218206 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 00353296 Page 1 of 1
ONE CIVIC SQUARE R&D EXCAVATING,INC CHECK AMOUNT: $5,804.50
CARMEL, INDIANA 46032 13350 E 186TH ST
NOBLESVILLE IN 46060 CHECK NUMBER: 218206
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 5, 804 . 50 OTHER EXPENSES
INVOICE
R & ® EXCAVATING CO., INC.
13350 E. 186th ST.
NOBLESVILLE, IN 46060
317/844-9735
TO: r DATE 02Z22/13
Cramel Police Shooting Range
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Terms:Net 10th of month 11h%charge after due date.
DATE DESCRIPTION HOURS TONNAGE LOADS AMOUNT
#2 Stone - Construction Road - 9.70/Ton 82.84 $ 803.55
0'8 Stone - Backfill Foundation - 13.50/Ton 67.22 880.48
Total - $ 19684.00
I
i
7 i-
TNVOICE
R & ® EXCAVATING CO., INC.
13350 E. 186th ST.
NOBLESVILLE, IN 46060
317 /844-9735
TO: F DATE 02/22/13
Carmel Police .Shooting Range
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Terms:Net 10th of month 11/2%charge after due date.
.DATE DESCRIPTION HOURS TONNAGE LOADS AMOUNT
Concrete- 59 yds. $60.00/yd. $ 37540.00
Winter Heat Charge 3.00/yd 177.00
Fuel Surcharge 9.00/Trip 72.00
1% Hi Early 3.50/yd. 171.50
1% Calcium 2.50/yd. 160.00
Total $ 4,120.50
n �;� . PAGE
A rt :, AIL TAX EXEMPT O.003X EXEMPT
0 PURCHASE ORDER NUMBER
FEDERAL'EX-CISE TAX EXEMPT
35-60000972
ONE CHIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584• VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
R O Excavating Co., Inc. Carmol Police Department
VENDOR SHIP 3 CIVIC Square
TO
IM E. 186th Street Carmel, IN 46032
Nobl@f;vllle, IN 4 (317)57925
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION 'UNIT PRICE EXTENSION
Account, !6M.23
•Edr. `- r
9 Each Enc apsuiator Bloc Bullet Trip �; :,: ,�`� $5,804.50 $5,804.50
accessories R> =
'. •. ~t Sub Totak $5,804,50
Send Invoice To:
_ „ ., r r,.
Carmel Police Ike
Atto4 Teresa Andonio i ,yti: .r
3 CIVIC Squares
Cartel, IN 46032- �� PLEASE INVOICE IN DUPLICATE
E,
DEPARTMENT a:- ACCOUNTS PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. � s r, v`t✓ PAYMENT $5,804.50
-y$
I`\ F A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
- - NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• j/ �-•�
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �/�1
SHIPPING LABELS. f�hl of 7 r�y
ollco'
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE (�*
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
j CLERK-TREASURER
DOCUMENT CONTROL NO. A.•P•VVV• COPY.SIGN AND (RETURN TO CLERK'S OFFICE
VOUCHER NO. .WARRANT NO._---__---_--_
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO, ACCT#/TITLE AMOUNT
DEPT.# I 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
20
.................................................................................._.-.............................._.
Signature
............_................-.......................-...........-..........-......_.-..........-..............._...................................._ .............
Title
j
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
VOUCHER NO. WARRANT NO.
R & D Excavating Co., Inc. ALLOWED 20
IN SUM OF $
13350 E. 186th Street
Noblesville, IN 46060
$5,804.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Grant Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25653 -590.23 $5,804.50
I hereby certify that the attached invoice(s), or
I I I
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
v�U which charge is made were ordered and
received except
Wednesday, March 06, 2013
Chief of Police
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))
02/22/13 concrete/back-fill $5,804.50
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