201344 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
s 0 ONE CIVIC SQUARE NOBLESVILLE LANDFILL CHECK AMOUNT: $50.00
CARMEL, INDIANA 46032 1801 S 8TH STREET
NOBLESVILLE IN 46060 CHECK NUMBER: 201344
CHECK DATE: 9/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU AMOUNT DESCRIPTION
2201 4350100 13720 50.00 BUILDING REPAIRS MA
Nob]T w"He
ATE .INVOICE
08/31/2011 13720
TERMS`
Due on receipt
BILL TO
Carmel Street Department
3400 W 131 st Street
Carmel, IN 46074
Product' Ticket%TrudkN'umber_, "Quantity Rate Amounf`
08/04/2011 Road Kill:Deer 63796 TK 16 1 25.00 25.00
08/10/2011 Road Kill:Deer 63968 TK 58 1 25.00 25.00
SUBTOTAL $50.00
TAX (7 $0.00
TOTAL 50.00
1801 S. 8'" Street o Noblesville, IN 46060
317 770 -8155 m Fax 317- 770 -8999
f
No' b csVifle 6 3 79 6
i
and fi ll Inc
Phone:
Date:
JOIE NAME:
Type ®f Truck
Pick up /small trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle 40 yd dump box
Tri axle er�
CIRCLE ONE:
p ee Fill Dirt Other
L tr re en ed Sand P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS III:
I
OF LOADS QUT
Driver's SI nature
i
pp ��9� 1801 S. 8 STREET
Url ®[��L LE, M 46060
(317) 770-8155
I
0
NOb y` esvi e 6396
an dfi l Inc
Phone:
T D te:
JOE NAME: /3 /I`�'
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 tNj Other
CIRCLE ONE:
ump Fee I Fill Dirt Other
Screened Sand P- Gravel C F
Top Soil, unpulverized Top Soil pulverized
OF LOADS IN:
OF LOADS OUT
Driver's Signature
Truck
REMIT TO: R.E. FRASH
X01 S. S t STREET
NOBLESVILL E, IN 46060
(31 7) 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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08/31/11 13720 $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
VOUCHER NO. WARRANT 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. ACCT /TITLE AMOUNT Board Members
2201 13720 43- 501.00 $50.00 I 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
Monday, Septe�rrbdr 12, 2011
Street Commission
Street C
Cost distribution ledger classification if
claim paid motor vehicle highway fund