224534 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 141050 Page 1 of 1
Q � ONE CIVIC SQUARE INDEPENDENT CONCRETE PIPE
CARMEL, INDIANA 46032 INDIANA DIVISION CHECK AMOUNT: $1,975.00
PO BOX 2847 CHECK NUMBER: 224534
INDIANAPOLIS IN 46206-2847
CHECK DATE: 9/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4462300 ARSI15181 1, 975 . 00 DRAINAGE IMPROVMTS
Independent Concrete Pipe Invoice
2050 South Harding Street Number .................:ARS100015181
�o .a Indianapolis,IN,46221 Date .....................:7/24/2013
Page ....................: 1 of 1
Telephone : 317-262-4920- Sales order ..............:S00009059
Fax ........: 317-262-8011 Customer PC ...........:25276 Emerson Road
Customer number .......:IN0095
Sales rep ................:The Phantom
Mode of delivery ........:
Payment terms ..........:Net 30 days
Invoice account .........:IN0095
Customer Contact .......:
Sold to Ship to: Job description ..........
City Of Carmel Emerson Road Drainage
3400 W. 131 st Street US 31 N to W. Main St. - East to
Westfield, IN 46074 Guilford, S. to Emerson Road, E to
US Job
David Huffman 317-571-2441..
Item number Wall Class Description Unit Quantity Unit price Amount
Packing slip:00027460 Ship date: 7/24/2013
03OxO46in2 30"x 46"inlet up to 2'tall(1,2) Each 2.00 0.00
03OxO46r4 30"x 46"riser 4"tall (2) Each 1.00 0.00
048ftspl 48"Flat top Special(3) Each 1.00 0.00
0481B 48" Integral Base(Poured) (3) Each 1.00 0.00
048MH32 48"Manhole 32"tall (3) Each 1.00 0.00
2T 2 Ton Lifter' Each 2.00 250.00 500.00
'return undamaged for full
credit
Structure #1 -30"x 46" Inlet"B" Each 1.00 500.00 500.00
Structure #3-48"Manhole
Each 1.00 475.00 475.00
Structure #2-30"x 46" Inlet"B" Each 1.00 500.00 500.00
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Terms: Net 30. After expiration of this term, customer shall pay 8% Remit To Sales balance .. 1,975.00
interest, costs of collection, and attorney fees. Independent Concrete Pipe Co
p p Misc. charges ... 0.00
PO Box 2847 0alss tax
Indianapolis, IN 46206 0.00
Total 1,975.00
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
Independent Concrete Pipe Purchase Order No.
2050 South Harding Street Terms
Indianapolis, IN 46221 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
7/24/2013 ARS115181 Emerson Rd Supplies,St Dept $ 1,975.00
Total $ 1,975.00
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
VOUCHER NC WARRANT NO.
Independent Concrete Pipe ALLOWED 20
2050 South Harding Street IN SUM OF $
Indianapolis, IN 46221
$ 1,975.00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 ARS115181 211-4462300 $ 1.975.00 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
a//'! 9/23/2013
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund