326382 06/15/18 vY CITY OF CARMEL, INDIANA VENDOR: 358820
ONE CIVIC SQUARE NOBLESVILLE LANDFILL CHECK AMOUNT: $********50.00*
=a, CARMEL, INDIANA 46032 1801 S STH STREET CHECK NUMBER: 326382
.y��TON��°. NOBLESVILLE IN 46060 CHECK DATE: 06/15/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 22595 50.00 BUILDING REPAIRS & MA
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20
Vendor# 358820 ACCOUNTS PAYABLE VOUCHER
,
NOBLESVILLE LANDFILL IN SUM OF$ CITY OF CARMEL
1801 S 8TH STREET 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
$50.00
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
22595 43-501.00 $50.00 1 hereby certify that the attached invoice(s),or 5/31/18 22595 $50.00
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
Tuesday, June 12,2018
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Nob esville
andfill Inc
BILL TO INVOICE# 22595
Carmel Street Department DATE 05/31/2018
3400 W 131st Street DUE DATE 05/31/2018
Carmel, IN 46074 TERMS Due on receipt
j•`bATE ,�;,` -ACTIVITY �' `d � ,' � 7 `' - �� � QTY � _ �`` RATES �,' AMOUNT
�._-.05/22/2018� Road Kill:peer 4-� -1 ---25.00.�_ . P� 25.00
119152 TK 56
05/25/2018 Road IGII:Deer 1 25.00 25.00
119311 TK 62
-------------------------------------------------------------- _ --------------- ---------------------- - ------------ ------------------ ------- ------------------
BALANCE DUE $50.00
1801 S. 8t"Street o Noblesville, IN 46060
317-770-8155 • Fax 317-770-8999
NobLandfill
ville 119152
Inc '-
Date:
PO:
Phone:
JOB NAME: -S*P
Type of Truck
❑ Pick up/small trailer ❑ Semi-dump
❑ Single axle/large trailer ❑ 20 yd dump box
❑ Tandem axle ❑ 40 yd dump box
❑ Tri axle Cr
CIRCLE ONE:
Du Fee Fill Dirt Other
Top Soil, unpulverized Top Soil, pulverized
# OF LOADS IN:
# OF LOADS OUT:
Driver's Signature '
Truck# 66 CS- 6
1801 S. 8th STREET
NOBLESVILLE, IN 46060
(317) 770-8155
NUbLandfill
ville 119311
Inc
Date: S_
Sk
PO:
Phone:
JOB NAME:
Type of Truck
❑ Pick up/small trailer ❑ Semi-dump
❑ Single axle/large trailer ❑ 20 yd dump box
❑ Tandem axle ❑ 40 yd dump,box
❑ Tri axle
CIRCLE E:
DmpFe Fill Dirt Other
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