HomeMy WebLinkAbout302216 08/22/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 358820
ONE CIVIC SQUARE NOBLESVILLE LANDFILL CHECK AMOUNT: $********25.00*
CARMEL, INDIANA 46032 1801 S 8TH STREET CHECK NUMBER: 302216
NOBLESVILLE IN 46060 CHECK DATE: 08/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 19961 25.00 BUILDING REPAIRS & MA
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
NOBLESVILLE LANDFILL ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
1801 S 8TH STREET IN SUM OF$ 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.
$25.00 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
19961 43-501.00 $25.00 I hereby certify that the attached invoice(s),or 7/30/16 19961 $25.00
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,August 09,2016 "
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund._ Clerk-Treasurer
Nob esville
andfill Inc
BILL TO INVOICE# 19961
Carmel Street Department DATE 07/30/2016
3400 W 131 st Street DUE DATE 07/30/2016
Carmel, IN 46074 TERMS Due on receipt
d �DATE` j` TfCKETlfRUGK NUMBER�� �'`=��' � QTY- RATE - AMOUN-T ��A
07/01/2016 Road IGII:Deer 1 � 25.00 25.00
-----------------------------------------------------------------------------------------------------------------------------------------------------
BALANCE DUE $25.00
1801 S. 8 th Street • Noblesville, IN 46060
317-770-8155 • Fax 317-770-8999
NobLandfill
ville 102172
Inc
C frwt'e(
Phone:
Date-
JOB NAME:
Type of Truck
❑ Pi k u -all trailer ❑ Semi-dump
❑ Single axle/large trailer ❑ 20 yd dump box
❑ Tandem axle ❑ 40 d"dump box
❑ Tri axle Oter 6-eeeC
CIRCLE ONE:
Du� 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
Noesvielle
'Landfill Inc 102172
r7 7
Phone:
Date-
JOB NAME:
Type of Truck
0 Pi6Gp/snall trailer Q Semi-dump
Ll Single axle/large trailer U 20 yd dump box
• Tandem axle 0 40 yd dump box
• Tri axle Cl' Oth'&rr`r
CIRCLE ONE:
Dum,,p..F.ee..-I 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 # 4a 'C_1
1801 S. 8th, STREET
NOBLESVILLE, IN 46060
(317) 770-8155