167666 01/07/2009 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
ONE CIVIC SQUARE NOBLESVILLE LANDFILL
y CARMEL, INDIANA 46032 1801 S 8TH STREET CHECK AMOUNT: $25.00
NOBLESVILLE IN 46060 CHECK NUMBER: 167666
CHECK DATE: 1/712009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMO UNT DESCRIPTION
2201 4350100 10736 25.00 BUILDING REPAIRS MA
Nab J oom'He
anQ fiH IMC
12/26/2008 10736
TERMS. w
nr
Due on receipt
Carmel Street Department
3400 W 131 st Street
Westfield, [N 46074
Product r umber Quantity Rate' Amount
Date Ti 'ket/Truck, tVumb'
12/1812008 Road KiH:Deer 48733 T 1 25.00- _25.00
SUBTOTAL $25.00
TAX (7 $0.00
TOTAL
1801 S. 8 Street o Noblesville, IN 46060
317- 770 -8155 Fax 317 -770 -8999
Nob esville 48733
Liandfill In h.0 r.;
c rrY e l 5 4 r rc a
Phone:
Date: l2. OE5
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
C3 Tri axle LC)ther
CIRCLE ONE: 0 e—e r
mp 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 r�,es� Z 35'
Truck h 1
REMIT TO: R.E. fFRASH
1 301 S. 8 th STREET
NOBLESVILLIE, ON 45050
(31 7) 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.
r
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/26/08 10736 $25.00
l
h
I
I
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with lC 5- 11- 10 -1.6
,20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Noblesville Landfill
IN SUM OF
1801 S. 8th Street
Noblesville, IN 46060
$25.00
t
ON ACCOUNT OF APPRO A ON FOR
Carmel Street De artment
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member
2201 10736 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
,Wednesday, Dec, mber 31, 2008
s a
1 114
"``Street Co mi s' er
S r „Title iOrl @P
Cost distribution ledger classification if
claim paid motor vehicle highway fund