187365 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 362206 Page 1 of 1
0 ONE CIVIC SQUARE LEEMAN TOPSOIL
i CARMEL, INDIANA 46032 13023 STRAWTOWN AVENUE
CHECK AMOUNT: $90.00
NOBLESVILLE IN 46060
CHECK NUMBER: 187365
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4462401 90.00 LANDSCAPING
JOB I Nr/O
DATE ORDERED ORDER TAKEN BY
TO PHONE NO. CUSTOMER ORDER
ADDRESS JOB LOCATION
C
�j JOB PHONE I S TARTING DATE
ATTENTION TERMS
f1
r
i
i
f
L
WORK ORDERED BY
TOTAL LABOR
DATE ORDERED
TOTAL MATERIALS
DATE COMPETED
TOTAL MISCELLANEOUS
SUBTOTAL
CUSTOMER APPROVAL
SIGNATURE TAX
i
AUTHORIZED SIGNATURE GRAND TOTAL
NC2817 JOB INVOICE
VOUCHER NO. WARRANT N
ALLOWED 20
Leeman Topsoil
IN SUM OF
13023 Strawtown Avenue
Noblesville, IN 46060
$90.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# I Dept- INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
2201 2201- 624.01 $90.00 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
T rsd /uly01, 2010
F
Street Commiss o Y r
r
Stroot Cogtre''.�
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))
06/11/10 $90.00
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