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HomeMy WebLinkAbout227280 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 358786 Page 1 of 1 ONE CIVIC SQUARE BOTTAMILLER LLC CHECK AMOUNT: $400.00 CARMEL, INDIANA 46032 9800 N GRAY ROAD INDIANAPOLIS IN 46280 CHECK NUMBER: 227280 CHECK DATE: 12/17/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 5932 400 . 00 MATERIALS & SUPPLIES B®ttamiller LLC INVOICE 9800 N. Gray Road Indianapolis, IN 46280 DATE INVOICE# 317-844-8800 12/9/13 5932 317-844-8834 Fax BILL TO DELIVERED CITY OF CARMEL 96th AND HAZELDELL PLANT CARMEL WASTEWATER UTILITY STOCKPILE 9609 HAZEL DELL PARKWAY SEE BRAD ON SITE INDIANAPOLIS, IN 46280 P.O. NO. TERMS DUE DATE SHIP DATE SHIP VIA ORDERED BY NET 30 DAYS 1/8/14 12/9/13 962/961 JEFF QTY ITEM DESCRIPTION RATE AMOUNT 2 NPTS NON-PULVERIZED TOPSOIL 200.00 400.00 PRICES SUBJECT TO CHANGE WITHOUT NOTICE Total $400.00 *Unpaid balance subject to a late charge of 1 1/2% per month on the outstanding balance. VOUCHER # 137046 WARRANT # ALLOWED 350418 IN SUM OF $ BOTTAMILLER LLC 9800 N. Gray Road Indianapolis, IN 46280 Carmel Wastewater Utility J ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 5932 01-7200-02 $400.00 Voucher Total $400.00 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 12/11/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/11/201: 5932 $400.00 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 Date Officer