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HomeMy WebLinkAbout259648 06/14/16 CITY OF CARMEL, INDIANA VENDOR: 358820 `'/ ` . CHECK AMOUNT: $*******100.00* ,.(; b ONE CIVIC SQUARE NOBLESVILLE LANDFILL ?� CARMEL, INDIANA 46032 1801 S 8TH STREET CHECK NUMBER: 259648 9.y��TON�EO� NOBLESVILLE IN 46060 CHECK DATE: 06/14/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350100 19686 100.00 BUILDING REPAIRS & MA VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) NOBLESVILLE LANDFILL ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 1801 S 8TH STREET IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service NOBLESVI LLE, IN 46060 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $100.00 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 19686 43-501.00 $100.00 1 hereby certify that the attached invoice(s),or 5/31/16 19686 $100.00 2201 201 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,June 07,2016 e Street Commissioner 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Nob esville andfill Inc BILL TO INVOICE# 19686 Carmel Street Department DATE 05/31/2016 3400 W 131 st Street DUE DATE 05/31/2016 Carmel, IN 46074 TERMS Due on receipt DATE.� TICKETlTRUCK NUMBER - QTY' - 'RATE AMOUNT ` 05/02/2016 Road IGII:Deer 1 25.00 25.00 100295 TK 10 05/11/2016 Road MII:Deer 2 25.00 50.00 100526 TK 2 05/31/2016 Road KiII:Deer 1 25.00 25.00 101081 TK 22 -------------------------------------------- -----------------------------------.------------------------------ -------------------------------- BALANCE DUE $100.00 1801 S. 8 th Street • Noblesville, IN 46060 317-770-8155 9 Fax 317-770-8999 N®bLandfill ville 100295 Inc Phone: Date: S 'a.-!6 JOB NAME: Tmu°�? Dv2e of Truck . 69mall trailer ❑ Semi-dump ❑ Single.axie/large trailer ❑ 20 yd dump box ❑ Tandem axle ❑ 40 yd dump box Cl Tri axle ❑ Oth_ r jee"_ CIRCLE ONE: Dp e Fill Dirt Other Screened Sand P-Gravel C F Top Soil, unpulverized Top Soil, pulverized # OF LOADS IN: I # OF LOADS OUT: Driver's Signature; ' Truck # 10 CS";) 1801 S. 8th STREET NOBLESVILLE, IN 46060 (317) 770-8155 N®bLandfill ville 100526 Inc tAj C -wc e A ,o�, Phone: Date: f� JOB NAME: Z 9,11-C ape of Truck ❑ ck u /small trailer ❑ Semi-dump ❑ Single axle/large trailer ❑ 20 yd dump box ❑ Tandem axle ❑ 40 d dump box ❑ Tri axle O er Neer CIRC E: D mp Fe 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 # C'-S 1, 1801 S. 8th STREET NOBLESVILLE, IN 46060 (317) 770-8155 NobLandfill ville 101081 Inc eo-a rn-e L Yk io"'-/ Phone: D ate: JOB NAME: TWe of Truck ❑ Pick up/small trailer ❑ Semi-dump ❑ Single axle/large trailer ❑ 20 yd dump box ❑ Tandem axle ❑ 40 yd dump box ❑ Tri axle ❑� ;��.'L CIRCLE ONE: DnpF Fill Dirt Other Screened Sand P-Gravel C F Top Soil, unpulverizred Top Soil, pulverized # OF LOADS IN: 1 # OF LOADS OUT- . Driver's Signature Truck # C S b3 1X01 S. 8th STREET NOELESVILLE, IN 46060 (317) 770-8155