HomeMy WebLinkAbout202380 09/28/2011 CITY OF CARMEL, INDIANA VENDOR: 00350479 Page 1 of 1
Q� ONE CIVIC SQUARE RAY'S TRASH SERVICE INC CHECK AMOUNT: $1,251.68
CARMEL, INDIANA 46032 DRAWER I
CLAYTON IN 46118 CHECK NUMBER: 202380
CHECK DATE: 9/28/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 2508528 193.50 BUILDING REPAIRS MA
1207 4350101 2510649 186.03 TRASH COLLECTION
1205 4350101 2511381 107.23 TRASH COLLECTION
1120 4350101 2511382 376.84 TRASH COLLECTION
1110 4350101 2511383 103.20 TRASH COLLECTION
1115 4350101 2511384 51.60 TRASH COLLECTION
920 4239099 2515603 19.35 OTHER MISCELLANOUS
1110 4350101 2516359 50.53 TRASH COLLECTION
601 5023990 2517699 163.40 OTHER EXPENSES
R 9# `=y Drawer I, Clayton, IN 46118
TRASH SERVICE, INC. TeL (317) 539 -2024 1- 800 531 -6752 a4YOX/F
Fax: (317) 539 -5962
Wt- wraystrash.cam 0002515603
1
To: 10/1/2011
I�
220585
CITY OF CARMEL 0000
1 CIVIC SQUARE
Attn: Engineering Department 39 gTamm
Carmel IN 46032
ttatarme ftward 5� 1
Payments 0.00
Adjustments 0.00
Invoices 0.00
CITY OF CARMEL
130 1ST AVE SW CARMEL. IN
10/01/11 Service 1.00 18.00
101112011- 1013112011
10/01/11 Fuel Surcharge Commerical 1.00 1.35
tJ
i
f
1.5% per month late charge on balances over 60 days from date of invoice.
To ensure proper credit, please include account number on your check and O
include the bottom portion of this invoice. 9 9.35
CURRENT 31 60 DAYS 61 90 DAYS OVER 90 DAYS A Lr(rJU U U UUCJ
38.70 0.00 0.00 38.16 0 76.86
rrnscnueu uy dare ouaru ur r uuuurns
V l ry rUrll I N U, "I the lya j
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
Rays Trash Service, Inc. Purchase Order No. NA
Drawer Terms
Clayton, IN 46118 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
09/20/11 2515603 Keystone Reconstruction Project $19.35
Field Office
Project 07 -08
Total $19.35
1 hereby certify that the attached invoice(s), or bills(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
I
VOUCHER N0. WARRANT NO.
RaysTrash S ervice, Inc. ALLOWED 20
Drawer I IN THE SUM OF
Clayton, IN 46118
19.35
ON ACCOUNT OF APPROPRIATION FOR
Rays Trash Service, Inc.
PO# or INVOICE NO. ACCT TITLE AMOUNT Board Members
DEPT.#
NA 2515603 4239099 $19.35
N I hereby certify that the attched 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
26 -Sep 20 11
Total $19.35 Si re
Cost distribution ledger classification if
C ity En
claim paid motor vehicle highway fund Title
111111 Drawer], Clayton, IN 46118 �n
TRASH SERVICE, INC. Tel: (317) 539 -2024 1 -800 -531 -6752
Fax: (317) 539 -5962
www. r,gy6trash. com 0002511382
0 1
To: 10/1/2011
IIII IIIIIIIIIIIIIII IIIIII�I III�IIII III 1111111 IIIIIIIIII�I VIII e
q� 042626
CITY OF CARMEL I�FpU t 0000
2 Civic Sq q�
Carmel IN 46032 -2584 1
Balance Forward 376.84
Payments 376.84
Adjustments 0.00
Invoices 0.00
CARMEL FIRE STATION #1
2 CIVIC SQUARE CARMEL, IN
10/01/11 Service 1.00 172.04
10/112011-10/31/2011
10/01/11 Fuel Surcharge Commerical 1.00 12.90
CARMEL FIRE STATION #2
3610 W 106TH ST CARMEL, IN
10/01/11 Service 1.00 52.50
10/112011- 10/3112011
10/01/11 Fuel Surcharge Commerical 1.00 3.94
CARMEL FIRE STATION #3
3243 E 106TH ST CARMEL, IN
10/01/11 Service 1.00 36.75
10/l/2011-10131/2011
10/01/11 Fuel Surcharge Commerical 1.00 2.76
CARMEL FIRE STATION #4
5032 E MAIN ST CARMEL, IN
10/01/11 Service 1.00 36.75
10/l/2011-10/31/2011
10/01/11 Fuel Surcharge Commerical 1.00 2.76
1-5% per month late charge an balances over 60 days from date of invoice.
