159963 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 183500 Page 1 of 1
ONE CIVIC SQUARE LEEMAN SONS TOPSOIL INC
CARMEL, INDIANA 46032 21816 ST RD 37 N CHECK AMOUNT: $576.00
NOBLESVILLE IN 46060 CHECK NUMBER: 159963
*LION �O
CHECK DATE: 5/2812008
DEPARTMENT ACCOUNT PO NUM INVOICE NUMBER AM OUNT DE
,,2201 4462401 576.00 LANDSCAPING
i
g Phi i.
CONTRACTORS INVOICE
Leeman TopsoR
13023 S`trawtown Ave.. 1
Nloblesvilfe, !N
(317) 984„3017 (Of6m) WORK PERFORMED AT:
(31?) 114,M (Cep
D .5Yi?
DATE YOUR WORK ORDER NO. OUR BID. NO.
e e e• e- e
P `1 �2 r g o r
s
5
Je 0se,
-All Material is guaranteed.fo be `as specified; ;and the above work was performed an accordance with the drawings and specifications:
provided for the above and was completed in a substantial- workmanlike m'a'nner =for the agreed• §um ;of
s:
S Dollars
This is a Partial El Full invoice due and payable by:
Month Day Year
in accordance with our Agreement E. Proposal No. Dated
Month. 'Day Year
CONT'RACT'ORS INVOICE
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
invoice mill to be properly itemized must show: kind of service, where performed, dates service rendered, by
w hom; rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
L Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5 Ia 5 7(e�pO
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.
t
ALLOWED 20
IN SUM OF
o0
ON ACCOUNT OF APPROPRIATION FOR
S0)—
Board Members
PO# or DEPT INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
C 5'( 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
1 0� 20
S g mnu!
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund