160497 06/10/2008 CITY OF CARMEL, INDIANA VENDGR: 358820 Page 1 of 1
e ONE CIVIC SQUARE NOBLESVILLE LANDFILL
1801 S 8TH STREET CHECK AMOUNT: $50.00
�o CARMEL, INDIANA 46032 NOBLESVILLE IN 46060 CHECK NUMBER: 160497
CHECK DATE: 6/10/2008
DEPARTMENT ACC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 97631 50.00 BUILDING REPAIRS MA
I 3
i
Nob 2 wMe Invoice
andfin Rnc
1801 S.8 1h Street
Noblesville, IN 46060
317 770 -8155 o Fax 317 770 -8999
Date Invoice
Bill To
Carmel Street Department 5/30/2008 9731
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 5/15/2008 44943 TK 12 25.00 25.00
1.00 Deer 45285 TK 16 25.00 25.00
Sales Tax 7.00% 0.00
Total $50.00
Nbb esvfl e 44943
aIndf ll Rn c 7
Phone:
Date:
JOB NAME:
FUCk
ype of �ku all t railer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle 40 yd dump box
Tri axle Other
CIRCLE ONE:
�um�pFed Fill Dirt Other
Screened Sand P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OIL LOADS IN: l
OF LOADS OUT:
Driver's S! nature f�
Truck
RENT TO: R.E. FRASH
1801 S. 8t STREET
NO[�L[�WLLI�E, N 46060
(317) 770 -8155
Nbb esviR e 45255
Phone:
Date:
.BOB NAME:
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 Othey
CIRCLE ONE:
Dump Fee Fill Dirt Other
Screened Sand P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS ICI:
OF LOADS OUT
Driver's Sig nature
Truck
RENT TO: R.E. FRASH
1801 S. 8t STREET
L�
NOBEWLL E, I� 45050
(317) 770 -8155
VOUCHER NO. WARRANT NO.
ALLOWED 20
Noblesville Landfill
IN SUM OF
1801 S. 8th Street
Noblesville, IN 46060
$50.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 9731 43- 501.00 $50.00 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
rid J WM008
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))
05/30/08 9731 $50.00
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