313846 7/18/2017 �. +`' CITY OF CARMEL, INDIANA VENDOR: 358820 CHECK AMOUNT: $******"*75.00*
c; ; NOBLESVILLE LANDFILL CHECK NUMBER: 313846
ONE CIVIC SQUARE 1801 S 8TH STREET
,'' =q CARMEL, INDIANA 46032 1801NOBS8TH T ET CHECK DATE: 07/18/17
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DESCRIPTION
DEPARTMENT ACCOUNT PO NUMBER 214810E NUMBER AMOUNT 00 BUILDING REPAIRS & MA
2201 4350100
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Nobdil e Ilvrille
1801 SO Mill Inc
317-770-8155
mdfharley@aol.com
BILL TO INVOICE# 21480
Carmel Street Department DATE 06/30/2017
3400 W 131 st Street DUE DATE 06/30/2017
Carmel, IN 46074 TERMS Due on receipt
DATE TICKET/TRUCK NUMBER QTY RATE AMOUNT
06/14/2017 Single Axle 3 15.00 45.00
112660 TK 50
06/14/2017 Single Axle 1 15.00 15.00
112684 TK 60
06/15/2017 Single Axle 1 15.00 15.00
112700 TK 50
BALANCE DUE $75.00
1801 S. 81"Street • Noblesville, IN 46060
317-770-8155 • Fax 317-770-8999
NobLsville 112660
andfill Inc
1 -� /7
Date:
RC1 ���°
PO:
Phone:
JOB NAME:
Type of Truck
L1 Pick UP/small trailer L) Semi-dump
Ll 20 yd dump box
/large trailer
L❑1 4 Zig l!ej Oe Q 40 yd dump box
Ll Tandem axle
Ll Other
Li Tri axle
CIRCLE ONE: Other
Du a Fill Dirt
Top Soil, pulverized
Top oirunpulverized
# OF LOADS IN:
�
# OF: LOADS OUT:
3:)
Driver's Si nature -------
- ---------------
Truck#
1801 S. 8th STREET
NOBLESVILLE, IN 46060
(317) 770-8155
112684
bLesville
No
andfill Inc
Date:
PO:
Phone:
JOB NAME:
Type of Truck
Q Pick up/small trailer Lj Semi-dump
Ll Si v gj[jU 20 yd dump box
:e�/large trailer
0 Tandem axle U 40 yd dump box
Tri axle Ej Other
Li
CIRCLE ONE:
Other
Fill Dirt
5p`F�)
Du
Top Soil, unpulverized
Top Soil, pulverized
# OF
LOADS IN,
# OF LOADS OUT.
I
S.
r:lu,r a
aI
Driver's
Truck
Cs
1801 S. 8th STREET
NOBLESVILLE, IN 46060
_8i 55
(317) 770
Nobesville 112700
L.
.Landfill Inc
Date:
PO:
Phone:
JOB NAME:
Type of Truck
❑ Pick UD/small trailer L) Semi-dump
❑ Si lea /large trailer ❑ 20 yd dump box
❑ Tandem axle ❑ 40 yd dump box
❑ Tri axle ❑ Other
CIRCLE ONE:
Dum a Fill Dirt Other
Top 1 , unpulverized Top Soil, pulverized
# OF LOADS IN:
# OF LOADS OUT:
Driver's Signature
Truck#
1801 S. 8th STREET
NOBLESVILLE, IN 46060
-8155
(317) 770