HomeMy WebLinkAbout183889 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
ONE CIVIC SQUARE NOBLESVILLE LANDFILL CHECK AMOUNT: $50.00
CARMEL, INDIANA 46032 1801 S 8TH STREET
NOBLESVILLE IN 46060 CHECK NUMBER: 183889
CHECK DATE: 3/2912010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 11894 50.00 BUILDING REPAIRS MA
mob Landfill ville 54243
Inc
Phone:
Date: 3 l
JOB NAME:
Pick up /small trailer Semi- dump
Single axle /large trailer 20 yd dump box
Tandem axle 40 yd dump box
Tri axle
CIRCLE ONE:
ee Fill Dirt Other
Sc P= Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS Ifs: l
OF LOADS OUM
Driver's o r
Truck# i
RLSII r TO R. U RAS U
1901 001 a. a h STREET
MOO o LESVOLLE M 4600600
317) 7770 8155
Nob ville 54290
Inc
Phone:
Date:
JOB NAME:
ft s coif Truck
�mall trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle 40 yd dump box
Tri axle C?ther y
CIRCLE ONE: dr
®um 1= Fill Dirt; Other
Screened Saud P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS ON: r
OF LOADS OUT-
Driye Signatur
Truck
REM� TOo R.E. FRASS11 Il
9 0 00 a. O STREET
PH 46060
(317) 770-8155 0156
andfi l kc
03/12/2010 11894
TERMS
Due on receipt
,,.n...
BILL TO
Carmel Street Department
3400 W 131 st Street
Westfield, IN 46074
Date Product Ticket/Truck Number" Quantity :Rate Amount`
03/05/2010 Road Kill:Deer 54243 TK 56 1 25.00 25.00
03/09/2010 Road Kill:Deer 54290 TK 14 1 25.00 25.00
SUBTOTAL $50.00
TAX (7 $0.00
u
TOTAL $50:0.0,
1801 S. 8 11 Street o Noblesville, IN 46060
317 770 -8155 Fax 317- 770 -8999
V OUCHE R N O. WAR RANT NO.
Noblesville Landfill ALLOWED 20
IN SUM OF
1801 S. 8th Street
Noblesville, IN 46060
$50.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO, ACCT /TITLE AMOUNT Board Member
2201 11894 43- 501.00 $50.00 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
r.
received except
ThursdMarch 25, 2010
y
Str Commis ioner
r., C C�rflrili�cinit�r
Title
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))
03/12/10 11894 $50.00
1 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