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189420 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 362206 Page 1 of 1 ONE CIVIC SQUARE LEEMAN TOPSOIL CARMEL, INDIANA 46032 13023 STRAWTOWN AVENUE CHECK AMOUNT: $360.00 NOBLESVILLE IN 46060 CHECK NUMBER: 189420 CHECK DATE: 8/31/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 360.00 OTHER MAINT SUPPLIES Ji a d MISCEI_LAIVEOUS CHARGES w! 'i I II F LABOR; FIRS RATE AMOUNT'' 1' e Will STARTING DATE ATTENTION SUBTO j s GRAM T VOUCHER NO. 'WARRANT NO. ALLOWED 20 Leeman Topsoil IN SUM OF 13023 Strawtown Avenue Noblesville, IN 46060 $360.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO ACCT #!TITLE AMOUNT Board Member 2201 42 389.00 $360.00 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, Upust 26, 201C ,tfl a Street Commissiondr t Street Cc�}rlssloner 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)) 08/16/10 $360.00 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