46 2491.18
10/16/12 108579 50.99 2542.17
10118112 108621 53.67 2595.84
10/22/12 108655 201.94 2797.78
10/24/12 108672 59.0.4 2856,.82
10/25/12 108690 51.66 2908.48
10/30/12 108727 52.33 2960.81
10/31/12 108742 236783 ',3197.64
0-30 DAYS 31-60 DAYS 61-90 DAYS OVER ACCUM. BALANCE
90 DAYS FINANCE CHG. DUE
3197.64 .00 °00 00 .00 3197.64
ANALYSIS OF BALANCE DUE
A FINANCE CHARGE OF 1'12%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE OF 18%
WILL BE INCURRED ON ALL PAST DUE AMOUNTS.
LASER BUSINESS FORMS INC. (317)915-5000
P;,, 4' . 10151 Hague Road DATE : 10/03/12
i p�q� ��
Indianapolis, Indiana 46256
'e TM°`' v (317)849 9666 0 C.E_: 1 0-8-4�
I �J,j I.. www.hardingasphalt.com INVOICE
BILL TO: CAR210 SHIP TO: 000
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 W. 131ST ST. 3400 W. 131ST ST.
CARMEL, IN 46074 CARMEL, IN 46074
ATTN BONNIE
( 317 ) 733-2001 Tax Juris : 0001 INDIANA 1
St Ord Date Shp Date Ship Via Sub Acct Cust Ord # S1 man Clk Terms CpPa
ET 15TH P 0101
m # --
- —
I-te — ---- - 0-r-de-r-ed S-'yipped—D—e -s--c- r i 12—t J—o- n.---- U-nit -P_-r-c—-- E
INVOICE INVOICE INVOICE INVOICE
279034
12S . 76 . 76 12 SURFACE 67 . 09 50 . 99
TN P
I
Sales Tax Freight Misc CD Deposit Cash CD TOTAL
50 . 99 50 . 99
A FINANCE CHARGE OF 1112% PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE
OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD
FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256
INC.TO ENFORCE THE TERMS OF COLLECTION.
LASER BUSINESS FORMS,INC.(317)915-5000 1-8.5-27 FORM NO.BIN 025SF
10151 Hague Road DATE : 10/05/12
Indianapolis, Indiana 46256
17 4 �ZO_I_CE_:-0880
TM i ^ f'' (3 ) -9666 8 9 k k
r��,1 :llt .�., If1., www.hardingasphalt.com INVOICE
BILL TO: CAR210 SHIP TO: 000
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 W. 131ST ST. 3400 W. 131ST ST.
CARMEL, IN 46074 CARMEL, IN 46074
ATTN BONNIE
( 317 ) 733-2001 Tax Juris : 0001 INDIANA 1
St Ord Date Shp Date Ship Via Sub Acct Cust Ord # Slsman Clk Terms CpP
01 j0/Q- S) Z12 10 /05 /12 0 00 NET 15TH P 0101
Item # __ Ordered Shipped D e s c r i p t i o n Unit Prc" —` - Ext .
INVOICE INVOICE INVOICE INVOICE
279167
12S . 99 . 99 12 SURFACE 67 . 09 66 . 42
TN P '
1
Sales Tax Freight Misc CD Deposit Cash CD TOTAL
66 . 42 66 . 42
A FINANCE CHARGE OF 1'/2%PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE
OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD
FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256
INC.TO ENFORCE THE TERMS OF COLLECTION.
LASER BUSINESS FORMS,INC.(317)915-5000 1-8.5-27 FORM NO.BIN 025SF
10151 Hague Road
DATE : 10/08/12
eQ „ �, Indianapolis, Indiana 46256
TM 4 �•! (317)849-9666 N_V_O.I-CE_:---L0.8
www.hardingasphalt.com ** INVOICE
BILL TO: CAR210 SHIP TO: 000
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 W. 131ST ST. 3400 W. 131ST ST.
CARMEL, IN 46074 CARMEL, IN 46074
ATTN BONNIE
( 317 ) 733-2001 Tax Juris : 0001 INDIANA 1
St Ord Date- Shp Date Ship Via Sub Acct Cust Ord_j Slsman Clk Terms Ct79
ordered . Shipped D e s c r i p t i o n . Unit Prc Ext._
INVOICE INVOICE INVOICE INVOICE
279202
12S 4 . 47 4 . 47 12 SURFACE 67 . 09 299 . 89
TN P
Sales Tax Freight Misc CD Deposit Cash CD TOTAL
299 . 89 299 . 89
—mm=zmo
A FINANCE CHARGE OF 1112% PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE
OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD
FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256
INC.TO ENFORCE THE TERMS OF COLLECTION.
LASER BUSINESS FORMS.INC.(317)915-5000 1-8.5-27 FORM NO.BIN 025SF
F 10151 Hague Road DATE : 10/09/12
�qq v 0, Indianapolis, Indiana 46256
TM (317)849-9666 IN DICE : 1-08503
www.hardingasphalt.com ** INVOICE
BILL TO: CAR210 SHIP TO:
CARMEL STREET DEPARTMENT
3400 W. 131ST ST.
CARMEL, IN 46074
ATTN BONNIE
( 317 ) 733-2001 Tax Juris : 0001 INDIANA 1
St Ord Date Shp Date Ship Via Sub Acct Cust Ord # Slsman Clk Terms CpPa
_ 00 NET 15TH P 0101
Item #� Ordered Shibped D e s c r i p t- i o n--- Unit Prc-- -Ext-.
INVOICE INVOICE INVOICE INVOICE
279244
12S . 50 . 50 12 SURFACE 67 . 09 ' 33 . 55
TN P ;
f
Sales Tax Freight Misc CD Deposit Cash CD TOTAL
33 . 55 33 . 55
A FINANCE CHARGE OF 11/2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE
OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD
FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256
INC.TO ENFORCE THE TERMS OF COLLECTION.
LASER BUSINESS FORMS,INC (317)915-5000 1-8.5-27 FORM NO.BIN 025SF
"';;�p� 10151 Hague Road DATE : 10/10/12
"'�
;. �I I Indianapolis, Indiana 46256
e f'J° � v INVOICE 108524
TM \\ „, ,-. (317)849-9666
i1J,;�fl�lj� c't.,'�f3 www.hardingasphalt.com ** INVOICE
BILL TO: CAR210 SHIP TO: 000
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 W. 131ST ST. 3400 W. 131ST ST.
CARMEL, IN 46074 CARMEL, IN 46074
ATTN BONNIE
317 733-2001 Tax Juris : 0001 INDIANA 1
St Ord Date Shp Date Ship Via Sub Acct Cust Ord # Slsman Clk Terms CpP-
0 NET 15TH P 0301
Item # ______ordered _ � �ed D e s c r i p t i o n Unit Prc Ext .-
INVOICE INVOICE INVOICE INVOICE
279300
12S 3 . 00 3 . 00 12 SURFACE 67 . 09 201 . 27
TN P
r~
w
Sales Tax Freight Misc CD Deposit Cash CD TOTAL
201 . 27 201 . 27
A FINANCE CHARGE OF 11/2%PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE
OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD
FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256
INC.TO ENFORCE THE TERMS OF COLLECTION.
LASER BUSINESS FORMS,INC.(317)915-5000 1-8.5-27 FORM NO.BIN 025SF
10151 Hague Road DATE : 10/11/12
Indianapolis, Indiana 46256
TM` „ y (317)849-9666 70ICE-: I OR I)�
www.hardingasphalt.com ** INVOICE
BILL TO: CAR210 SHIP TO:
CARMEL STREET DEPARTMENT
3400 W. 131ST ST.
CARMEL, IN 46074
ATTN BONNIE
( 317 ) 733-2001 Tax Juris : 0001 INDIANA 1
St Ord Date Shp Date Ship Via Sub Acct Cust Ord # Slsman Clk Terms CpPa
Item .# Ordered Shipped D e s c r i p t i o n Unit Prc Ext.
INVOICE INVOICE —'INVOICE _"' -INVOICE w -
279373
12S 5 . 57 5 . 57 12 SURFACE 67 . 09 373 . 69
TN P
Sales Tax Freight Misc CD Deposit Cash CD TOTAL
373 . 69 373 . 69
A FINANCE CHARGE OF 1112% PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE
OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD
FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256
INC.TO ENFORCE THE TERMS OF COLLECTION.
LASER BUSINESS FORMS.INC.(317)915-5000 1-8.5-27 FORM NO BIN 025SF
^ DATE : 10/12/12
10151 Hague Road
i I-�_ v°` g
,., -A®IA\JII_..•-.� o Indianapolis, Indiana 46256
TM ,.--., (317)849-9666 N-V_QLCE_: 1_Q-8_5-4_
www.hardingasphalt.com INVOICE
BILL TO: CAR210 SHIP TO: 000
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 W. 131ST ST. 3400 W. 131ST ST.
CARMEL, IN 46074 CARMEL, IN 46074
ATTN BONNIE
( 317 ) 733-2001 Tax Juris : 0001 INDIANA 1
St Ord Date Shp Date Ship Via Sub Acct Cust Ord # Slsman Clk Terms CpPg
1
Ordered Shipped D e s c r i t i o n Unit Prc Ext .
E IN
INVOICE INVOICE INVOICVOICE
279446
12S 1 . 98 1 . 98 12 SURFACE 67 . 09 132 . 84
TN P
Sales Tax Freight Misc CD Deposit Cash CD TOTAL
132 . 84 132 . 84
A FINANCE CHARGE OF 11/2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE
OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD
FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256
INC.TO ENFORCE THE TERMS OF COLLECTION.
LASER BUSINESS FORMS,INC.(317)915-5000 1-8.5-27 FORM NO.BIN 025SF
10151 Hague Road DATE : 10/15/12
Indianapolis, Indiana 46256
TM '2 �•/ (317)849-9666 _V_O-I-
www.hardingasphalt.com C : 108563
** INVOICE
BILL TO: CAR210 SHIP TO: 000
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 W. 131ST ST. 3400 W. 131ST ST.
CARMEL, IN 46074 CARMEL, IN 46074
ATTN BONNIE
( 317 ) 733-2001 Tax Juris : 0001 INDIANA 1
St Ord Date Shp Date Ship Via Sub Acct Cust Ord # Slsman Clk Terms C —P-
NET 15TH P 0301
Item # - --Ordered - Shipped D e s c r i 12 t -i. o_n -Unit Prc .—— _. .Ext .__
INVOICE INVOICE INVOICE INVOICE
279548
12S 3 . 31 3 . 31 12 SURFACE 67 . 09 222 . 07
TN P
Sales Tax Freight Misc CD Deposit Cash CD TOTAL
222 . 07 222 . 07
A FINANCE CHARGE OF 11/2% PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE
OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD
FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256
INC.TO ENFORCE THE TERMS OF COLLECTION.
LASER BUSINESS FORMS,INC (317)915-5000 1-8.5-27 FORM NO.BIN 025SF
10151 Hague Road DATE : 10/15/12
Indianapolis, Indiana 46256
TM � ., (317)849-9666 1 N N7-0=-E--: l 4
www.hard!ngasphalt.com INVOICE
BILL TO: CAR210 SHIP TO: 000
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 W. 131ST ST. 3400 W. 131ST ST.
CARMEL, IN 46074 CARMEL, IN 46074
ATTN BONNIE
( 317 ) 733-2001 Tax Juris : 0001 INDIANA 1
St Ord Date Shp Date Ship Via Sub Acct Cust Ord # Slsman Clk Terms CpPa
NET 15TH P 0301
Item # Ordered Shipped D e s c r --i -p t i o--n- -- U-nit-Pr-c.-- - - Ext..
INVOICE INVOICE INVOICE INVOICE
279546
9BDR 22 . 09 22 . 09 9 BINDER 50 . 27 1110 . 46
TN P
1
Sales Tax Freight Misc CD Deposit Cash CD TOTAL
1110 . 46 1110 . 46
•
A FINANCE CHARGE OF 11/2% PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE
OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD
FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256
INC.TO ENFORCE THE TERMS OF COLLECTION.
LASER BUSINESS FORMS,INC.(317)915-5000 1-8.5-27 FORM NO.BIN 025SF
10151 Hague Road DATE : 10/16/12
Indianapolis, Indiana 46256
e
TM' (317)849
: -9666
3 � Jd� �+�•� V I E : 10 8 5 7 9
www.hardingasphalt.com ** INVOICE **
BILL TO: CAR210 SHIP TO: 000
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 W. 131ST ST. 3400 W. 131ST ST.
CARMEL, IN 46074 CARMEL, IN 46074
ATTN BONNIE
317 ) 733-2001 Tax Juris : 0001 INDIANA 1
St Ord Date Shp Date Ship Via Sub Acct Cust Ord # Slsman Clk Terms
01 10 /161/1-2 10 /161/12 0 NET 15TH P 0301
Item—#-- - - Ordered - Shipped D e--s c -r i -p t-i.-o n-- - Un-it P--r-c— - Ext-. --
INVOICE INVOICE INVOICE INVOICE
279586
12S . 76 . 76 12 SURFACE 67 . 09 50 . 99
TN P .
Sales Tax Freight Misc CD Deposit Cash CD TOTAL
50 . 99 50 . 99
A FINANCE CHARGE OF 1112% PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE
OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD
FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256
INC.TO ENFORCE THE TERMS OF COLLECTION.
LASER BUSINESS FORMS.INC (317)915-5000 1-8.5-27 FORM NO.BIN 025SF
10151 Hague Road DATE : 10/18/12
®, Indianapolis, Indiana 46256
TM''.. I, (317)849-9666 U9-j-CE--: J.-0-8-
' ' www.hardingasphalt.com INVOICE k*
BILL TO: CAR210 SHIP TO: 000
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 W. 131ST ST. 3400 W. 131ST ST.
CARMEL, IN 46074 CARMEL, IN 46074
ATTN BONNIE
(' 317 ) 733-2001 Tax Juris : 0001 INDIANA 1
St Ord Date Shp Date Ship Via Sub Acct_ Cust Ord -j Slsman Clk Terms CpPa
Item # Ordered Shipped D e s c r i p t 1 o n Unit Prc`- Ekt:
INVOICE INVOICE INVOICE INVOICE
279727
12S . 80 . 80 12 SURFACE 67 . 09 53 . 67
TN P
i
Sales Tax Freight Misc CD Deposit Cash CD TOTAL
53 . 67 y 53 . 67
A FINANCE CHARGE OF 11/2%PER MONTH PERIODIC RATE, WHICH IS AN ANNUAL RATE
OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD
FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256
INC.TO ENFORCE THE TERMS OF COLLECTION.
LASER BUSINESS FORMS.INC.(317)915-5000 1-8 5-27 FORM NO.BIN 025SF
10151 Hague Road DATE : 10/22/12
Indiana olis, Indiana 46256
(,_ (317)849-9666 I E : 1 8 6 5 5
J,�t'l..lj��. �.,Itt. www.hardingasphalt.com INVOICE
BILL TO: CAR210 SHIP TO: 000
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 W. 131ST ST. 3400 W. 131ST ST.
CARMEL, IN 46074 CARMEL, IN 46074
ATTN BONNIE
( 317 ) 733-2001 Tax Juris : 0001 INDIANA 1
St Ord Date Shp Date Ship Via Sub Acct Cust Ord # Slsman Clk Terms C P—(a
NET 15TH P 0301
Item # Ordered Shipped De s c r i p t i o n Unit Prc Ext .
INVOICE INVOICE ^ `INVOI"CE - -INVOICE
279843
12S 3 . 01 3 . 01 12 SURFACE 67 . 09 201 . 94
TN P
Sales Tax Freight Misc CD Deposit Cash CD TOTAL
201 . 94 201 . 94
I=F3.1 AwTva III;MITI TJ Loll]g I
A FINANCE CHARGE OF 11/2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE
OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD
FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256
INC.TO ENFORCE THE TERMS OF COLLECTION.
LASER BUSINESS FORMS,INC.(317)915-5000 1-8.5-27 FORM NO.BIN 025SF
10151 Hague Road
DATE : 10/24/12
1 Indianapolis, Indiana 46256
jM y, ,-., (317)849-9666 -: 1-Q-8-
" fj ** **
www.hardingasphalt.com INVOICE
BILL TO: CAR210 SHIP TO: 000
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 W. 131ST ST. 3400 W. 131ST ST.
CARMEL, IN 46074 CARMEL, IN 46074
ATTN BONNIE
(. 317 ) 733-2001 Tax Juris : 0001 INDIANA 1
St Ord Date Shp Date Ship Via Sub Acct Cust Ord # Slsman Clk Terms Cpa
Item # -~- — Ordered Shipped- D e-s c-r- i p- -t i o- n-- Unit-P-r-c —Ex-t
INVOICE INVOICE INVOICE INVOICE
279913
12S . 88 . 88 12 SURFACE 67 . 09 59 . 04
TN P
Sales Tax Freight Misc CD Deposit Cash CD TOTAL
59 . 04 59 . 04
A FINANCE CHARGE OF 11/2%PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE
OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD
FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256
INC.TO ENFORCE THE TERMS OF COLLECTION.
LASER BUSINESS FORMS,INC.(317)915-5000 1-8.5-27 FORM NO.BIN 025SF
10151 Hague Road
DATE : 10/25/12
Indianapolis, Indiana 46256
TM N_V_al E 108690
- - ,- (317)849-9666
www.hardingasphalt.com INVOICE
BILL TO: CAR210 SHIP TO: 000
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 W. 131ST ST. 3400 W. 131ST ST.
CARMEL, IN 46074 CARMEL, IN 46074
ATTN BONNIE
( 317 ) 733-2001 Tax Juris : 0001 INDIANA 1
St Ord Date Shp Date Ship Via Sub Acct Cust Ord # Slsman Clk Terms CpPg
NET 15TH P 0301
__Item_-# - - -Or_der-.ed Shipped D e _s _c r _i p .t i o n __Unit__Pr-c- Ext ._
INVOICE INVOICE INVOICE INVOICE
279992
12S . 77 . 77 12 SURFACE 67 . 09 51 . 66
TN P ,
i
Sales Tax Freight Misc CD Deposit ash CD TOTAL
51 . 66 51 . 66
A FINANCE CHARGE OF 11/2% PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE
OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD
FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256
INC.TO ENFORCE THE TERMS OF COLLECTION.
LASER BUSINESS FORMS.INC.(317)915-5000 1-8.5-27 FORM NO.BIN 025SF
r r r {i"Z. 10151 Hague Road DATE : 10/30/12
Indianapolis, Indiana 46256
PA (317)849-9666
p INVOICE : 108727
'
www.hardingasphaIt.com ** INVOICE
BILL TO: CAR210 SHIP TO: 000
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 W. 131ST. ST. 3400 W. 131ST ST.
CARMEL, IN: - 46074 CARMEL, IN 46074
ATTN BONNIE
( 317 ) 733-2001' Tax Juris : 0001 INDIANA 1
St Ord Date Shn..'Date Ship Via Sub Acct Cust Ord # . Slsman Clk Terms cv_p__a
pi io /�n/12 10130/12 0 00 NET 15TH P 0301
Item # Ordered. Shipped D e s c r i p t i o n Unit Prc Ext.
INVOICE INVOICE INVOICE - - INVOICE l,_. ——
2 1
12S . 78 . 78 , 12 SURFACE 67 . 09 52 . 33
TN P
i
I
i
i
1
Sales Tax Freight Misc CD Deposit Cash CD TOTAL
52 . 33 52 . 33
A FINANCE CHARGE OF 1'/2%,PER MONTH PERIODIC RATE,WHICH IS AN ANNUAL RATE
OF 18%WILL BE INCURRED ON ALL PAST DUE AMOUNTS. CUSTOMER SHALL BE LIABLE PLEASE REMITTO: 10151 HAGUE ROAD
FOR ALL COSTS OF COLLECTION AND ATTORNEY FEES INCURRED BY HARDING CO., INDIANAPOLIS,INDIANA 46256
INC.TO ENFORCE THE TERMS OF COLLECTION.
LASER BUSINESS FORMS,INC.(317)915-5000 1-8.5-27 FORM NO.BIN 025SF
VOUCHER NO. WARRANT NO.
ALLOWED 20
F. E. Harding Asphalt
IN SUM OF $
10151 Hague Road
Indianapolis, IN 46256
$2,960.81
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I I 42-363.001 $2,960.81 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
y�NAemI5er
Th�rsdar� /`November 15, 2012
/ U
v v Street Commissioner
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))
10/31/12 $2,960.81
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