HomeMy WebLinkAbout205977 01/31/2012 a CITY OF CARMEL, INDIANA VENDOR: 00350479 Page 1 of 1
i ONE CIVIC SQUARE RAY'S TRASH SERVICE INC
CARMEL, INDIANA 46032 DRAWER I CHECK AMOUNT: $1,186.10
o� CLAYTON IN 46118 CHECK NUMBER: 205977
CHECK DATE: 1131/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 0002654115 193.50 BUILDING REPAIRS MA
1207 4350101 0002656216 120.45 TRASH COLLECTION
1205 4350101 0002656935 107.23 TRASH COLLECTION
1115 R4350900 27696 0002656938 51.60 2012 OBLIGATIONS
1120 4350101 2656936 376.84 TRASH COLLECTION
1110 4350101 2656937 103.20 TRASH COLLECTION
920 4239099 2661056 19.35 OTHER MISCELLANOUS
1110 4350101 2661798 50.53 TRASH COLLECTION
601 5023990 2663063 163.40 OTHER EXPENSES
R 4 Rsyys Fresh Servic e" D7c�o
Drawer I, Clayton, IN 46118 0
O
TRASH SERVICE, INC. Tel: (317) 539 -2024 1-800-531-6752 0999 V ME
Fax: (317) 539 -5962
www. raystrash. COM 0002656216
0 1
TO: 2/1/2012
I IIIIIIIIIIIIIItIlII111II111II111II1111II1I11I1 IIIII IIIIIIIIII
031016
CITY OF CARMEL
0000
%BROOKSHIRE GOLF COURSE
12120 Brookshire Pkwy 23
Carmel IN 46033 -3314
Balance Forward 0.00
Payments 0.00
Adjustments 0.00
Invoices 0.00
BROOKSHIRE GOLF COURSE
12120 BROOKSHIRE PKWY CARMEL, IN
02/01/12 Service 1.00 96.00
2/1/2012-2/29/2012
02/01/12 Recycle 1.00 16.05
2/1/2012-2/29/2012
02/01/12 Fuel Surcharge Commerical 2.00 8.40
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 m.�
include the bottom portion of this invoice. lJ�LUJyj�J� 120.4J�
CURRENT 31 60 DAYS 61 90 DAYS OVER 90 DAYS c W MR
120.45 0.00 0.00 0.00 C 124.45
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))
02/01/12 0002656216 Trash $120.45
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
Ray's Trash Service, Inc.
Accounts Receivable IN SUM OF
Drawer 1
Clayton, IN 46118
$120.45
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1207 0002656216 43- 501.01 $120.45 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
Monday, January 23, 2012
Director, Brook ire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
R 9 4RRay Trash Servoc e,, h7c�a
Drawer I, Clayton, IN 46118
TRASH SERVICE, INC. Tel: (317) 539 -2024 1- 800 531 -6752 �U V V ONCE
Fax: (317) 539 -5962
www. raystrash. com 0002654115
�CA�G9�
0 1
T O 2/1/2012
I tlttltll nII1 t1I �t 1�t I1 �Il1t'1t�'7I1II�1I II11�IItill lltt1ll111 0
003183
CARMEL STREET DEPARTMENT 0000
3400 W 131 st St
Carmel IN 46074 -8267 23
1311�C2� 0 0 0 0 WTgag;W �Il b1
tsafanc U
Payments 0.00
Adjustments 0.00
Invoices 0.00
CARMEL STREET DEPARTMENT
3400 W 131ST ST CARMEL, IN
02/01/12 Service 1.00 180.00
2/1/2012-2/29/2012
02/01/12 Fuel Surcharge Commerical 1.00 13.50
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. �UUIIJJ1�UU� 193.50
U lJUl�) LAI�.II/l`_'ill``715
CURRENT 31 60 DAYS 61 90 DAYS OVER 90 DAYS P UIMR �r'
o W ND@
193.50 0.00 0.00 0.00 0 n JtJ 193.50
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))
02/01/12 0002654115 $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
VOUCHER N O. 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 0002654115 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
l Thursday, January 26, 2012
Street Commissionei
.ti.L eet LTtle 11 t'�"k i ice!
Cost distribution ledger classification if
claim paid motor vehicle highway fund
9 Gay's Tr service, e, §hco
Drawer I, Clayton, IN 46118
TRASH SERVICE, INC. Tel: (317) 539 -2024 1- 800 531 -6752
Fax: (317) 539 -5962
www.r8yStrash. 0002656935
TO:
1
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042622
CARMEL CITY HALL 0000
CITY OF CARMEL pq�
1 Civic Sq 1
Carmel IN 46032 -2584
Balance Forward 0.00
Payments 0.00
Adjustments 0.00
Invoices 0.00
CARMEL CITY HALL
1 CIVIC SQUARE CARMEL, IN
02/01/12 Service 1.00 99.75
2/1/2012-2/29/2012
02/01/12 Fuel Surcharge Commerical 1.00 7.48
D Q
JAN 3 0 2012 f
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. O
107.23
CURRENT 31 60 DAYS 61 90 DAYS OVER 90 DAYS e PO 7M
107.23 0.00 0.00 0.00 e 107.23
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))
02/01/12 0002656935 $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
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# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
'f I hereby certify that the attached invoice(s), or
1205 0002656935 ..48= 501.01 $107.23
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
Mond y, January 30, 2012
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
9 G� l�'S 7r "h Se "'C (9 gnC'
4, a
Drawer I, Clayton, IN 46118
TRASH SERVICE, INC. Tel: (317) 539 -2024 1- 800 531 -6752 V V 09CE
Fax: (317) 539 -5962
WWW, raystrash. COM 0002661798
0
TO: u n 2/1/2012
�r�tt�t��rt��t utt��t�t�tt�t�t�r�r�tt�tt�tr���ttr��rtt��t� 0 229742
CARMEL POLICE SHOOTING RANGE 0000
3 Civic Sq
Carmel IN 46032 -2584 1
Balance F 50.53
Payments 50.53
Adjustments 0.00
Invoices 0.00
CARMEL POLICE SHOOTING RANGE
9609 HAZEL DELL PKWY INDIANAPOLIS, IN
02/01/12 Service 1.00 47.00
2/1/2012-2/29/2012
02/01/12 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 andn0
include the bottom portion of this invoice. tJVyUC�:.ILS�� CJQ 53
CURRENT 31 60 DAYS 61 90 DAYS OVER 90 DAYS o P&W MR
50.53 0.00 0.00 0.00 0 HU 1 50.53
9 RBY "'S 7'raah SerV§ Cc9 §§T Cho
o 4, (4f Drawer I, Clayton, IN 46118
TRASH SERVICE, INC.- Tel: (317) 539 -2024 1- 800 531 -6752 �LI V �/j V 09CE
Fax: (317) 539 -5962
www. raystrash. com 0002656937 momm
0 1
To: 2/1/2012
�r�rr�r��tt��ttttt��ttt�r�tt�t�t�t�r�tr�tt�tr���ttrrr��ttr��t� @WpEmm 042627
CARMEL POLICE agm 0000
CITY OF CARMEL q�
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
02/01/12 SERVICE 1.00 96.00
2/1/2012-2/29/2012
02/01/12 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
103.20
CURRENT 31 60 DAYS 61 90 DAYS OVER 90 DAYS e �y� R21y um
103.20 0.00 0.00 0.00 0 HIV U 103.20
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))
02/01/12 2661798 monthly payment $50.53
02/01/12 2656937 monthly payment $103.20
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
VOUCHER NO. WARRANT N
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 2661798 43- 501.01 $50.53 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1110 2656937 43- 501.01 $103.2G
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, January 26, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
00 9 Gay's Trash service, e, §nco
Drawer I, Clayton, IN 46118
TRASH SERVICE, INC. Tel: (317) 539 -2024 1- 800 531 -6752
Fax: (317) 539 -5962
www. r8yStrash. COM 069�906 0002661056
0 1
TO: 2/1/2012
p� 220585
CITY OF CARMEL @MGM 0000
1 CIVIC SQUARE
Attn: Engineering Department 39
Carmel IN 46032
@gmm o e o 1 °�Il�
ea a( nce orwar 19.35
Paymenis 0.00
Adjustments 0.00
Invoices 0.00
CITY OF CARMEL
130 1ST AVE SW CARMEL, IN
02/01/12 Service 1.00 18.00
2/1/2012-2/29/2012
02/01/12 Fuel Surcharge Commerical 1.00 1.35
1g19202y
RECEIVED a
C4 JAN Zp12
GARME
G111''�N
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. qtr 19.35
UWP°J 1A1�1V1:11.a5
CURRENT 31 60 DAYS 61 90 DAYS OVER 90 DAYS o D W U U UR
19.35 0.00 0.00 19.35 0 38.70
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
Rays Trash Service, Inc. Purchase Order No. NA
Drawer I Terms
Clayton, IN 46118 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/19/12 2661056 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
VOUCHER NO. WARRANT NO.
Rays Trash Service Inc. ALLOWED 20
Drawer I IN THE SUM OF
Clayton, IN 46118
19.35
F�-
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
DEPT.#
J VA7 2661056 4239099 $19.35
NA 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
30 -Jan 20 12
Total $19.35 Signature
Cost distribution ledger classification if Cit En
claim paid motor vehicle highway fund Title
R afv 9 Gay's T service, h7c.
Drawer I, Clayton, IN 46118
TRASH SERVICE, INC: Tel: (317) 539 -2024 1- 800 531 -6752 §U V
VO §CE
Fax: (317) 539 -5962
www. r.7yStrash. COM 0002656938
0 1
TO 2/1/2012
1111111 II III I1111I�Ilt IIIIIIIIII 111'111 IIIIIIIIIIIIIIIIIIII III n
CiCt o 042628
CARMEL COMMUNICATIONS 0000
31 1st Ave NW
Carmel IN 46032 -1715 1
Balance Forward 0.00
Payments 0.00
Adjustments 0.00
Invoices 0.00
CARMEL COMMUNICATIONS
31 1STAVE N/W CARMEL, IN
02/01/12 Service 1.00 48.00
2/l/2012-2/29/2012
02/01/12 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. O
I �UM 1S 51.60
CURRENT 31 60 DAYS 61 90 DAYS OVER 90 DAYS e 2W UNP
51.60 0 uv 0.00 0.00 0.00 e 51.60
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))
02/01/12 0002656938 $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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ray's Trash
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
Encumbered I hereby certify that the attached invoice(s), or
27696 I 0002656938 I 43- 509.00 I $51.60
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, January 25, 2012
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
R af 9 fty �r(ezh s5ery c e hinc�o
Drawer I, Clayton, IN 46118
TRASH SERVICE, INC. Tel: (317) 539 -2024 1- 800 531 -6752 �LI V
VOICE
ICE
Fax: (317) 539 -5962
www. raysmash. com 0002663063
0 1
TO: 0510 2/1/2012
gmum
�t�tt�t��n��tu�nt�t�tr��n�nt�t�t��n�nt�t�t�t��ttttu���
CARMEL WATER DEPARTMENT m 246454
upm 0000
3450 W 131 st St
Carmel IN 46074 -8267 24
Balance orwara u
Payments 0.00
Adjustments 0.00
Invoices 0.00
CARMEL WATER DEPARTMENT
3450 W 131ST ST CARMEL, IN
02/01/12 Service 1.00 76.00
2/1/2012-2/29/2012
02/01/12 Fuel Surcharge Commerical 1.00 5.70
CARMEL WATER TREATMENT
5484 E 126TH ST CARMEL, IN
02/01/12 Service 1.00 76.00
2/1/2012-2/29/2012
02/01/12 Fuel Surcharge Commerical 1.00 5.70
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. 1 63.40
CURRENT 31 60 DAYS 61 90 DAYS OVER 90 DAYS
163.40 0.00 0.00 0.00 0 [j uv 163.40
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, a
price per unit, etc.
Payee
00350479
RAY'S TRASH SERVICE Purchase Order No.
DRAWER I Terms
CLAYTON, IN 46118 Due Date 1/20/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/20/2012 2663063 $163.40
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
Date Officer
VOUCHER 113490 WARRANT ALLOWED
00350479 IN SUM OF
RAY'S TRASH SERVICE WATER
DRAWER I OPERAMNS
CLAYTON, IN 46118
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
2663063 01- 6360 -03 $81.70
2663063 01- 6360 -06 $81.70
Voucher Total $163.40
Cost distribution ledger classification if
claim paid under vehicle highway fund
R�9* 4 G�BY YZ 7'rBZh SSC�'IYV C�G OPT C
Drawer I, Clayton, IN 46118
TRASH SERVICE, INC. Tel: (317) 539 -2024 1- 800 531 -6752 �LI V �/j V OX
Fax: (317) 539 -5962
WWWI'aystrash.com 0002656936
TO:
0 1
�t�tr�r��n��nrrr��rrr�r�rr�r�r�r�r�rr�tr�rr���trrrr�r�r�rr�� L� 2/1/2012
M 042626
CITY OF CARMEL REM 0000
2 Civic Sq p�
Carmel IN 46032 -2584 1
Balance Forward 0.00
Payments 0.00
Adjustments 0.00
Invoices 0.00
CARMEL FIRE STATION #1
2 CIVIC SQUARE CARMEL, IN
02/01/12 Service 1.00 172.04
2/1/2012-2/29/2012
02/01/12 Fuel Surcharge Commerical 1.00 12.90
CARMEL FIRE STATION #2
3610 W 106TH ST CARMEL, IN
02/01/12 Service 1.00 52.50
2/1/2012-2/29/2012
02/01/12 Fuel Surcharge Commerical 1.00 3.94
CARMEL FIRE STATION #3
3243 E 106TH ST CARMEL, IN
02/01/12 Service 1.00 36.75
2/1/2012-2/29/2012
02/01/12 Fuel Surcharge Commerical 1.00 2.76
CARMEL FIRE STATION #4
5032 E MAIN ST CARMEL, IN
02/01/12 Service 1.00 36.75
2/1/2012-2/29/2012
02/01/12 Fuel Surcharge Commerical 1.00 2.76
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. ll
U@02 c �M UR 376.84
CURRENT 31 60 DAYS 61 90 DAYS OVER 90 DAYS o P& U VAR
376.84 0.00 0.00 0.00 W 1 376.84
Ra R(sy Trash SSc rvic (9 Deco
Drawer I, Clayton, IN 46118
TRASH SERVICE, INC.- Tel: (317) 539 -2024 1- 800 531 -6752 �n V V O (CE
Fax: (317) 539 -5962
www. raystraSI7.com 0002656936
0 2
TO: 2/1/2012
I 1I11It II nlltnt1l �11 �11'��I1I�II I�I��It�Ir�Illttttllt�llttll CC'f`u'L� 042626
CITY OF CARMEL l 0000
2 Civic Sq Gp�
Carmel IN 46032 -2584 1
CARMEL FIRE STATION #6
5
b4u vv I o I ri o i I.KrCtvlEL, liv
02/01/12 Service 1.00 52.50
2/l/2012-2/29/2012
02/01/12 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.
�1/�M �r Lf1(1(� 376.84
CURRENT 31 60 DAYS 61 90 DAYS OVER 90 DAYS o P JlJ l� tJ P
376.84 0.00 0.00 0.00 0 376.84
Tear off at this perforation Q and return bottom portion with your remittance please.
r „III 0002656936 Please Remit to: IIIIIII III IIII III I I I I III I I IIII
0 2 Guy's Trash Service, Ina o u Cry
pip 2/1/2012
q� 042626 Drawer 1, Clayton, IN 46118U
0000
q� CITY OF CARMEL'*
REMARKS This is your Invoice/ Due February 1, 2012
On -line Bill Pay 8 Paperless Billing Available:Go to WWW.RAYSTRASH.COM
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))
2656936 $376.84
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
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. ACCT #/TITLE AMOUNT Board Members
1120 I 2656936 I 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
JAN 3 0 2012
f. P
x
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund