158053 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
ONE CIVIC SQUARE NOBLESVILLE LANDFILL
CARMEL, INDIANA 46032 1801 S 8TH STREET CHECK AMOUNT: $50.00
NOBLESVILLE IN 46060 CHECK NUMBER: 158053
CHECK DATE: 4/1/2008
1+
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBE AMOUNT DESCRIPTION
2201 4350100 9450 50.00 BUILDING REPAIRS MA
I
Nobj! vflofle Invoice
andflu RIMC
7 -7777 7-77 T 777 7 77 7
1801 S.8 1h Street
Noblesville, IN 46060
317-770-8155 Fax 317-770-8999 Date Invoice
Bill To
Carmel Street Department 3/17/2008 9450
3400 W 131 st Street
Westfield IN 46074
F P.O. No. Terms
Due on receipt
Qty/Ton Product Date Truck Ticket Number Rate Amount
1.00 Coyote 2/25/2008 43254 25.00 25.00
1.00 Deer 3/5/2008 43361 25.00 25.00
Sales Tax 6.00% 0.00
Total
$5000
100
rn'o VV
N®b esvfl e 4325
andlfi l Inc
s T e e Ip e jg+ o f CA v v✓1 e
Phone:
Date:
JOB NAME:
Type of Truck
Pick up /small trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle 40 yd dump box
Tri axle Other
CIRCLE ONE:
Fill Dirt C Other
Screened Sand P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS IN: I
OF LOADS OUT:
Driver's Signature
Truck
REMIT TO: R.E. FRAS H
1801 S. 8th STREET
NOBLESVILLE, IN 45050
(317) 770 -8155
_v N b ���r e 43! 1
andfR
Phone:
.f Date:_ ,5
JOE NAME:
Type of Truck
Pick up /small trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle 40 yd dump box
Tri axle Othere?:�
CIRCLE ONE:
=SFill Dirt Other
and P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS IN:
OF LOADS OUT:
don
Driver's Signature
Truck
REVS T TO: R.E. FRASH
9801 S. 8t STREET
NOBL ESVOLL E, ON 46060
(39 7) 770 -8155
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
1 0 V I� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5O a)
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
5o, o0
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Q 14 50 50 I 50, 00 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
MAR 3 12008 20
Sign t re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund