HomeMy WebLinkAbout179345 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
ONE CIVIC SQUARE NOBLESVILLE LANDFILL CHECK AMOUNT: $50.00
CARMEL, INDIANA 46032 1801 S 8TH STREET
«N NOBLESVILLE IN 46060 CHECK NUMBER: 179345
CHECK DATE: 11111/2009
V PARTMENT ACCOUNT PO NUMBER I NUMBER AMOUNT DESCRIPTION
2201 4350100 11632 50.00 BUILDING REPAIRS MA
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andffi J1IC c
`DATE, :INVOICE
10/30/2009 11632
TERMS
Due on receipt
BILL T E91
Carmel Street Department
3400 W 131 st Street
Westfield, IN 46074
Date Product Ticket/Truck Number Quantityr Rate Amount
10/22/2009 Road Kill:Deer 52821 TK 55 1 25.00 25.00
10/22/2009 Road Kill 52815TK 16 1 25.00 25.00
SUBTOTAL $50.00
TAX (7 $0.00
TOTAL `$50.00
1801 S.8 1h Street o Noblesville, IN 46060
317- 770 -8155 Fax 317- 770 -8999
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Phone:
Date:
JOE 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 ether
CIRCLE ONE:
Du Fee Fill Dirt Other
Screened Sand P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS IN:
OF LOADS OUT:
Driver Signature
Truck C 7
REMIT TO: R.E. FRASH
1301 S. 8 p t STREET
NOBLESVILLE, IN 45 050
(3 1 7) 770-8155
No h andfifl vi e 52815
Inc a
rm
Phone:
Date: �a o
JOE NAME:
Type of Truck
Pick up /small trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle 40 yda dump box
Tri axle Other ewe,
CIRCLE O
Dump e Fill Dirt Other
Screened Sand P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS IN:
OF LOADS OUT:
Driver's Signature "eu
Truck l 42
REMIT TO: R.E. FRASH
1 801 Se 8th STREET
NOBLESVILLLE, IN 45050
(317) 770 -8155
Prescribed by State Board of Accounts City For,,n 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))
10/30/09 11632 $50.00
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
VOUCHE WAR RANT N
ALLOWED 20
Noblesville Landfill
IN SUM OF
1801 S. 8th Street
Noblesville, IN 46060
$50.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 11632 43- 501.00 $50.00 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
hursday, 05, 2009 ,y
Street Commissioner
SLICCL tiytl itle JSI117 IUII 1
T
Cost distribution ledger classification if
claim paid motor vehicle highway fund