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184456 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 00350479 Page 1 of 1 ONE CIVIC SQUARE RAY'S TRASH SERVICE INC CHECK AMOUNT: $190.00 CARMEL, INDIANA 46032 DRAWER I CLAYTON IN 46118 CHECK NUMBER: 184456 CHECK DATE: 4/14/2010 DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350101 1920875 190.00 TRASH COLLECTION Ray's Trash Service, Inc. Drawer I, Clayton, IN 46118 TRASH SERVICE, INC. Tel: (317) 539 -2024 1- 800 531 -6752 IN Fax: (317) 539 -5962 www.raystrash.com 0001920875 TO: IIIIIIIIIM� 1 CITY OF CARMEL /DBA BROOKSHIRE GOLF COURS Mar -25 -10 12120 BROOKSHIRE PKWY i 181660 CARMEL, IN 46032 U Balance forward $555.00_ Payments $555.00 Adjustments ,..:$0:00 Invoices: $0.00 f (0001) BROOKSHIRE GOLF COURSE 12120 BROOKSHIRE PKWY, CARMEL IN Sery #001 Roll Off (Open Top) 10.00 23 fear Haul yF II f y 4 W SMITH 1 1:00 $135 OD Wo# 6529 8 23 Mar Disposal (YD Solid Fill) BC -89953 10.00 YD $50.00 7.3 Mar Trip Fuel Surcharge 501212058 $5:OD q x f 4 i I 1.5% per month late charge on balances over 60 days from date of invoice, To ensure proper credit, please include account number on your check and include the bottom portion of this invoice. 190 CURRENT _31 60 DAYS'. 61 90 DAYS. OVER 90 DAYS P LE A SE PA $190.00 $0.00' $0.00 $0.00 A �i9o.oa z .VOUCHER NO. WARRANT NO. ALLOWED 20 Ray's Trash Service, Inc. Accounts Receivable IN SUM OF Drawer 1 Clayton, IN 46118 $190.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1207 0001920875 43- 501.01 $190.00 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 Thursday, April 01, 2010 Director, Brookshire Uf Club Title 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 invoices) or bill(s)) 03/25110 0001920875 Trash Removal $190.0 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