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252732 12/15/15 <r; CITY OF CARMEL, INDIANA VENDOR: 358820 ONE CIVIC SQUARE NOBLESVILLE LANDFILL CHECK AMOUNT: $""""'`75.00" CARMEL, INDIANA 46032 1801 S 8TH STREET CHECK NUMBER: 252732 NOBLESVILLE IN 46060 CHECK DATE: 12/15/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350100 18990 75.00 BUILDING REPAIRS & MA Nob2vnone BILL TO INVOICE# 18990 Carmel Street Department DATE 11/30/2015 3400 W 131st Street DUE DATE 11/30/2015 Carmel, IN 46074 TERMS Due on receipt DATE TICKET/TRUCK NUMBER QTY RATE AMOUNT 11/09/2015 Road Kill:Deer 1 25.00 25.00 96399 11/09/2015 Road Kill:Deer 1 25.00 25.00 96429 11/30/2015 Road Kill 1 25.00 25.00 96951 BALANCE DUE $75.00 1801 S. 81"Street - Noblesville, IN 46060 317-770-8155 - Fax 317-770-8999 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)) 11/30/15 18990 $75.00 1 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Noblesville Landfill IN SUM OF $ 1801 S. 8th Street Noblesville, IN 46060 $75.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members 2201 I 18990 I 43-501.001 $75.00 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 A � ThuTVay, eCeirl�ida46 2015 St&tri-',6t'05 6mhSr�is�s'Vhrer Title Cost distribution ledger classification if claim paid motor vehicle highway fund