HomeMy WebLinkAbout301093 07/25/16 1y y�_C�q�f
,;r �� CITY OF CARMEL, INDIANA VENDOR: 358820
ONE CIVIC SQUARE NOBLESVILLE LANDFILL CHECK AMOUNT: $**""****50.00"
4 �'� CARMEL, INDIANA 46032 1801 S 8TH STREET CHECK NUMBER: 301093
•;.._. .o?' NOBLESVILLE IN 46060 CHECK DATE: 07/25/16
t «ON 0
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 19829 50.00 BUILDING REPAIRS & MA
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
NOBLESVILLE LANDFILL ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
1801 S 8TH STREET IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
NOBLE$VI LLE, IN 46060 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$50.00 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
19829 43-501.00 $50.00 1 hereby certify that the attached invoice(s),or 6/30/16 19829 $50.00
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,July 12,2016
Dave Huffman
Director
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# 19829
Carmel Street Department DATE 06/30/2016
3400 W 131st Street DUE DATE 06/30/2016
Carmel, IN 46074 TERMS Due on receipt
DATE; —TET
IGKGRUGK NUMBER* s= QTY, HATE AMOUNT
06/01/2016 Road IGII:Deer 1 25.00 25.00
101128 TK 16
06/16/2016 Road I III:Deer 1 25.00 25.00
101687 TK 11
-------------------------------------------------------------------------------------------------------------------------------------=---------------
BALANCE DUE $50.00
1801 S. 8 th Street • Noblesville, IN 46060
317-770-8155 • Fax 317-770-8999
NobLan' dfill
ville - 101128
Inc
Phone: /
1Z Date,
JOB NAME:� eW led,
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 ❑ ���t
CIRCLE E:
Du pFe Fill Dirt Other
Screened Sand P-Gravel C F
Top Soil, unpulverizeyd Top Soil, pulverized
# OF LOADS IN: r
# OF LOADS OUT:
Driver's Signature
Truck# '� S
1801 S. 8th STREET
NOBLESVILLE, IN 46060
(317) 770-8155
NodLandfill
ville 101687
Inc
®r
Phone:
/ Date-
JOB NAME: ` � C`pct
TWe of Truck
❑ Pick up/small trailer ❑ Semi-dump
❑ Single axle/large trailer ❑ 20 yd dump box
❑ Tandem axle ❑ 40 vd dump box
❑ Tri axle
CIRCLE ONE:
D p F Fill Dirt Other
Screened Sand P-Gravel C F
Top Soil, unpulverized Top Soil, pulverized
# OF LOADS IN: / .
# OF LOADS OUT:
Driver's Signa/ture
Truck#
pqry �(
1801 S. 8th STREET
NOBLESVILLE, IN 46060
(317) 770-8155