156272 02/06/2008 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
O ONE CIVIC SQUARE NOBLESVILLE LANDFILL
CARMEL, INDIAN!, 46032 1801 S 8TH STREET CHECK AMOUNT: $100.00
NOBLESVILLE IN 46060 CHECK NUMBER: 156272
CHECK DATE: 21612008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
I 2201 4350100 93758 100.00 BUILDING REPAIRS MA
I I
i
�E.
1
No twofle Invoice
v
1801 S. 8 1 h Street
Noblesville, IN 46060
317- 770 -8155 a Fax 317- 770 -8999 Date Invoice
Bill To
Carmel Street Department 1/14/2008 9375
3400 W 131st Street
Westfield IN 46074
P.O. No. Terms
Due on receipt
Qty/Ton Product Date Truck Ticket Number Rate Amount
1.00 Deer 1/7/2008 42662 TK 50 25.00 25.00
1.00 Deer 118/2008 42691 25.00 25.00
2.00 Coyote 1/9/2008 42693 25.00 50.00
Sales Tax 6.00% 0.00
Total $100.00
Nab
andfi l Rnc 42662
C of ri e L S i r e e -P �P f
Phone:
Date: O 5 3
.DOB NAME:
fte of Truck
Pick up /small trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle 40 yo dump box
Tri axle Othe
CIRCLE ONE:
e Fill Dirt Other
Screened Sand P- Gravel C F
Top Soil, unpulverized Trop Soil, pulverized
OF LOADS IN: l p +t
OF LOADS OUT-
Driver's Signature
Truck _5
RENT TO: R.E. FRASH
1801 S. 8th STREET
(317) 770 -8155
Nob esviR e 42691
andfi
CI`Y Q-C Gclrrne-
Phone:
Date:
JOB NAME:
Type ®f Truck
Pick up /small trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle LLAQ yd dump box
Tri axle ther
CIRCL ONE:
um F Fill Dirt Other
Screened Sand P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS IN: 1 0 E'_. e-r
OF LOADS OUT.
Driver's Signature
Truck
REMIT TO: R.E. FRASH
1801 S. 8th STREET
NOBLESVILL E, IN 46060
(317) 770-8155
ESC
Nob] esviR e �.ndfi l Rnc 42693
C 4 y C P. 11 1 e 1
Phone: 5i 7 7,33 _2 0 0
Date: 1- r2 QS
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
m Fill Dirt Other
eened Sand P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS IN: 2 CQ Q
OF LOADS OUT.
Driver's Signature
Truck S q
REMIT TO: R.E. FRASH
1 S. 8 t STREET
NOBLESVILL[E, IN 46060
(317) 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.
Pay
iV C) l �n� r'1 C� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
CO, co
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
1'1 ob l lh1 LckV1-dt -Lu
IN SUM OF
l 5. 0 Jrl
'n 0b ��n���J X 0 4 �0 n
100. 00
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
a 6� Is O, 0(0 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
F 0 4 2 008 20
i
(i 08 gnature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund