217696 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 00352765 Page 1 of 1
ONE CIVIC SQUARE IRVING MATERIALS INC
CARMEL, INDIANA 46032 PO BOX 7048 CHECK AMOUNT: $234.13
GROUP#2 CHECK NUMBER: 217696
INDIANAPOLIS IN 46207-7048
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236000 21403810 234 . 13 GRAVEL
P.O. Box 7048, Group#2
Indianapolis, IN 46207-7048
Phone: (317) 326-3101 IIimwoIlce
Irving Materials, Inc. Fax: (317) 326-3105
Bill To CP.R IEL STREET DDP`1' Customer Account No. 17955
3400 W. 131ST STREET Order No. 61044
WESTFIE D, IN 46074 Invoice Date 02/08/2013
Invoice No. 21403810
Terms Net Cu s t
Job Number I Project No./Name
P.O.Nu mbe Delivery Address
P.1 t. Quantity UOM Description Price Total Price
61 12 . 69 to REVEETMDNT R1PR.A.P, LEDGES 7— $ 18 .20 $ 230 . 96
61 12 . 69 to ENVIIRONM-.NTA-L FEE $ .25 $ 3 . 17
*'61474711
Sub-totals $ 234 . 13
Tax
Discount If Paid By 0-3,/7 0/13 Invoice Total 234 .'13
m • To obtain proper credit,please return bottom portion with check.
1111
Irving Materials,Inc. Customer Number 17955
Remit To: Irving Materials, Inc. Invoice Number 21403810
P.O. Box 7048, Group#2
Indianapolis, IN 46207-7048
Total Due If Paid By '0 3/10/13 : $ ,2 34 . 7.3
CAPMP L a�'R,.D D�' D D P'�
34 u C' W• ]. i i S S R�;". Total Due If Paid After 03/10/13 : $ :2 34 . 13
WESTIFIE?*,'D IN 46774
cCOnnCTete - Sand - rziravell - Stone
IMIFM01(4/05) "We're Proud Of Our Work"
VOUCHER NO. WARRANT NO.
ALLOWED 20
Irving Materials, Inc.
IN SUM OF $
P. O. Box 7048, Group #2
Indianapolis, IN 46207-7048
$234.13
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 21403810 I 42-360.001 $234.13_ 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
e ' Thurgcy, #Jtuary 21, 2013
-ua"
Street Commis i er
Street 111 TI,
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))
02/08/13 21403810 $234.13
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
, 20
Clerk-Treasurer