200550 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
ONE CIVIC SQUARE NOBLESVILLE LANDFILL
(i CHECK AMOUNT: $50.00
CARMEL, INDIANA 46032 1601 S 8TH STREET
}oM. NOBLESVILLE IN 46060 CHECK NUMBER: 200550
CHECK DATE: 8117/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 13624 50.00 BUILDING REPAIRS MA
Nob esvil e 63600
and fi I nc
C s
Phone:
Ik Dater
JOE NAME:
Tag of Truck
Pick up /small trailer Semi -dump
Yi—Single axle /large trailer 20 yd dump box
Tandem axle 40 yd dump box
Tri axle Other
CIRCLE ONE: Co 'Pee
�um�pFee Fill Dirt Other
Screened Sand P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS 9N:
OIL LOADS OUT:
Driver's Signature
Truck
RENT TO: R.E. FRASH
1801 S. 8th STREET
NOBLfi=SML E, N 46060
(31 d) 77 -8155
Nob Vine
andffl Rflc
DATE `°INVOICE
07/30/2011 13624
Due on receipt
�B,6LLT0
a a
Carmel Street Department
3400 W 131 st Street
Carmel, IN 46074
e Date Product;, r Ticket/T�uck iVumber Quantity Rate Amount
07/28/2011 Road Kill:Deer 63600 TK 58 2 25.00 50.00
SUBTOTAL $50.00
TAX (7 $0.00
TOTAL $50:00
1801 S. 8 Street o Noblesville, IN 46060
317- 770 -8155 e Fax 317- 770 -8999
VOUCHER NO. WARR NO.
ALLOWED 20
Noblesville Landfill
IN SUM OF
1801 S. 8th Street
Noblesville, IN 46060
$50.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. I ACCT /TITLE AMOUNT Board Member
2201 13624 43- 501.00 $50.00 1 hereby certify that the attached invoice(s), or
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
n Thursday August 11, 2011
h/ I i!
Street Commissioner
Street COmTitle -sio; gar
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/30/11 13624 $50.00
1 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