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HomeMy WebLinkAbout204607 12/13/2011 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1 ONE CIVIC SQUARE NOBLESVILLE LANDFILL CHECK AMOUNT: $25.00 CARMEL, INDIANA 46032 1801 5 8TH STREET NOBLESVILLE IN 46060 CHECK NUMBER: 204607 CHECK DATE: 12(1312011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350100 14025 25.00 BUILDING REPAIRS MA No VAHRe andffl I nca DATE I N�T(OI CE 11 /30/2011 14025 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 11/16/2011 12oad Kill:Deer 65927 TK 56 1 25.00 25.00 SUBTOTAL $25.00 TAX (7 $0.00 TOTAL $25.00 1801 S.8 th Street o Noblesville, IN 46060 317 770 -8155 o Fax 317- 770 -8999 N6b2 esv fl1 6592 -1 end fill I nc Phone: Date: Y�l JOB NAME: Typ Of Truck Pick up /small trailer Semi -dump Ingle!! e large trailer 20 yd dump box Tan em axle 40 yd dump box Tri axle Other CIRCLE ONE: ump Fee' 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 #f# G REMIT TO: R.E. FRASH 1 8 01 S. 8 th STREET I� NOI�ESVIL LE, IN 45050 (31 7) 770-8155 VOUCHER NO. WARRANT NO. ALLOWED 20 Noblesville Landfill IN SUM OF 1801 S. 8th Street Noblesville, IN 46060 $25.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 14025 43- 501.00 $25.00 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 ,)riday, DecembW /09, 2011 Street Commissioner St, eTitle0i`T iMissiOi ,2r 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)) 11/30/11 14025 $25.00 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