215278 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 357193 Page 1 of 1
ONE CIVIC SQUARE BEAVER GRAVEL
CARMEL, INDIANA 46032 16101 RIVER AVENUE CHECK AMOUNT: $746.33
NOBLESVILLE IN 46060 CHECK NUMBER: 215278
CHECK DATE: 12/11/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 G1091698 746 . 33 OTHER EXPENSES
Beaver Gravel Corp Invoice# G 1091698
16101 River Ave Date 11/27/2012
Noblesville, IN 46062
x; 317-773-0679 Page Page 1 of 1
Bill To: IShip To:
CITY OF CARMEL WATER DISTRIBUTION Hrs. 08:00 / 16:30 gates..
3450 w. 131 st Street 3450 W. 131st St., Carmel 8:00 to 16:30
CARMEL IN 46074 4-LDS WILL SHOW AT SITE..
Ordered By - Job Type Job Number S.gt:No. P.O. Number Due,Date .:.
MIKE 16 12/27/12
Ticket# Truck No. . Product No. :. Product Description,' UOM Quantity Price Ext: Amount
705520 105 Roudebus FSU FILL SAND- UNWASHED Tons 22.04 4.25 93.67
705520 105 Roudebus AGGDELIVER AGGREGATE DELIVERY CH Each 1.00 100.28 100.28
705523 104 Roudebus FSU FILL SAND- UNWASHED Tons: 20.66 4.25 87.8;1
705523 104 Roudebus AGGDELIVER AGGREGATE DELIVERY CH Each. 1.00 04.00 x`..94.00
705527 105 Roudebus FSU FILL SAND.-.UNWASHED Tons- 21:48 4.25 91.29
705527` 105 Roudebus AGGDELIVER AGGREGATE DELIVERY CH Each 1.00 97.73 97.73
ti
705528 104 Roudebus FSU FILL SAND- UNWASHED Tons 20.63 4.25 87.68
705528 104 Roudebus AGGDELIVER AGGREGATE DELIVERY CH Each 1.00 93.87 93.87
Total SubTofal $ 746.33
Tons Sales:Tax $ 0.00
Terms: All Accounts past due are subject to service charges at the rate of 1.5%per month.
84.81 INVOICE TOTAL $ 746.33
PLEASE REFERENCE INVOICE NUMBER WHEN MAKING PAYMENTS - THANK YOU!
VOUCHER # 122940 WARRANT # ALLOWED
357193 IN SUM OF $
BEAVER GRAVEL
16101 RIVER AVENUE
NOBLESVILLE, IN 46060
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
G1091698 01-6200-06 $746.33
Voucher Total $746.33
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
357193
BEAVER GRAVEL Purchase Order No.
16101 RIVER AVENUE Terms
NOBLESVILLE, IN 46060 Due Date 12/4/2012
Invoice Invoice Description
Date - Number (or note attached invoice(s) or bill(s)) Amount
12/4/2012 G1091698 $746.33
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
G 17//L- (.ear 0 /�o -
Date Officer