To ensure proper credit, please include account number on your check and
include the bottom portion of this invoice. O
1 7M I/ 376.84
CURRENT 31 60 DAYS 61 90 DAYS OVER 90 DAYS L911 2 @2 o d 1 V VAR
376.84 0.00 0.00 0.00 d Q Gff 376.84
io Ra ygr, Tr sery C 93' Darn
Drawer I, Clayton, IN 46118
TRASH SERVICE, INC. Tel: (317) 539 -2024 1- 800 -531 -6752
Fax: (317) 539 -5962
WWW..raystrash.com 0002511382
0 2
To. 101112011
�r�tt�t��tt��rtnr��rrt�r�rt�r�t�t�t�n�tr�rt���tutt�r�r rt�� m 042626
CITY OF CARMEL @MGE6 0000
2 Civic Sq p�
Carmel IN 46032 -2584 1
CARMEL FIRE STATION 46
540 W 136TH ST CARMEL, IN
10/01/11 Service 1.00 52.50
101112011- 1013112011
10/01/11 Fuel Surcharge Commerical 1.00 3.94
1.5% per month late charge on balances over 60 days from date of invoice.
To ensure proper credit, please include account number on your check and
include the bottom portion of this invoice.
CURRENT 31 60 DAYS 61 90 DAYS OVER 90 DAYS
376.84 0.00 0.00 0.00 D m 376.84
ll
Tear off at this perforation Q and return bottom portion with your remittance please.
t 0002511382 Please Remit to: 11� I�� 1 Ill �ll k�l I�III �II�III�II�II III I�I
ill
2 Gay's Trash Service, ina n @ff
l 10i112011
q� 042626 Drawer 1, Clayton, IN 46118 0@2TTUnR19@9
0000
�m CITY OF CARMEL
REMARKS This is your Invoice/ Due October 1, 2011
On -line Bill Pay 8 Paperless Billing Available:Go to WWW.RAYSTRASH -COM
f
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ray's Trash Service
IN SUM OF
Drawer 1
Clayton, IN 46118
$376.84
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO Dept. INVOICE NO. I ACCT /TITLE I AMOUNT Board Members
1120 I 2511382 j 43- 501.01 I $376.84 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
SEP 2 6 2011
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
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))
2511382 $376.84
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
9 Rayrys Frash sere c e Dnco
Drawer I, Clayton, IN 46118
TRASH SERVICE, INC. Tel: (317) 539 -2024 1- 800 -531 -6752 UU V �]f�� ll �/J OCI F
Fax: (317) 539 -5962
www- r3ystrash.com 0002511384
1
TO g 10/1/2011
t �rt ��tt ��rtt n��t u�t rr���nr�trr��r�r�nr��tnt���nt�� 042628
CARMEL COMMUNICATIONS glugm J 0000
31 1 st Ave NW spy
Carmel IN 46032 -1715 1
Balance Forward 51.60
Payments 51.60
Adjustments 0.00
Invoices 0.00
CARMEL COMMUNICATIONS
31 1 STAVE NNV CARMEL, IN
10/01/11 Service 1.00 48.00
1011/2011-1013112011
10/01/11 Fuel Surcharge Commerical 1.00 3.60
1.5% per month late charge on balances over 60 days from date of invoice.
To ensure proper credit, please include account number on your check and
include the bottom portion of this invoice.
NUM 51.60
CURRENT t 31 60 DAYS 61 90 DAYS OVER 90 DAYS o e U U LnJLJ§
51.60 0.00 0.00 0.00 0 H 51.60
VOUCHER NO. WARRANT NO.
Ray's Trash ALLOWED 20
IN SUM OF
Drawer 1
Clayton, IN 46118
$51.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO, I ACCT #!TITLE AMOUNT Board Members
1115 0002511384 I 43- 501.01 I $51.60 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
Wednesday, September 21, 2011
Director
Title
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))
10(01111 0002511384 $51.60
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
n
Guy's Trash Service, III c.
//tVJ Drawer I, Clayton, IN 46118
TRASH SERVICE, INC. Tel: (317) 539 -2024 1- 800 531 -6752
Fax: (317) 539 -5962
www, raysfash. cam 0002511383
0 1
TO: 10/1/2011
�t�tr�f��ft��ftt n�� n t�r�ft�r�f�t�t�tt�tt�tr���t�rti��rt���t� ue per^ 042627
CARMEL POLICE @ppE6 0000
CITY OF CARMEL
3 Civic Sq 1
Carmel IN 46032 -2584
Balance Forward 103.20
Payments 103.20
Adjustments 0.00
Invoices 0.00
CARMEL POLICE
3 CIVIC SQUARE CARMEL, IN
10/01/11 SERVICE 1.00 96.00
10/l/2011-1013112011
10/01/11 Fuel Surcharge Commerical 1.00 7.20
1.5% per month late charge on balances over 60 days from date of invoice.
To ensure proper credit, please include account number on your check and
include the bottom portion of this invoice. O
���10320
CURRENT 31 60 DAYS 61 90 DAYS OVER 90 DAYS o e n 6 U U UJLJ
103.20 0.00 0.00 0.00 0 103.20
R 9 Ray's Trash service nnc�o
Drawer I, Clayton, IN 46118
TRASH SERVICE, INC. Tel: (317) 539 -2024 1- 800 531 -6752 CI 11 V f]/��
YOX E
Fax: (317) 539 -5962
www.raystrash.com 0002516359
0 1
To: 1011/2011
lm 229742
CARMEL POLICE SHOOTING RANGE 065M 0000
3 Civic Sq
Carmel IN 46032 -2584 1
Balance Forward 50.53
Payments 50.53
Adjustments 0.00
Invoices 0.00
CARMEL POLICE SHOOTING RANGE
9609 HAZEL DELL PKWY INDIANAPOLIS, IN
10/01/11 Service 1.00 47.00
10/112011-10/31/2011
10101/11 Fuel Surcharge Commerical 1.00 3.53
1.5% per month late charge on balances over 60 days from date of invoice.
To ensure proper credit, please include account number on your check and
include the bottom portion of this invoice. I�LVJ�
50.53
CURRENT 31 60 DAYS 61 90 DAYS OVER 90 DAYS o P&W MR
50.53 0.00 0.00 0.00 10 50.53
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ray's Trash Service, Inc.
IN SUM OF
Drawer 1
Clayton, IN 46118
$153.73
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1110 2511383 43- 501.01 $103.20 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1110 2516359 43- 501.01 $50.53
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, September 22, 2011
Chief of Police
Title
Cast 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))
10/01/11 2511383 monthly payment $103.20
10/01/11 2516359 monthly payment $50.53
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
r
9 Rayys Trash sSel]°MnC 0 DhicQ
Drawer I, Clayton, IN 46118
TRASH SERVICE, INC. Tel: (317) 539 -2024 1 -800- 531 -6752 �L1 V V O X
Fax: (317) 539 -5962
www.raystrash.com 0002517699
1
TO: r
0 10/1/2011
246454
CARMEL WATER DEPARTMENT MGM 0000
3450 W 131 st St
Carmel IN 46074 -8267 23
0 0 0 0
arscZrForovard '^r63?►0
Payments 163.40
Adjustments 0.00
Invoices 0.00
CARMEL WATER DEPARTMENT
3450 W 131ST ST CARMEL, IN
10/01/11 Service 1.00 76.00
1011/2011-10/31/2011
10/01/11 Fuel Surcharge Commerical 1.00 5.70
CARMEL WATER TREATMENT
5484 E 126TH ST CARMEL, IN
I
10/01/11 Service 1.00 76.00
i
10/l/2011-10/31/2011
10(01111 Fuel Surcharge Commerical 1.00 5.70
i
1_5% per month late charge on balances over 60 days from date of invoice.
To ensure proper credit, please include account number on your check and
include the bottom portion of this invoice. U�
CURRENT 31- 60 DAYS 61 •90 DAYS OVER 90 DAYS FLEME o M UM
163.40 0.00 0.00 0.00 0 163.40
VOUCHER 112493 WARRANT ALLOWED
00350479 IN SUM OF
RAY'S TRASH SERVICE
DRAWER I WA7M
CLAYTON, IN 46118 OPERAnONS
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2517699 01- 6360 -03 $81.70
2517699 01- 6360 -06 $81.70
Voucher Total $163.40
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00350479
RAY'S TRASH SERVICE Purchase Order No.
