247417 07/15/15 0u' A,, CITY OF CARMEL, INDIANA VENDOR: 358820
'i. ONE CIVIC SQUARE NOBLESVILLE LANDFILL CHECK AMOUNT: $*******100.00*
,_�; CARMEL, INDIANA 46032 1801 S 8TH STREET CHECK NUMBER: 247417
�',�TON.�. NOBLESVILLE IN 46060 CHECK DATE: 07/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 18399 100.00 BUILDING REPAIRS & MA
Nob esville
andfill Inc
BILL TO INVOICE# 18399
Carmel Street Department DATE 06/30/2015
3400 W 131st Street DUE DATE 06/30/2015
Carmel, IN 46074 TERMS Due on receipt
BATE TICKET/TRUCK NUMBER; ; QTY RATEI AMOUNT „
06/05/2015 Road Kill:Deer 1 25.00 25.00
92618
06/10/2015 Road Kill:Deer 1 25.00 25.00
92745
06/17/2015 Road KIII:Deer 1 25.00 25.00
92941
06/27/2015 Road Kill 1 25.00 25.00
93203
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------
BALANCE DUE $100.00
1801 S. 81"Street • Noblesville, IN 46060
317-770-8155 ® Fax 317-770-8999
VOUCHER NO. WARRANT NO.
ALLOWED 20
Noblesville Landfill
IN SUM OF$
1801 S. 8th Street
Noblesville, IN 46060
$100.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 18399 43-501.00 $100.00 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
17
A�r?d J 0 15
Title
I
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
I
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/30/15 18399 $100.00
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
, 20
Clerk-Treasurer