HomeMy WebLinkAbout184867 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
ONE CIVIC SQUARE NOBLESVILLE LANDFILL
CHECK AMOUNT: $75.00
CARMEL, INDIANA 46032 1801 S 8TH STREET
NOBLESVILLE IN 46060 CHECK NUMBER: 184867
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 12020 75.00 BUILDING REPAIRS MA
Nob 2 vnofle
andfiH ffnc
DATE INVOICE
04/15/2010 12020
TERMS
Due on receipt
BILL TO
Carmel Street Department
3400 W 13 t st Street
Westfield, IN 46074
1—Date -Product Ticket/Truck Quantity Rate' nt -Y
04/05/2010 Road Kill:Deer 54751 TK 21 1 25.00 25.00
04/05/2010 Road Kill:Deer 54792 TK 21 1 25.00 25.00
04/12/2010 Road Kill:Deer 54918 TK 55 1 25.00 25.00
i
l
SUBTOTAL $75.00
TAX (7 $0.00
—TOTAL $75.00
1801 S. 8 11 Street Noblesville, IN 46060
317 770 -8155 Fax 317 770 -8999
N ®b esvi 54751
an ll Inc "ho n'
Phone:
Date:
JOB NAME:
fts Off Truck
Pick up /small trailer Semi -clump
Single axle /large trailer 20 yd clump box
Tandem axle 40 yd dump box
Tri axle Other
CIRCLE ONE:? 6�
ump Fee Fill Dirt Other
creep P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS H: I
OF LOADS OUT
Driver' ovive Signature
Truck 2
REWT 70: H.E. MASH
18 001 So 0 h STREET
HOO o L ESM LL E, H 4600600
31 7) 770-8155
N Ob L andfill ville 54792
I nc rn o
Phone:
Date:
JOB NAME:
fte ®f True
Pick up /small trailer Semi -dump
Single axle /large trailer Cl 20 yd dump box
'Tandem axle 40 yd dump box
Tri axle iother
CIRCLE ONE: 0Le-e r
Dump Fee Fill Dirt Other
Screened Sand P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS ON:
M
OF LOADS OUT
Driver's Signature VILZ Dk�
Truck I
REW U TO: R. Il RASH ll
1001 So o h STREET
MOO OLESMOLLE, PH 4600600
(3171).717700 =0165
No L andfill vi lle 54918
Inc
Cew g O roy
Phone:
Date: "Y
JOB DAME:
fne of Truc
Pick up /small trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle 40 yd dump box
Tri axle Other
r
CIRCLE ONE: V
p Fee Fill Dirt Other
creened Sand P-Gravel C F
Top Soil, unpulverized Top Soil, pulverized
•OF LOADS ft
OF LOADS OUT
Drive
Truck
REM ET TO HC E G II RAS Il
1 801 So o h STREET
HOO o L EOMLLE9 O BI 4600600
31 7) 770-6155
VOUCHER NO. WARRANT NO.
ALLOWED 20
Noblesville Landfill
IN SUM OF
1801 S. 8th Street
Noblesville, IN 46060
$75.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Member,
2201 12020 43- 501.00 $75.00 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
I Thursday, Aprili'22, 2010 i i
Street Commissioner
UI[ GCL \-71i7li1.7J1Vfl i
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))
04/15/10 12020 $75.00
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