HomeMy WebLinkAbout229867 3 /12/2014 (9,
CITY OF CARMEL, INDIANA VENDOR: 366262
ONE CIVIC SQUARE CHANCEFARMS CHECK AMOUNT: $*****5,895.50*
CARMEL, INDIANA 46032 5420 E 675 N CHECK NUMBER: 229867
LEBANON IN 46052 CHECK DATE: 03/12/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 104 5,895.50 OTHER EXPENSES
Chance Farms Invoice No. 104
5420 E. 675 N.
Lebanon, IN 46052 �+
IN V®ICE
Customer Misc
Name Carmel Waste Water Treatment Plant Date 2/17/2014
Address 9609 Hazel Dell Parkway Order No.
City -Indianapolis State IN ZIP 46280 Rep
Phone (317)571-2636 Ext. 210 c/o Tara Washington FOB
Qty Description Unit Price TOTAL
1814 Yards of Carmel Biosolids for the time period of 4/17/13-8/27/13 $ 3.25 $ 5,895.50
$5.00/yard minus ($1.75)/yard for Spreader Truck Rental =$3.25/yard
SubTotal $_ -5,895.50
Shipping
Payment Credit Tax Rate(s)
Comments TOTAL $ 5,895.50
Name
CC# Office Use Only
Expires
Thank You!
Insert Farewell Statement Here
VOUCHER # 137541 WARRANT # ALLOWED
T0682 IN SUM OF $
CHANCE FARMS
5420 E 675 N ,l
Lebanon, IN 46052
Carmel Wastewater Utility ;
ON ACCOUNT OF APPROPRIATION FOR
'I
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
O/•7//O. G S
104 04--7362.06 $5,895.50
i
i
1
i
Voucher Total $5,895.50
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
T0682
CHANCE FARMS Purchase Order No.
5420 E 675 N Terms
Lebanon, IN 46052 Due Date 3/6/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/6/2014 104 $5,895.50
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