HomeMy WebLinkAbout259121 05/31/16 4a uf._5!?gyf J
CITY OF CARMEL, INDIANA VENDOR: 358820
® �I ONE CIVIC SQUARE NOBLESVILLE LANDFILL CHECK AMOUNT: $********50.00*
CARMEL, INDIANA 46032 1801 S 8TH STREET CHECK NUMBER: 259121
M77o'd.c°, NOBLESVILLE IN 46060 CHECK DATE: 06/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 19562 50.00 BUILDING REPAIRS & MA
VOUCHER NO. WARRANT NO.
ALLOWED 20
NOBLESVILLE LANDFILL
1801 S 8TH STREET
IN SUM OF $
NOBLESVILLE, IN 46060
$50.00
ON ACCOUNT OF APPROPRIATION FOR
Street Department
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT
Board Member
19562 I 43-501.00 I $50.00 1 hereby certify that the attached invoice(s), or
2201 201
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
Tuesday, May 10, 2016
A --
Street omm ss oner
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
04/30/16 19562 $50.00
2201 201
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
Nobhville
andfill Inc
BILL TO INVOICE# 19562
Carmel Street Department DATE 04/30/2016
3400 W 131 st Street DUE DATE 04/30/2016
Carmel, IN 46074 TERMS Due on receipt
-- -,T10 KETf-T-RUCK-NUM
04/12/2016 Road IQII:Deer 1 25.00 25.00
99714
04/18/2016 Road fQII:De9r 1 25.00 25.00
99867
.......... ............... ............................................................ --------------------------------------- .............
BALANCE DUE $50.00
1801 S. 8th Street • Noblesville, IN 46060
317-770-8155 • Fax 317-770-8999
NobLiandfill
vlle 99714
Inc
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i 1 r
f
Phone:
Date:
JOB NAME:
Type of Truck
❑ Pick up/small trailer ❑ Semi-dump
❑ Single axle/large trailer ❑ 20 yd dump box
❑ Tandem axle ❑ 40 yd dump box
❑ Tri axle ❑Other -
CIRCLE,ONE:
Dump Fee Fill Dirt Other
Screened Sand P-Gravel C F
Top Soil, unpulverized Top Soil, pulverized
# OF LOADS IN:
# OF LOADS OUT,
Driver's Signature
Truck #
1801 S. 8th STREET
NOBLESVILLE, IN 46060
(317) 770-8155
NobLandfill
ville 091 8 6 7
Inc
Phone:
Dater
JOB NAME: ✓'
Type of Truck
❑ Pick up/small trailer ❑ Semi-dump
❑ Single axle/large trailer ❑ 20 yd dump box
❑ Tandem axle ❑ 40 yd dump box
❑ Tri axle ❑.r Ot'herr
CIRCLE,,10NE:
D
p Fee Fill Dirt Other
tSened Sand P-Gravel C F
Top Soil, unpulverized Top Soil, pulverized
# OF LOADS IN:
# OF LOADS OUT:
Driver's Signature
Truck#
w �.J�,�f�•-y""'".�. . f%, �,,�it
1801 S. 8th STREET'. .--__._____
NOBLESVILLE, IN 46060
(317) 770-8155