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HomeMy WebLinkAbout304706 10/31/16 {ur.F�gy �/ \( CITY OF CARMEL, INDIANA VENDOR: 358820 1 ONE CIVIC SQUARE NOBLESVILLE LANDFILL CHECK AMOUNT: $********25.00* CARMEL, INDIANA 46032 1801 S 8TH STREET CHECK NUMBER: 304706 =9�'�«oN �' NOBLESVILLE IN 46060 CHECK DATE: 10/31/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350100 20226 25.00 BUILDING REPAIRS & MA VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) NOBLESVILLE LANDFILL ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 1801 S 8TH STREET IN SUM OF$ 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 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 20226 43-501.00 $25.00 1 hereby certify that the attached invoice(s),or 9/30/16 20226 $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, October 11,2016 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# 20226 Carmel Street Department DATE 09/30/2016 3400 W 131 st Street DUE DATE 09/30/2016 Carmel, IN 46074 TERMS Due on receipt DATE` _ TICKEPTRUCK NUMBER QTY RATE `+AMOUNT 09/07/2016 Road I III:Deer 1 25.00 25.00 104165 -------------------------------------------------------------- ------------------------- - ------------------------------------------------- BALANCE DUE $25.00 1801 S. 81h Street • Noblesville, IN 46060 317-770-8155 • Fax 317-770-8999 NobLandfill ville 104165 Inc C4'rM'P_( _ Phone: Date: JOB NAME: Ct44 a44t Type of Truck ❑ Pick up/small trailer ❑ Semi-dump ❑ Single axle/large trailer ❑ 20 yd dump box ❑ Tandem axle ❑ 40 yd dump box ❑ Tri axleO er �J - CIRCL E: D p �e Fill Dirt Other ty Screened Sand P-Gravel C F Top Soil, unpulverized Top Soil, pulverized # OF LOADS IN: # OF LOADS OUT: i Driver's Sign ture Truck# �V CS-0 1801 S. 8th STREET N©BLESVILLE, IN 46060 (317) 770-8155 Nobesville IncLandfill c 04165 -Y, t. Phone: Date- JOB NAME: Type of Truck C1 Pick up/small trailer U Semi-dump • Single axle/large trailer U 20 yd dump box • Tandem axle U 40 yd dump'box C3 Tri axle CIRCLE-ONE: 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 Signature Truck # 1801 S. 8th STREET NOBLESVILLE, IN 46060 (317) 770-8155