HomeMy WebLinkAbout302974 09/12/16 4+o�GggMf
�i �� CITY OF CARMEL, INDIANA VENDOR: 358820
°, ONE CIVIC SQUARE NOBLESVILLE LANDFILL CHECK AMOUNT: $********25.00*
r', a° CARMEL, INDIANA 46032 . 1801 S 8TH STREET CHECK NUMBER: 302974
9M�*oN, `' NOBLESVILLE IN 46060 CHECK DATE: 09/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 20096 25.00 BUILDING REPAIRS & MA
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
NOBLESVILLE LANDFILL
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
-
1801 S 8TH STREET IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
NOBLESVILLE, IN 46060 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$25.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
20096 43-501.00 $25.00 1 hereby certify that the attached invoice(s),or 8/31/16 20096 $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
Wednesday, September 07,2016
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# 20096
Carmel Street Department DATE 08/31/2016
3400 W 131 st Street DUE DATE 08/31/2016
Carmel, IN 46074 TERMS Due on receipt
'DATE TICKET/TRUCK NUMBER QTY RATE AMOUNT T °
08/16/2016 Road Kili:Deer 1 25.00 25.00
103599
----------------------------------------------------------------------------------------------------------------------------------------------------
BALANCE DUE $25.00
1801 S. 8 th Street - Noblesville, IN 46060
317-770-8155 - Fax 317-770-8999
NabLandfill
ville 103599
Inc
Phone:
ate: � e
JOB NAME:
Type of Truck
❑ Pick up/small trailer ❑ Semi-dump
❑ Single axle/large trailer ❑ 20 yd dump box
❑ Tandem axle ❑ 40 vd dump box
❑ Tri axle ❑ the >.Oezz
CIRCLEE:
Du Fee Fill Dirt Other
Screened Sand P-Gravel C F
Top Soil, unpulverized Top Soil, pulverized
# OF LOADS IN:
# OF LOADS OUT:
Driver's Signatures 137
Truck # ASS Cf!�
1,801 S. 8th STREET
NOBLESVILLE, IN 46060
(317) 770-8155