HomeMy WebLinkAbout180199 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
ONE CIVIC SQUARE NOBLESVILLE LANDFILL CHECK AMOUNT: $100.00
�a CARMEL, INDIANA 46032 1801 S 8TH STREET
NOBLESVILLE IN 46060 CHECK NUMBER: 180199
CHECK DATE: 12/8/2009
DEPARTMEh'kT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 11720 100.00 BUILDING REPAIRS MA
i'
N 0 1 VRO He
an11dtfi n RIMC
DATE INVOICE
11/30/2009 11720
Due on receipt
H
Carmel Street Department
3400 W 131 st Street
Westfield, IN 46074
Date Product d Ttcket%Truck Number 'M a Quanfity Rate v Amount
1 1/16/2009 Road Kill:Deer 53151 TK 56 1 25.00 25.00
11/16/2009 Road Kill:Deer 53154 1 25.00 25.00
11/18/2009 Road Kill:Deer 53190 TK 58 1 25.00 25.00
11/25/2009 Road Kill:Deer 53347 1 25.00 25.00
SUBTOTAL $100.00
TAX (7 $0.00
x TOTAL' $100:Ob
1801 S.8 1h Street Noblesville, IN 46060
317 770 -8155 Fax 317 770 -8999
No b l esvi lle 53151
andfi Inc
pEC 200
Phone:
Date:
JOB NAME: At f
Type ®f Truck
/`a Pick up all trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle 40 yd dump box
Tri axle Other
CI LE
Dump 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
True S
REMIT TO: R.E. FRASH
1301 Se 8th STREET
NOBL ESVILLE, IN 45050
(31 7) 770-8155
AA
No'b esville 53154
an fill Inc
LArA,i
Phone:
n Date:
JOB NAME:
Type ®f Truck
X6Pick up mall trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle 40 yd dump box
Tri axle Other
CIRCLE ONE:
Dump 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
Tru
REMIT TO: R.E. FR ASH
1801 S. 8th STREET
NOBLESVILLE, IN 46060
(3 1 7) 770-8155
Lle
'Landfill ville 53190
Inc
Phone:
Date:
JOB NAME: h let r_
Type of Truck
AC is /small trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle 40 yd dump box
Tri axle Other
C E:
um Fill Dirt Other
Screened Sand P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS IN: I
OF LOADS OJT
Driver's Signature
RENT TO: R.E. FRASH
1801 S. 8th STREET
NOBLEWLLE, N 46060
(317) 770-8155
N ®b Landfill ville 53347
Inc
Phone:
Date:
JOB NAME: ti'
Type of Truck
Pick up/small trailer Semi -dump
S /large trailer 20 yd dump box
Tandem axle 40 yd dump box
Tri axle Other
CIRCL E:
�umpF6e Fill Dirt Other
Screened Sand P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOAD IN:
OF LOADS OUT:
Driver's Sig nature 2
Truck g
REND' TO: R.E. FRASH
1801 S. 8th STREET
NOBLESVILLE, IN 45 050
(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))
11/30/09 11720 $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
VOUCHER NO. WARRANT 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 Member,
2201 11720 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
Friday; Dece�r�iber 04, 2009
Street- QommissL e
r t IIJJI
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund