166812 12/10/2008 i
CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
ONE CIVIC SQUARE NOBLESVILLE LANDFILL
CARMEL, INDIANA 46032 1801 S 8TH STREET CHECK AMOUNT: $25.00
NOBLESVILLE IN 46060 CHECK NUMBER: 166812
CHECK DATE: 12110/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 10685 25.00 BUILDING REPAIRS MA
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andfin RIM(c
11/28/2008 10685
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Due on receipt
Carmel Street Department
3400 W 131 st Street
Westfield, IN 46074
Westfield BLD.
-bat
I t 1/25/2008 Road Kill:Deer 48583 TK 60 1 25.00 25.00
SUBTOTAL $25.00
TAX (7 $0.00
1801 S. 8 11 Street Noblesville, IN 46060
317-770-8155 Fax 317-770-8999
Nob esvfflfle 48583
an
Mill Inc
Phone:
Da `�2
JOB NAME: /j
Type ®f Truck
Pick up /small trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle 40 yd dump box
Tri axle OtheZ��
CIRCLE ONE:
mp Fee Fill Dirt Other
creened Sand P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS IN:
OF LOADS QUT
Driver's Signature
Truck
REMIT TO: R.E. FRAS H
9 801 S. 8 th STREET
NOL�LESVIL,L E, IN 46060
(317) 770-8155
VOUCHER NO. WARRANT N
ALLOWED 20
Noblesville Landfill
IN SUM OF
1801 S. 8th Street
Noblesville, IN 46060
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 10685 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
Thursday, December 04, 2008
X"
Street Commissiwrgr
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))
11/28/08 10685 $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