DRAWER I Terms
CLAYTON, IN 46118 Due Date 9/21/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/21/2011 2617699 $163.40
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
Date Officer
R �gf G°3e yg's Trash sere C65 Deco
Drawer I, Clayton, IN 46118
TRASH SERVICE, INC. Tel: (317) 539 -2024 1 -800- 531 -6752 LII! /]�f] V l�/IJ
CE
Fax: (317) 539 -5962
www.,raystrasl?.com 0002508528
TO:
0 10/1 /2011
�r�tr�r��tr���rt�ttr�r�t, ��tt�ttr�t�t��tt�ttr���itr��t�tt��t�� 0
003183
CARMEL STREET DEPARTMENT 0000
3400 W 131 st St
Carmel IN 46074 -8267 22 t
t�flfD
MOMMM Clues
r3aiance i 93:50
Payments 193.50
Adjustments 0.00
Invoices 0.00
j CARMEL STREET DEPARTMENT
3400 W 131ST ST CARMEL, iN
10/01/11 Service 1.00 180.00
10/l/2011-10/31/2011
10/01/11 Fuel Surcharge Commerical 1.00 13.50
i
i
I I
1.5% per month late charge on balances over 60 days from date of invoice.
To ensure proper credit, please include account number on your check and
include the bottom portion of this invoice.
193.50
CURRENT 31 60 DAYS 61 90 DAYS OVER 90 DAYS e r�r� P.2 U m
193.50 0.00 MID 0.00 LIV U 193.50
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ray's Trash Service
IN SUM OF
Drawer 1
Clayton, IN 46118
$193.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 0002508528 43- 501.00 $193.50 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
Fl f f r.
��j'T I hursday /Sep ember 2 2011
!b .P ea c
uw,
St "R,ftq° ii an gj §Sag
Title
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))
10/01/11 0002508528 $193.50
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
9 Ra y Trash serWce., §nca
Drawer I, Clayton, IN 46118
TRASH SERVICE, INC. Tel: (317) 539 -2024 1 -800- 531 -6752 U LI V f]��] V
�Ll CE
Fax: (317) 539 -5962
www.raystraSI7.com 0002511381
0 1
TO:
101112011
�r�rr�r��rr��rrnr��rrr�r�rrr�t�rlr�rr�n�rr���rrrrnl�r�r�r� CCAI� G 042622
CARMEL CITY HALL 0000
CITY OF CARMEL
1 Civic Sq 1
Carmel IN 46032 -2584
Balance Forward 107.23
Payments 107.23
Adjustments 0.00
Invoices 0.00
CARMEL CITY HALL
1 CIVIC SQUARE CARMEL, IN
10101/11 Service 1.00 99.75
1011/2011-10/31/2011
10101111 Fuel Surcharge Commerical 1.00 7.48
SEP 2 6 2011
By
1.5% per month late charge on balances over 60 days from date of invoice.
To ensure proper credit, please include account number on your check and
include the bottom portion of this invoice.
CURRENT 31 60 DAYS 61 90 HAYS OVER 90 DAYS e �CrJU �LIC�I
107.23 0.00 0.00 0.00 �W 107.23
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ray's Trash Service, Inc.
IN SUM OF
Drawer I
Clayton, IN 46118
$107.23
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO# l Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
1205 0002511381 -46-'501.01 $107.23 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, September 26, 2011
Director, Adminis ation
Title
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))
10/01/11 0002511381 $107.23
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
9 Ray's T ras h seryke §nco
R
avtnn..., ILI_4 N
TRASH SERVICE, INC. Tel: (317) 539 -2024 1- 800 -531 -6752
Fax: (317) 539 -5962
www.raystrash.com 0002510649
1
TO: l 10/1/2011
�t�tr�r��rt��ttrrt��tta��nti�trt��rtrr��r�rt�tr�r���rtnn��� 031016
CITY OF CARMEL q� 0000
%BROOKSHIRE GOLF COURSE,
12120 Brookshire Pkwy 22
Carmel IN 46033 -3314
C]3M'AR 0 C 6 UUW
balance Forwar 186.03
Payments 186.03
Adjustments 0.00
Invoices 0.00
BROOKSHIRE GOLF COURSE
12120 BROOKSHIRE PKWY CARMEL, IN
10/01/11 i Service 1.00 157.00
1011 /2011-10131/2 011
10/01 /11 I Recycle 1.00 16.05
10/112011-10/31/2011
10!01/11 Fuel Surcharge Commerical 2.00 12.98
r
i
1.5% per month late charge on balances over 60 days from date of invoice.
To ensure proper credit, please include account number on your check and
include the bottom portion of this invoice.
CURRENT 31 60 DAYS 61 90 DAYS bVER 90 DAYS 6 d `I I ^)I
186.03 0.00 0.00 0.00 0 u u uw 186.03
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ray's Trash Service, Inc.
Accounts Receivable
IN SUM OF
Drawer 1
Clayton, IN 46118
#61 as
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1 hereby certify that the attached invoice(s), or
1207 0002510649 43- 501.01 $186.03 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
Wednesday, September 21, 2011
Director, Brook re Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 199
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))
G
10/01/11 0002510649 Trash $186.0
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