HomeMy WebLinkAbout192883 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
0 ONE CIVIC SQUARE NOBLESVILLE LANDFILL CHECK AMOUNT: $25.00
CARMEL, INDIANA 46032 1801 S 8TH STREET
NOBLESVILLE IN 46060 CHECK NUMBER: 192883
CHECK DATE: 12/15/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 12864 25.00 BUILDING REPAIRS MA
No Vine
BATE t INVOKE-.#
11/30/2010 12864
T�RlVIS.
Due on receipt
9 ;.z
BILL TO
p_ N•.
Carmel Street Department
3400 W 131 st Street
Carmel, IN 46074
Date Y.. Product9 Y4 Ticket/Truck.Numt er Quantity Rate _Amount
r. 4 r n r ...c r
11/22/2010 Road Kill:Deer 59575 1 25.00 25.00
SUBTOTAL $25.00
TAX (7- 9 /6) $0.00
TO $25.00
1801 S. 8 Street o Noblesville, IN 46060
317 -770 -8155 o Fax 317 -770 -8999
N ®b Landfill ville 59575
Inc m o m(
c c� r -m 9 l
Phone:
Date: Z Z --1
JOB NAME:
Pick up /small trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle 40 yd dump box
Tri axle her
CIRCLE ONE:
m Fee Fill Dirt Other
Screene P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS H:
OF LOADS OUT
DFIVe Signatur
Truck U,
REM TO: H.E. U RASU Il
1 601 3. o,SGT STREET
HO o LESMLLE, 0H 46060
317) 770-8155 166
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 Members
2201 12864 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
Friday, December 10, 2010
X)
Street Commissioneb
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))
11 !30110 12864 $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