161492 07/11/2008 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: 161492
CHECK DATE: 7/11/2008
DEPARTMEN ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 9836 25.00 BUILDING REPAIRS MA
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'Nobj! Invoice
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777 7, 77 77 �77
77
1801 S.8 1h Street
Noblesville, IN 46060
317-770-8155 Fax 317-770-8999
Date Invoice
Bill To
Carmel Street Department 6/30/2008 9836
3400 W 131 st Street
Westfield IN 46074
P.O. No. Terms
Due on receipt
Qty/Ton Product Date Truck Ticket Number Rate Amount
1.00 Deer 6/18/2008 45801 TK 59 25.00 25.00
Sales Tax 7.00% 0.00
Total $25.00
gobTesvila e
andtfi fl Rn c 45801
Phone:
J/ l Date:�C
JOB IMAME-
Typ Of Truck
Pick up /small trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle 40 yd dump box
Tri axle �4 Oth
CIRCLE ONE:
Dum Fe Fill Dirt Other
Screened Sand P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS IN:
OF LOADS OUT:
Driver's Signature
Truck 7
REMIT TO: R.E. FRASH
1 801 S. 8th STREET
NOBL(ESVILLE, IN 46060
(31 7) 7
VOUCHER- 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 9836 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
Wednesday, July 02, 2008
Street 94missioner
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))
06/30/08 9836 $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