156738 02/21/2008 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
ONE CIVIC SQUARE NOBLESVILLE LANDFILL
o CARMEL, INDIANA 46032 1801 S 8TH STREET CHECK AMOUNT: $50.00
NOBLESVILLEIN 46060 CHECK NUMBER: 156738
CHECK DATE: 2/2112008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 9398 50.00 BUILDING REPAIRS MA
i
i
i,
NO' bj: V on H e Invoice
almdfifl
1801 S.8 1h Street
Noblesville, IN 46060
317-770-8155 Fax 317-770-8999 Date Invoice
Bill To
Carmel Street Department 1/31/2008 9398
3400 W 131 st Street
Westfield IN 46074
P.O. No. Terms
Due on receipt
QtyfTon Product Date Truck Ticket Number Rate Amount
2.00 Deer 1/28/2008 42970 TK 14 25.00 50.00
Sales Tax 6.00% 0.00
Total $50.00
t1 6
NobT esA e �.ndfi Rnc 42
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:
um Fe Fill Dirt Other
Screened Sand P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LADS IN
OF LOADS OUT:
Driver's Se nature
Truck 'tt 1
REMIT TO: R.E. FRASH
1801 Se 8t STREET
NOBLESVILLE, ON 4 6060 4
(3 1 7) 770
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
0 p(�n�-
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
loo
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
50.
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
3q JO 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
FEB ZOOS
20
Signat 'r
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund