319231 11/30/2017 .f Cqq
CITY OF CARMEL, INDIANA VENDOR: 183600
d ONE CIVIC SQUARE LEEMAN &SONS TOPSOIL INC CHECK AMOUNT: $*****2,000.00*
CARMEL, INDIANA 46032 21816 ST RD w7 asoso CHECK NUMBER: 319231
t.:roN� NOBLESVILLECHECK DATE: 11/30/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239034 0 2,000.00 LANDSCAPING SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 183500
LEEMAN &SONS TOPSOIL INC IN SUM OF$ CITY OF CARMEL
21816 ST RD 37 N An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
NOBLESVILLE, IN 46060
Payee
$2,000.00
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
0 42-390.34 $2,000.00 I hereby certify that the attached invoice(s),or 11/13/17 0 $2,000.00
2201 2201 2201 2201
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, November 29,2017
Huffman, Dave
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
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JOB; i �- �. _ BID#
ADDRESS DATE
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FIRM PREPARED BY
ADDRESS APPROVED BY
TYPE OF .. PHONE
WORK
WORK INCLUDED AMOUNT OF BID
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50 /►z v
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TOTAL BID
EXCLUSIONS1 OUALIFIOATfONS
ACKNOWLEDGMENT OF ADDENDA TAX
DELIVERY EXCLUDED
INCLUDED
RECEIVED BY
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