215100 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 195575 Page 1 of 1
ONE CIVIC SQUARE MARTIN MARIETTA AGGREGATES
~' CARMEL, INDIANA 46032 PO BOX 93186 CHECK AMOUNT: $148.44
CHIGAGOIL 60673-3186 CHECK NUMBER: 215100
CHECK DATE: 1214/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 11147955 148 .44 MATERIALS & SUPPLIES
Page 1 of 1
Martin Marietta Materials
j`A FOR BILLING QUESTIONS PLEASE CALL
P.O.Box 30013 v , 317-573-0460
Raleigh,NC 2 7622-001 3
Visit eRocks at www.martinmarietta.com J MISC JOB TAXABLE TRK
SOLD TO: 001977 003087 SHIP TO:
CARMEL UTILITIES MISCELLANEOUS JOB TAXABLE TRUCK
3450 W 131ST STREET SOUTH PLANT
CARMEL IN 46074 7609 HAZEL DELL PARKWAY
Indianapolis IN 46240
PAYMENT TERMS: NET 30 DAYS-A/R
Order No. Customer PO Dest. Job No. Dist Business Business Unit Name Cust.No. Invoice Invoice No.
No. No. I Unit Date
7228975 SO 7609 H b P 001 888801 1 11 25103 Carmel Sand 236534 11/12/12 11147955
Ship Date Product Description Quantity UM Unit Price Material Freight Freight Taxes& TOTAL
Car/Barge No. No. Amount Rate Amount Fees
11/05112 0939 FILL SAND
486612 14.07 TN 10.55 148.44 148.44
'SUBTOTAL" 14.07 148.44 148.44
TOTAL 14.07 - - — -- —-148:44--- " 148.44
INVOICE TOTAL.::.:: :>_°> $I48:44.
VOUCHER # 126199 WARRANT # ALLOWED
195575 IN SUM OF $
MARTIN MARIETTA AGGREGATES -IL
PO BOX 93186
CHICAGO, IL 60673-3186
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
11147955 01-7202-06 $148.44
{
Voucher Total $148.44
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
195575
MARTIN MARIETTA AGGREGATES-IL Purchase Order No.
PO BOX 93186 Terms
CHICAGO, IL 60673-3186 Due Date 11/27/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/27/20 1,' 11147955 $148.44
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
It /3'2112 (�
Date Officer