182026 02/03/2010 V ENDOR: 358820 Page CITY OF CARMEL, INDIANA 1 of
ONE CIVIC SQUARE NOBLESVILLE LANDFILL
,/,'117-7,,,‘ 1801 S 8TH STREET CHECK AMOUNT: $25.00
CA RMEL, INDIANA 46032 NOBLESVILLE IN 46060 CHECK NUMBER: 182026
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 11805 25.00 BUILDING REPAIRS MA
'---81
3
Nob t Tsvi
l.ndilf laic
DATE INVOICE
01/15/2010 11805
TERMS
Due on receipt.
BILL.TO
Carmel Street Department
3400 W 131st Street
Westfield, IN 46074
Date f Product Ticket/Truck Number Quantity Rate A mount
01/11/2010 Road Kill 53685 TK 15 1 25.0 25.00
SUBTOTAL $25.00
TAX (7 $0.00
TOTAL $25 00
1801 S. 8th Street a Noblesville, IN 46060
317- 770 -8155 O Fax 317- 770 -8999
4
Noblesville 53685
andfill Inc rn o ru
ca/ r m e I 5 I. D e
Phone:
Date: i 11- 10
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 Other
CIRCLE ONE: i0e 1
e_j_Imp Fee Fill Dirt Other
Streete.d and P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS IN: j
OF LOADS OUT:
1 1
Driver's Signature l
Truck n
REMOT TO: R.E. FRAS
1801 S. 8th STREET
NIO E.; LESVI LLLE, ON 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 Member
2201 11805 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
Thuy`sday,7January 28, 201(
./1/ i:4
Street Com soo
m ner
Street Com,T
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 199,
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))
01/15/10 11805 $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