196034 03/29/2011 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
ONE CIVIC SQUARE NOBLESVILLE LANDFILL CHECK AMOUNT: $25.00
CARMEL, INDIANA 46032 1801 S 8TH STREET
NOBLESVILLE IN 46060 CHECK NUMBER: 196034
CHECK DATE: 3/29/2011
DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
2201 4350100 13023 25.00 BUILDING REPAIRS MA
Nobj vflofle
DATE INVOICE
03/16/2011 13023
TERMS
Due on receipt
BILL TO
Carmel Street Department
3400 W 131 st Street
Carmel, IN 46074
Date Product Ticket/Truck Number Quantity Rate Amount
03/04/2011 Road KiII:Deer 60284 l 25.00 25.00
SUBTOTAL $25.00
TAX (7 $0.00
TOTAL $25.00
1 801 S. 8 11 Street o Noblesville, IN 46060
317- 770 -8155 o Fax 317 770 -8999
N ®b L andfill ville 60284
Inc
Phone:
JOB NAME: f Date:
fte of True
Pick u /small trailer Semi -dump
Single a e /large trailer 20 yd dump box
Tandem axle 40 yd dump box
Tri axle Other
CIRCLE ONE:
Du p Fee Fill Dirt Other
Screened Sand P- Gravel C F
Top Soil, unpulveriz Top Soil, pulverized
OF LOADS ft
OF LOADS OUT
Driver' Oviver's sign
'puck
HE R 57 TO:
M�oLSo 37R U
HO o L ES V OLL E, OM 46030
317) 770-8155 155
V 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 F AMOUNT
Board Member:
2201 13023 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
f! /I ;I
�Thursday,,MarF 24, 2011
V W
StrecStffi 0 omrrri�ss7o n er
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Slate Board of Accounts City Form No. 209 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must showy 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))
03/16/11 13023 $25.00
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