HomeMy WebLinkAbout169551 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
ONE CIVIC SQUARE NOBLESVILLE LANDFILL
0 CARMEL, INDIANA 46032 1801 S 8TH STREET CHECK AMOUNT: $100.00
NOBLESVILLE IN 46060
«o o CHECK NUMBER: 169551
CHECK DATE: 3/412009
DE PARTMENT AC COUNT PO N UMBER IN NUMBER AMOUNT DE
2201 4350100 10805 100,00 BUILDING REPAIRS MA.
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°DATE `,INUOIC.E
02/13/2009 10805
TERMS,
f Due on receipt
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Carmel Street Department
3400 W 131 st Street
Westfield, IN 46074
Date 'Product `:T�cket/Zruek Number Quantity Rate`�, Amount
01/10/2004 Roar! Kill:Deer 48914 TK 14 1 25.00 25.00
02/02/2009 Road Ki11:Deer 48888 1 25.00 25.00
02111/2009 Road Kill:Deer 48921 TK 56 1 25.00 25.00
02/13/2009 Road Kill:Deer 48935 TK 50 1 25.00 25.00
SUBTOTAL $100.00
TAX (7 $0.00
TOTAL $T00.00.
1801 S. 8 Street Noblesville, IN 46060
317- 770 -8155 Fax 317- 770 -8999
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No 48888
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Phone:
Date: 2 2 0 -1
JOB NAME:
Type of Truck
Pick up /small trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle 40 yd dump box
Tri axle
CIRCLE ONE:
Fill Dirt Other
Screened Sand P- Gravel C F
Top Soil, un'pulverized Top Soil, pulverized
OF LOADS IN:
OF LOADS OUT
Driver's Signature Q
Truck
REMIT TO: R.E. FRASH
1301 S. 84h STREET
NOl3LESVILl LE, ON 45 050
(31 7) 770
Nob esvi e 48914
andfi *U In
C �t r tvt e l S 4 V. e '1
Phone:
Date: 2
.90E NAME:
Type ®f Truck
Pick up /small trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle 40 yd dump box
Tri axle
her
CIRCLE ONE: ,O-e e o
Dump Fee Fill Dirt Other
Screened Sand� P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS IN: I.
OF LOADS OUT
Driver's Signature
Truck
REMIT TO: R.E. FRASH
1801 S. Oth STRE
NOBLESVILLE, IN 45050
(31 7) 770 -8155
Nob esvi e 48921
andfifl In lu'e-4
c nrw),e L
,2' t
Phone:
Date:
w
JOB NAME:
Type ®f Truc k
Pick up /small trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle 40 yd dump box
Tri axle er
CIRCLE ONE: ,e
Fill Dirt Other
Screened Sand P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS IN:
OF LOADS OJT
Driver's v mature
Truck -6
REMIT TO: R.E. BRASH
1801 S. 8t STREET
NOB LeESVI LLE, IN 46060
(31 7) 770-8155
NOb Landfill ville 48935
Inc
Phone:
Date:
JOB NAME:
Type of Truck
Pick up /small trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle 1=5
mp box
Tri axle
CIRCLE ONE: 0 P_ e
p Fee_ Fill Dirt Other
eened Sand P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS IN: i
OF LOADS OUT-
Driver's Signature
Truck
REMIT TO: R.E. FRASH
1801 S. 8th STREET
NOBLESVILLE, IN 46060
(317) 770 -8155
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))
02/13/09 10805 $100.00
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
V NO. WARRAN NO.
ALLOWED 20
Noblesville Landfill
IN SUM OF
1801 S. 8th Street
Noblesville, IN 46060
$100.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 10805 43- 501.00 $100.00 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
J Frida FebrUa f 27, 2009
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund