HomeMy WebLinkAbout224883 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 358385 Page 1 of 1
ONE CIVIC SQUARE GENERAL SHALE&BRICK CHECK AMOUNT: $178.20
CARMEL, INDIANA 46032 PO BOX 5825
a� CAROL STREAM IL 60197-5825 CHECK NUMBER: 224883
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4237001 181917209 178 . 20 STORM SEWER MAINT SUP
General Shale
Brick M ®®
Building The American Dream
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Invoice: 181917209 Invoice Date: 09/25/2013
Bill To: 279670 Customer P0: 146TH ST
CITY OF CARMEL
3400 W 131ST STREET Bill of Lading: 172129925
WESTFIELD IN 46074-8267 Goods Issue Date: 09/25/2013
Order: 316477594
Sales Rep: 399
Ship-To:
CITY OF CARMEL Order Loc.: Carmel
3400 W 131ST STREET CARMEL IN
WESTFIELD IN 46074-8267 Phone: 317-846-2566
Mode of Shipment: Customer Pickup / 057
Material Material Description Quantity Price Value USD
Batch Number and Description
6099010275 4 X 8 X 16 SOLID BLOCK 108 EA 1.65 178.20
Subtotal 178.20
TAX
TOTAL 178.20
LATE PAYMENT CHARGE of 1.5% PER MONTH.
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))
09/25/13 181917209 $178.20
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 NO. WARRANT NO.
ALLOWED 20
General Shale and Brick
IN SUM OF $
P. O. Box 5825
Carol Stream, IL 60197-5825
$178.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
211 I 181917209 I 42-370.01 I $178.20 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
o T u sda ctober 03, 2013
Sttrr et Comm s oner
Street�ommissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund