HomeMy WebLinkAbout190398 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
0 ONE CIVIC SQUARE NOBLESVILLE LANDFILL
CARMEL, INDIANA 46032 1801 S 8TH STREET CHECK AMOUNT: $25.00
NOBLESVILLE IN 46060 CHECK NUMBER: 190398
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 12626 25.00 BUILDING REPAIRS MA
Nob esvi 813 5
andfill Inc
C a r rn-o- 15Y.
Phone:
Date: Z `1
JOB NAME:
ywo off Truck
Pick up /small trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle 40 yd dump box
Tri axle Other
CIRCLE ONE:
Fee Fill Dirt Other
4�um
Sand P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS DH:
OF LOADS OUT
DFIVeF's
TFuch lG,
RENOT TO: H.E. MASH
��pp
1 001 So o h STREET
Ho O LE M LLC y H 4606
(31 7) 770-8155
andfiH Inc
y.
DATE INVOICE'#
09/15/2010 12626
',TERMS
Due on receipt
BBILL TO
Carmel Street Department
3400 W '131st Street
Carmel, IN 46074
Date Protluct Ticket/Truck Number Quantity Rate Amount
09/01/2010 Road Kill 58135 1 25.00 25.00
SUBTOTAL $25.00
TAX (7 $0.00
TOTAL $25:00
1801 S. 8" Street o Noblesville, IN 46060
317 -770 -8156 m Fax 317- 770 -8999
VOUCHER NO. WARRANT 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 12626 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
1 o ThursdW Sep /tuber 23, 2010
uavt4
Street Commissigner
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))
09/15/10 12626 $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