191219 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 353775 Page 1 of 1
ONE CIVIC SQUARE GREENCYCLE OF INDIANA, INC
CARMEL, INDIANA 46032 400 CENTRAL AVE SUITE 115 CHECK AMOUNT: $402.00
NORTHFIELD IL 60093
CHECK NUMBER: 191219
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4238900 N04107761 402.00 OTHER MAINT SUPPLIES
Noblesville 2010
2695 Cicero Rd (State Road 19) Invoice
Noblesville, Indiana 46060 N 04107761
317- 773 -3350
Customer.
Carmel Clay Parks Department DATED
1411 East 116th Street 9/28/10
Carmel, IN 46032
SALESPERSON YOUR NO. SHIP VIA SHIP DATE
Liz Funk, Maintenance Heavy Duty 9/29/10
Q ITEM NO. DESCRIPTION PRICE EXTEP4bED
14 Dyed Dyed Hardwood $23.00
$322,00
Comments SALE AMT, $322.00
Thank you! FREIGHT $80.00
SALES TAX $0.00
TOTAL AMT $402.00
PAID TODAY $0.00
ALANCE DUE $402.00
Received by:
Please pay from this invoice,
GreenCycle of Indiana, Inc. TERMS
400 Central Ave,
Suite 1 1 5
Northfield, IL 60093 C
D ITT R 973
01 T
1 9 200
BY:.......................
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
353775 GreenCycle of Indiana, Inc. Terms
400 Central Ave. Ste 115
Northfield, IL 60093
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9128110 N04107761 Mulch 23131 402.00
Total 402.00
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
Voucher No. Warrant No.
353775 GreenCycle of Indiana, Inc. Allowed 20
400 Central Ave. Ste 115
Northfield, IL 60093
In Sum of
402.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 N04107761 4238900 402.00 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
21 -Oct 2010
Signature
402.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund