158559 04/15/2008 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
row NOBLESVILLE IN 46060 CHECK NUMBER: 158559
CHECK DATE: 4/15/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 9503 25.00 BUILDING REPAIRS MA
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Nob 'fle Invoke
Yn ice
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1801 S. 8 Street
Noblesville, IN 46060
317-770-8155 Fax 317-770-8999 Date Invoice
Bill To
Carmel Street Department 3/31/2008 9503
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 3/20/2008 43586 25.00 25.00
Sales Tax 6.00% 0.00
Total $25.00
Nub esvfle 43
andfifl inc
Phone: o�
.BOB NAME: Date
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_ Otherp,,,
CIRCLE ONE:
ump Fe Fill Dirt Other
Screened Sand P- Gravel C F
Top Soil, unpulver�iized Top Soil, pulverized
OF LOADS IN:
OF LOADS OUT:
Driver's Signature
Truck
RENT TO: R.E. FRASH
1801 Se 8th STREET
NOBLESV9 LLB, W 48080
31 7) 770 -8155
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
31 J 5 o
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
5 Co
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1 J C 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
APR 4 2008 20
ature
E
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund