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180902 12/30/2009
CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1 ONE CIVIC SQUARE NOBLESVILLE LANDFILL CHECK AMOUNT: $25.O0 o CARMEL, INDIANA 46032 1801S8THSTREET o NOBLESVILLE IN 46060 CHECK NUMBER: 180902 CHECK DATE: 12/30/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350100 11752 25.00 BUILDING REPAIRS MA -Nob ces �df ll Eric I]ATE INVOICE`# 12/15/2009 1 1752 ,TERMS; Due on receipt BILL TO Carmel Street Department 3400 W 1 31st Street Westfield, IN 46074 Date Product 'Tidket/Truck Number rc ,Quantity Rate u 12/08/2009 Road Kill :Deer 53522 TK 14 1 25M0i .Amount 25.00 SUBTOTAL $25.00 TAX (7 $0.00 ;TOTAL' �A�'` $25.,0© 1801 S: 8' 1- Street 317 -770 -8155 Fax 317- 770 -8999 Nob esville 1 53522 andfill Inc 7 Phone: Date: /Z JOB NAME: t-e fr' Type of Truck P ic k u /small trailer Semi -dump Single axle /large trailer 201yd dump box Tandem axle 40 yd dump box Tri axle O- -Q#her CI' E: ump Fee Fill Dirt Other Screened Sand P- Gravel C F Top Soil, unpulverized Top'Soil, pulverized OF LOADS IN: OF LOADS OUT: Driver's Signature" Truck REfMOT TO: R.E. FRASH 1801 S. 8th ST' EET INTO Ez LESVQ LL.E, IN 46060 (317) 770 -8155 VOUCHER NO. WARRANT NO. ALLOWED 20 Noblesville Landfill IN SUM OF 1801 S. 8th Street Noblesville, IN 46060 $25.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# /Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Membei 2201 11752 43- 501.00 $25.00 I hereby certify that the attached invoice(s), or 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, December 22, 2005, /1 J v Street Commissioner 1, Strr,p• Commissioner Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/15/09 11752 $25.00 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 ,20 Clerk- Treasurer