203960 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
ONE CIVIC SQUARE NOBLESVILLE LANDFILL
CARMEL, INDIANA 46032 1801 S 8TH STREET CHECK AMOUNT: $125.00
NOBLESVILLE IN 46060 CHECK NUMBER: 203960
o
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 13931 125.00 BUILDING REPAIRS MA
No wofle
b i afldfifl Inic
DATE INVOICE
10/31/2011 13931
TERMS
Due on receipt
BILL TO
Carmel Street Department
3400 W 131 st Street
Carmel, IN 46074
Date Product Ticket[Truck Number Quantity Rate Amount
10/07/2011 Road Kill:Deer 65132 1 25.00 25.00
10/12/2011 Road Kill:Deer 65239 1 25.00 25.00
10/15/2011 Road Kill:Deer 64895 1 25.00 25.00
10/28/2011 Road Kill:Deer 65565 1 25.00 25.00
10/31/2011 Road Kill:Deer 65616 1 25.00 25.00
SUBTOTAL $125.00
TAX (7 $0.00
TOTAL $125.00.
1801 S.8 th Street o Noblesville, IN 46060
317- 770 -8155 o Fax 317 770 -8999
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))
10/31/11 13931 $125.00
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 N
Noblesville Landfill ALLOWED 20
IN SUM OF
1801 S. 8th Street
Noblesville, IN 46060
$125.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 13931 43- 501.00 $125.00 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
/T! hursday[November 17, 2011
J
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund