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215312 12/11/2012 - CITY OF CARMEL, INDIANA VENDOR: 00350164 Page 1 of 1 ` ONE CIVIC SQUARE F E HARDING ASPHALT CO,INC CHECK AMOUNT: $2,445.62 CARMEL, INDIANA 46032 10151 HAGUE ROAD INDIANAPOLIS IN 46256 CHECK NUMBER: 215312 �fiON GO CHECK DATE: 12/11/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236300 STREET 2 , 445 . 62 BITUMINOUS MATERIALS STATEMENT ®® M Iop + JAI TM 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 11/30/12 DATE REFERENCE CHARGES CREDITS BALANCE 10/03/12 108447 50.99 50.99 10/05/12 106480 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 2491.16 10/16/12 108579 50.99 2542.17 10/18/12 108621 53:67 ---2542. 2559`5.84 10/22/12 108655 201.94 2797.78 10/24/12 108672 59.0,4, 28561'82 F* 0- 10/25/12 108690 51.661 2908�,V8 10/30/12 108727 52.33`'J' 2960.81 10/31/12 108742 236!83 '; \3197:614 11/01/12 108766 \ \\0',\32)` 3247.,96 11/01/12 108767 \81,3.3.3 V� 4,061.29 11/02/12 108784 725°91` >_ i"4787.20 11/05/12 108805 51.66 4838.86 11/07/12 108834 50.99 4889.85 11/09/12 108865 53.00 4942.85 11/13/12 108893 101.31 5044.16 11/14/12 108906 203.28 5247.44 11/15/12 108926 68.43 5315.87 11/16/12 108937 67.09 5382.96 11/19/12 108952 67.09 5450.05 0-30 DAYS 31-60 DAYS 61-90 DAYS OVER ACCUM. ALANCE 90 DAYS FINANCE CHG. DUE o CONT'D ANALYSIS OF BALANCE DUE A FINANCE CHARGE OF 1 Yz%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 t STATEMENT TM �F Al,)fllu io 1 1 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 11/30/12 DATE REFERENCE CHARGES CREDITS BALANCE 11/20/12 108972 67.76 5517.81 11/21/12 108992 52.33 5570.14 11/26/12 109010 50.99 5621.13 11/26/12 109011 138.18 5759.31 11/27/12 109027 69.77 5829.08 11/28/12 109041 4331.02 10160.10 11/29/12 109053 137.43 10297.53 11/29/12 109054 4491.68 14789.21 11/30/12 109063 53.67 14842.88 TM 0-30 DAYS 31-60 DAYS 61-90 DAYS OVER ACCUM. BALANCE 90 DAYS FINANCE CHG. DUE 11882.07 2960.81 1.00 .00 .00 14842.8f YOUR ACCOUNT IS PAST DUE, PLEASE REMIT ANALYSIS OF BALANCE DUE A FINANCE CHARGE OF 11h%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 "1� " �P 10151 Hague Road DATE : 11/30/12 Ir, �` J� V Indianapolis, Indiana 46256 e TM ' _ (317)849-9666 L�LV_QLCE_: LQ9 pifj f t}��i f: f' 'lt v.1.� �l'j ,. 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 # Sls--'an Clk Terms CpPq 01_ _ 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 281457 12S . 80 . 80 12 SURFACE 67 . 09 53 . 67 TN P , Sales Tax Freight Misc CD Deposit Cash CD TOTAL 53 . 67 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 : 11/27/12 Indianapolis, Indiana 46256 (317)849-9666 INVOICE : 109027 ** 51 I f X10 � INVOICE r J,r�«��1! ���.� �1�:.. www.hardingasphalt.com 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 CCPq 2--7,/]--2 _ 0 00 NET 15TH .P 0101 Item # v Ordered Shipped D e s c r i p t i o n Unit Prc Ext . INVOICE INVOICE INVOICE INVOICE 281323 12S 1 . 04 1 . 04 12 SURFACE 67 . 09 69 . 77 TN P Sales Tax Freight Misc CD Deposit Cash CD TOTAL 69 . 77 69 . 77 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 t' o i '\ `:i.;r= ,_ i' 10151 Hague Road DATE : 11/26/12 Indianapolis, Indiana 46256 'TM­' p _ ,., ,^ �•� (317)849-9666 V_01.CE-: 10 9 010 ** r�,,�1�1_llf �•�.� �f'1... 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 00 NET 15TH P 0101 Item y# L Ordered Shipped D e s c r i p t i o n Unit Prc Ext. INVOICE INVOICE INVOICE INVOICE 281296 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 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 : 11/01/12 0. �1 �� j��`! Indianapolis, Indiana 46256 �e TM (, (317)849-9666 —I-N-VOJ—CE- 108766 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 31 7733-2001 Tax Juris : 0001 INDIANA 1 St Ord Date Shy Date Ship Via_ Sub Acct Cust Ord # Slsman Clk Terms CCPg 11 /01 /12 0 00 NET 15TH P 0101 Item # Ordered _ Shipped D e s c r i t i o n Unit Prc Exi: INVOICE INVOICE INVOICE INVOICE 280283 12S . 75 . 75 12 SURFACE 67 . 09 50 . 32 TN P, Sales Tax Freight Misc CD Deposit Cash CD TOTAL 50 . 32 50 . 32 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 (3171 915-5000 1-8 5-27 FORM NO.BIN 025SF DATE : 11/01/12 10151 Hague Road Indianapolis,s, Indiana 46256 ICE : 108767 �0 TM \ y� (317)849-9666 �•h, liljaf!�if).,�`fil-r—.�. 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 CCPPQ 0: 00, NET 15TH P 0101 Item # _ Ordered Shipped D e s c_r i- t o-n ' _ Unit -Prc Ext . INVOICE INVOICE i INVOICE INVOICE a 1280318 5BR 18 . 05 18 . 05 5 BASE 45 . 061 813 . 33 TN I i , J cps � 8 I i t f E i { 1 I � I I I , I Sales Tax Freight Misc CD Deposit Cash CD TOTAL 813 . 33 813 . 33 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 : 11/02/12 Indianapolis, Indiana 46256 TM \ ,, �; _ `_^ (317)849-9666 INVOICE : 108784 11,15 f11�I�c�)..,k1�31,r 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 #aSlsman Clk•. Terms CpPa 0 0& NET 15TH P 0101 1-tem # Ordered -.Shipped b"e s c- r i p t i o n Unit Prc Ext . INVOICE i INVOICE INVOICE INVOICE I 280356 12S i 10 . 82 10 . 82 . 12 SURFACE 67 . 09 725 . 91 TN P1 I I F 1 k I i j � I I I I I � Sales Tax Freight Misc CD Deposit Cash CD TOTAL 725 . 91 725 . 91 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.M17)915-5000 1-8.5-27 FORM NO BIN 09-,SF 10151 Hague Road DATE : 11/05/12 Indianapolis, Indiana 46256 TM _�,- I,-., (317)849-9666 N_V_OZCE_: 1-Q8_ fit. 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-g 01 11 /05 /12 11 105/12 0 00 ET 15TH P 0101 Item # Ordered Shipped D e s c r i p t i o n Unit Prc Ext . INVOICE - .-INVOICE - - INVOICE— - — - --INVOICE - - - 280474 12S . 77 . 77 12 SURFACE 67 . 09 51 . 66 TN P, i i Sales Tax Freight Misc CD Deposit Cash CD TOTAL 51 . 66 51 . 66 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 : 11/07/12 J\' I ~�` Indianapolis, Indiana 46256 TM" j,.r„ (317)849-9666 O=-:---L0-8-8-3-4 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 CtPc- TH P 0101 Item # -- Ordered-- - Shipped--D-- e -s c r--i p +-- i o n Unit- Pr.c _ -Ext .- INVOICE INVOICE INVOICE INVOICE 280594 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 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 F-1 10151 Hague Road DATE : 11/09/12 J.� � Indianapolis, Indiana 46256 TM` 1�•/ (317)849-9666 V-OICE_:—_Q 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 i / nF__ _�T-p� .1_.1 Item y#V y y� Ordered Shipped D e s c r i p t i o n Unit Prc Ext . INVOICE INVOICE INVOICE INVOICE 280708 12S . 79 . 79 12 SURFACE 67 . 09 '' 53 . 00 TN P; Sales Tax Freight Misc CD Deposit Cash CD TOTAL 53 . 00 53 . 00 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 : 11/14/12 Indianapolis, Indiana 46256 rM „„ r ��•/ (317)849-9666 V-OLCE-- 10_8 9_0_6 A� � ,�f�l_ll� —„ .,, 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 CpPa ----item # - — .--Ordered- Shipped- D-- e. .s—c-- r i— - t -i o=n.----Un-it- P-rc- --Ext.- - INVOICE INVOICE INVOICE INVOICE 280866 12S 3 . 03 3 . 03 12 SURFACE 67 . 09 203 . 28 TN P i Sales Tax Freight Misc CD Deposit Cash CD TOTAL 203 . 28 203 . 28 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 1-3 5-27 FORM NO.BIN 025SF 10151 Hague Road DATE : 11/15/12 ! Indianapolis, Indiana 46256 - ,n, 317 1 849-9666 uO-I-CE-' 0-89 2 6---- 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 CpPa 11 1155,112 m # - Ite Ordered Shipped D e s c r i t i o n Unit Prc Ext . INVOICE INVOICE INVOICE INVOICE 280928 12S 1 . 02 1 . 02 12 SURFACE 67 . 09 68 . 43 TN P' Sales Tax Freight Misc CD Deposit Cash CD TOTAL 68 . 43 68 . 43 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 1-5.5-27 FORM NO.BIN 025SF 10151 Hague Road DATE : 11/16/12;� JJ J�`~ Indianapolis, Indiana 46256 7 rM-': _ aa® (317)849-9666 INVOICE • 10893 * 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 CPPa 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-- - -""-- - 280990 12S 1 . 00 1 . 00 12 SURFACE 67 . 09 67 . 09 TN P i i Sales Tax Freight Misc CD Deposit Cash CD TOTAL 67 . 09 67 . 09 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 DATE : 11/19/12 10151 Hague Road ^_ Indianapolis, Indiana 46256 0 � � J� (317)849-9666 N-V-QLC.E-: LUa 2 Tnn`;::= 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 _ 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 281080 12S 1 . 00 1 . 00 12 SURFACE 67 . 09 67 . 09 TN P f f i Sales Tax Freight Misc CD Deposit Cash CD TOTAL 67 . 09 67 . 09 • 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 m � i/ " 10151 Hague Road DATE : 11/20/12 ormll- e� ;_ r, ' I r" J. `J Indianapolis, Indiana 46256 TM` r (317)849-9666 ZNVQI_C-E-: 108972 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 CpPa 15TH P 0101 Item # Ordered -Shipped D e s c r --i p t i o n -- Unit Prc- — Eht . INVOICE INVOICE INVOICE INVOICE 281158 12S 1 . 01 1 . 01 12 SURFACE 67 . 09 67 . 76 TN P j Sales Tax Freight Misc CD Deposit Cash CD TOTAL 67 . 76 67 . 76 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 REMIT TO: 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 : 11/21/12 g Indianapolis, Indiana 46256 �e TM (317)849-9666 INVOICE : 108992 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 CpPq 0- -0-0—N-ET 15TH- -P--C2-0-1- Item # Ordered Shipped D e s c r i p t i o n Unit Prc Ext. INVOICE INVOICE INVOICE INVOICE 281217 12S . 78 . 78 12 SURFACE 67 . 09 52 . 33 TN Pi I i Sales Tax Freight Misc CD Deposit Cash CD TOTAL 52 . 33 52 . 33 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.(3171915-5000 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 $2,445.62 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT Board Members 2201 I I 42-363.001 $2,445.62 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 / Friday, Decembe 07, 2012 wv Vey ,`�:,,✓l l�A Ali SS .eet-Comrnissiorter 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)) 12/06/12 $2,445.62 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