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