186443 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
ONE CIVIC SQUARE NOBLESVILLE LANDFILL
CARMEL, INDIANA 46032 1801 S 6TH STREET CHECK AMOUNT: $25.00
N08LESVILLEIN 46060
CHECK NUMBER: 186443
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 12251 25.00 BUILDING REPAIRS MA
Nob2 wMe
andtffl kc
DATE, INVOKE
05/29/2010 12251
Due on receipt.
BILL TO
Carmel Street Department
3400 W 131 st Street
Westfield, IN 46074
Date° Product'Ticket/Truck Nurnbec (�uantit Ra #e Amount
Y
05/27/2010 Road Kill:Deer 55815 TK 3 1 25.00 25.00
SUBTOTAL $25.00
TAX (7 $0.00
aP ,TOTAL $25:00
1801 S. 8 Street o Noblesville, IN 46060
317- 770 -8155 Fax 317 770 -8999
r
No L andfill v ille 55815
I nc ii v w
C c4 r m r f G f r e �f
J ep
Phone:
Date:
JOB NAME;
fts of rMc
Pick up /small trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle 40 yd dump box
Tri axle er
CIRCLE ONE:
ump Fee Fill Dirt P} er Other
Screened Sawid P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
•OF LOADS ft 0
OF LOADS OUT-
Driver's Signatu
Truck
REM07 TO. R.E. FRASH
1601 1 So o h STREET
MO LEOVUE O 4 6060
317) 770 -8166
VOUCHE NO.. WAR 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 12251 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 /June 03, 2010
f
Street Commissioner
4 Y1VNk <sv is 'y;l2t
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
CI I I r D r 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))
05/29/10 12251 $25.00
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