332560 11/21/18 �°y c�AM
CITY OF CARMEL, INDIANA VENDOR: 358820
` 4� ONE CIVIC SQUARE NOBLESVILLE LANDFILL CHECK AMOUNT: $********25.00*
® �_ CARMEL, INDIANA 46032 1801 S 8TH STREET CHECK NUMBER: 332560
v�,__/�' NOBLESVILLE IN 46060 CHECK DATE: 11/21/18
ETON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 23224 25.00 BUILDING REPAIRS & MA
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
Vendor# 358820 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
NOBLESVILLE LANDFILL IN SUM OF$ 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 4,6060
Payee
$25.00
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
23224 43-501.00 $25.00 1 hereby certify that the attached invoice(s),or 10/31/18 23224 Dump Fees $25.00
2201 2201 2201 2201
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, November 16,2018
Huffman, Dave
Director
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund.
Clerk-Treasurer
Nob esville
andfill Inc
BILL TO INVOICE# 23224
Carmel Street Department DATE 10/31/2018
3400 W 131st Street DUE DATE 10/31/2018
Carmel, IN 46074 TERMS Due on receipt
DATE ACTIVITY QTY RATE AMOUNT
10/08/2018 Read lCl 10eer 1 25.00 25.00
122158
BALANCE DUE �'$�2�--00
'i
1801 S. 8t"Street • Noblesville, IN 46060
317-770-8155 • Fax 317-770-8999
Nob esville 122158
andfill Inc
Date:
PO:
Phone:
JOB NAME:
Type of Truck
❑ Pick up/small trailer ❑ Semi-dump
❑ Single axle/large trailer ❑ 20 yd dump box
❑ Tandem axle ❑ 40 d dump box
❑ Tri axle they �Q /L
CIRCLE ONE:
Du Fee Fill Dirt Other
Top Soil, unpulverized Top Soil, pulverized
# OF LOADS IN: r
# OF LOADS OUT:
Driver's Signature
Truck# 6214efweSY
1801 S. 8th STREET
NOSLESVILLE, IN 46060
(317) 770-8155