215013 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 00350164 Page 1 of 1
ONE CIVIC SQUARE F E HARDING ASPHALT CO,INC
CARMEL, INDIANA 46032 10151 HAGUE ROAD CHECK AMOUNT: $236.83
INDIANAPOLIS IN 46256 CHECK NUMBER: 215013
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 108742 236 . 83 OTHER EXPENSES
10151 Hague Road DATE : 10/31/12 Indianapolis, Indiana 46256
TM (, „�,,�i (, (317)849-9666
QLCE-:,108 42
f+l�-�l�t`, :�l�ll''jr 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 CCPPa
91 10/31/12 10,131/12 0 00 ET 15TH P 0301
Item # - Ordered Shipped D e -a c-r- i-p t i o n-• -Uni t--Prc --Ext:-
INVOICE INVOICE INVOICE INVOICE
280223
12S 3 . 53 3 . 53 12 SURFACE 67 . 09 236 . 83
TN P
Sales Tax Freight Misc CD Deposit Cash CD TOTAL
236 . 83 236 . 83
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.(3171915-5000 1-8.5-27 FORM NO.BIN 025SF
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
350164
F.E. Harding Asphalt Co. Purchase Order No.
10151 Hague Road Terms
Indianapolis, IN 46256 Due Date 11/26/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/26/201, 108742 $236.83
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5-11-10-1.6
0,—,/C
Date Officer
VOUCHER # 122839 WARRANT # ALLOWED
350164 IN SUM OF $
F.E. Harding Asphalt Co.
10151 Hague Road
Indianapolis, IN 46256
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
108742 01-6200-06 $236.83
Voucher Total $236.83
Cost distribution ledger classification if
claim paid under vehicle highway fund