225294 10/23/2013 ="*F CITY OF CARMEL, INDIANA VENDOR: 358786 Page 1 of 1
ONE CIVIC SQUARE BOTTAMILLER LLC
CARMEL, INDIANA 46032 9800 N GRAY ROAD CHECK AMOUNT: $312.00
INDIANAPOLIS IN 46280
CHECK NUMBER: 225294
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 5834 312 . 00 OTHER EXPENSES
®ttamiller LLC INVOICE
9800 N. Gray Road
Indianapolis, IN 46280 DATE INVOICE#
317-844-8800 10/4/13 5834
317-844-8834 Fax
BILL TO DELIVERED
CITY OF CARMEL TRUCK#203 & 204
CARMEL WASTE TREATMENT PLANT
760 3RD AVENUE SOUTHWEST
CARMEL, IN 46032
P.O. NO. TERMS DUE DATE SHIP DATE SHIP VIA ORDERED BY
NET 30 DAYS 11/3/13 10/4/13 RON
QTY ITEM DESCRIPTION RATE AMOUNT
24 PTS PULVERIZED TOPSOIL 13.00 312.00
PRICES SUBJECT TO CHANGE WITHOUT NOTICE Total
$312.00
*Unpaid balance subject to a late charge of 1 1/2% per month
on the outstanding balance.
VOUCHER # 136632 WARRANT # ALLOWED
350418 IN SUM OF $
BOTTAMILLER LLC
9800 N. Gray Road
Indianapolis, IN 46280
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT l Audit Trail Code
1,
5834 01-7200-02 $312.00
1
t
Voucher Total $312.00 +
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
350418
BOTTAMILLER LLC Purchase Order No.
9800 N. Gray Road Terms
Indianapolis, IN 46280 Due Date 10/17/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/17/201, 5834 $312.00
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
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Date Officer