183401 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
Q� ONE CIVIC SQUARE NOBLESVILLE LANDFILL CHECK AMOUNT: $25.00
CARMEL, INDIANA 46032 1801 5 8TH STREET
NOBLESVILLE IN 46060 CHECK NUMBER: 183401
pox
CHECK DATE: 311612010
DEPARTMEN ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 11884 25.00 BUILDING REPAIRS MA
No vn" a e
Rnc
DATE INVOICE'#
02/26/2010 11884
TERMS.
Due on receipt
Carmel Street Department
3400 W 1.31 st Street
Westfield, IN 46074
Date Product T +cket/Truck Number. Quart +ty Rate Amount
r
02/25/2010 Road Kill:Deer 54078 TK 21 1 25.00 25.00
SUBTOTAL $25.00
TAX (7 $0.00
TOTAL $25:00
1801 S. 8 11 Street Noblesville, IN 46060
317 770 -8155 Fax 317- 770 -8999
Nib e�ville 54078
an fi ll Inc T11 u
c
5J, D Pion
Phone:
Date: Z Z 5 1 0
JOB NAME:
Pick up /small trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle 40 d dump box
Tri axle
CIRCLE ONE:
ta!i Fee t=ill Dirt Other
and P-Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS W: I
OF LOADS OUT.
Driver's signature 3V
Trucks Z C
REM Y TO: H.E. FR ASH
h 3TG EET
�lOo o LC �d�LLC 9 9H 46060
Q3� a➢
770-8135
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))
02/26/10 11884 $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
VOUCHER NO. W ARRANT NO.
ALLOWED 20
Noblesville Landfill
IN SUM OF
1801 S. 8th Street
r
Noblesville, IN 46060
$25.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 11884 43- 501.00 $25.00 1 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
Thursda arch 11, 2010
I I I
Stl t om mimi orie�
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund