225957 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 00353191 Page 1 of 1
ONE CIVIC SQUARE ROAD SOLUTIONS INC
CARMEL, INDIANA 46032 PO BOX 42387 CHECK AMOUNT: $3,663.75
+ •°� INDIANAPOLIS IN 46242-0387
�o CHECK NUMBER: 225957
CHECK DATE: 1115/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4236500 0091187—IN 3 , 663 . 75 SALT & CALCIUM
INVOICE ROAD, : ROAD SOL UTIONS, INC.
SOLUTIONS 5616 Progress Road• P.O. Box 42387• Indianapolis, IN 46242-0387
�NC. Phone 317/243-'3248• Fax 317/244-8461 •Toll Free 888/888-3615
BILL NO. SHIP NO.
9803100
SOLD ARMEL STREET DEPARTMENT SHIP CARMEL STREET DEPARTMENT
TO 3400 W. 131ST STREET TO 3400 W. 131ST STREET
ATTN: DAVE HUFFMAN ATTN: DAVE HUFFMAN
WESTFIELD IN 46074 WESTFIELD IN 46074
DATE COST.P.O.NO. TERR. SHIPPED VIA TRANS NO. INVOICE NO.
10/25/13 9800 0089014 0091.187—IN
QUANTITY UM PRODUCT NO. DESCRIPTION PRICE TOTAL
ORDERED SHIPPED BACK ORD.
___>
_ _ G 1.60 _ O I-CE... 1. _ .5._ — _l._� _ . i,
_1___,_._---1._.__ G 1214-00 " AN
__- _-_.__ __-- 65-.00'-------
TERMS: TAX FREIGHT TOTAL
NET 15 DAYS .00 430.00 3,663.75
ORIGINAL
VOUCHER NO. WARRANT NO.
ALLOWED 20
Road Solutions
IN SUM OF $
P. O. Box 42387
Indianapolis, IN 46242-0387
$3,663.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 0091187-IN I 42-365.00 $3,663.75 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
Thu a , 013
%T1 reet ommisslloner
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))
10/25/13 0091187-IN $3,663.75
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