157183 03/05/2008 I
CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
ONE CIVIC SQUARE NOB sH E VIILLE LANDFILL CHECK AMOUNT: $25.00
J CARMEL, INDIANA 46032 NOBLESVILLE STREET
IN 46060 CHECK NUMBER: 157183
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CHECK DATE: 3/5/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 9425 25.00 BUILDING REPAIRS MA
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No e��r e
aIC1 dfifl Rnc
43177
�-v of C myna 5 f, h elot,
Phone:
Date:
JOB NAME:
fte of Truck
Pick up /small trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle 40 yd dump box
Tri axle ther
L L Fill Dirt Other
Screened Sand P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS IN: I
OF LOADS OUT
Driver's Signature
Truck I
RENT TO: R.E. FRASH
pppp
1 801 S. 8 pp t STREET
N L�ES�'/�L�,L�EOB, DIICI 46060
(317) 770 -8155
Invoice
andfi
1801 S.8 1h Street
Noblesville, IN 46060
317-770-8155 o Fax 317-770-8999 Date Invoice
Bill To
Carmel Street Department 2/19/2008 9425
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 2/15/2008 43177 25.00 25.00
Sales Tax 6.00% 0.00
Total $25.00
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.
11 Payee
D C) �Q�l�_ �C�►�CQ. Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
►�lo i a5, CC
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.
r
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I I hereby certify that the attached invoice(s), or
^i 5
601 z5: 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
20
ivi I I EL
Signat
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund