334479 01/18/19 �cr C�gM
CITY OF CARMEL, INDIANA VENDOR: 358820
`/ � CHECK AMOUNT: $*******100.00*
.�® ,•: ONE CIVIC SQUARE NOBLESVILLE LANDFILL
s. a� CARMEL, INDIANA 46032 1801 S 8TH STREET CHECK UMBER: 334479
9M�TON��`. NOBLESVILLE IN 46060 CHECK ATE: 01/18/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 23371 100.00 OTHER EXPENSES
VOUCHER NO. 183739 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 358820 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
NOBLESVILLE LANDFILL INC CITY OF CARMEL
1801 S 8TH STREET An invoice or bill to be properly itemized must show: kind of service,where performed,
NOBLESVILLE, IN 46060 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
100.00 358820 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR NOBLESVILLE LANDFILL INC Terms
Carmel Water Utility 1801 S 8TH STREET Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), NOBLESVILLE, IN 46060
PO# or bill(s)is(are)true and correct and that
ACCT# the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
23371 01-6360-06 $100.00 and received except 12/30/2018 23371 $100.00
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
N®b esville
a.ndfill Inc
BU TO INVOICE# 23371
Carmel Street Department WE 12/28/2018
3400 W 131 st Street DUE DATE 12/28/2018
Carmel, IN 46074 T Due on receipt
I DATE A ACTIVITY~ QTY RATE AMOUNT
12/12/2018 Single-Axle 2 20.00 40.00
123098 TK 70
12/12/2018 S`ingle:Axle 1 20.00 20.00
123099 TK 145
12/12/2018 Sm- gleAxle 2 20.00 40.00
123100 TK 72
------------------------------------------------------------------------------------------------------------------------------------- ...................................
BALANCE DUE $1OO-OO
rrnn� ISG�
1801 S. 81h Street • Noblesville, IN 46060
317-770-8155 • Fax 317-770-8999
No6Landfill
ville 123098
Inc
Date:
—PO:
Phone:
JOB NAME: v"-'�
Type of Truck
❑ Pick /small trailer ❑ Semi-dump
❑ S .. le ax /large trailer ❑ 20 yd dump box
❑ Tandem axle ❑ 40 yd dump box
❑ Tri axle ❑ Other
CIRCLE ONE:
Du p Fill Dirt Other
Top of , unpulverized Top Soil, pulverized
# OF LOADS IN:
# OF LOADS OUT:
Driver's Signature
Truck# q0 C 4A; `2 -mac
1.801 S. 8th STREET
NO,BLESVILLE, IN 46060
(317) 770-8155
i
Nob11andfill
ville 123099
fInc 'A)
Date: 12 - 1 Z• i k
Phone:
JOB NAME:
Type of Truck
❑ Pick u /small trailer ❑ Semi-dump
❑ Si lea a/large!trailer ❑ 20 yd dump box
❑ Tandem axle ❑ 40 yd dump box
❑ Tri axle ❑ Other
i
CIRCLE
Du Fee Fill Dirt Other
Top Soil, unpulverized Top Soil, pulverized
i
# OF LOADS IN:
I
# OF LOADS OUT:
Driver's Signature
Truck# ��cf _W d -774,,l
1801 S. 8th STREET
NO,BLESVILLE, IN 46060
(317) 770-8155
I
Nob11andfill
ville 123100
lnc
Date: / 2 ' Z
—PO.
Phone:
JOB NAME:
TWe of Truck
❑ Pick small trailer ❑ Semi-dump
❑ Si Vem
le/large trailer ❑ 20 yd dump box
❑ Taaxle ❑ 40 yd dump box
❑ Tri axle ❑ Other
CIR=E:
D Fill Dirt Other
Top Soil, unpulveriz d Top Soil, pulverized
# OF LOADS IN: I
# OF LOADS OUT.
Driver's Signature
Truck# f12 7 2L4(
i
�
11801 S. 8th STREET
NOPLESVILLE, IN 46060
(317) 770-8155