HomeMy WebLinkAbout179781 11/24/2009 a�. CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
ONE CIVIC SQUARE NOBLESVILLE LANDFILL CHECK AMOUNT: $25.00
CARMEL, INDIANA 46032 1801 S 8TH STREET
NOBLESVILLE IN 46060 CHECK NUMBER: 179781
CHECK DATE: 11124/2009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 11703 25.00 BUILDING REPAIRS MA
i
11/13/2009 11703
x V,,,TERMS
Due on receipt
BILL T'O
Carmel Street Department
3400 W 131 st Street
Westfield, IN 46074
Date Product;Ticket/T�uck Number A �Quantity `Rate
11 12/2009 Road Kill 53115 TK 15 1 25.00 25.00
SUBTOTAL $25.00
TAX (7 $0.00
��z. �x� .sus
1801 S.8 1h Street 0 Noblesville, IN 46060
317- 770 -8155 o Fax 317- 770 -8999
fA m.
N esvi 53115
an fll Inc
C� r I
Phone:
Date:
JOE NAME: r�l I �t r
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 Other
CIRC
Dump Fee Fill Dirt Other
Scr Sand P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS IN: I
OF LOADS OUT:
Driver's Signature
Truck C
REMIT TO: R.E. FRASH
1 801 Se 3 p t h STREET
NOBL�ESVILLE, IN 46060
(317) 770 -3155
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
.J
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))
11/13/09 11703 $25.00
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.N WARRANT NO.
Noblesville Landfill ALLOWED 20
IN SUM OF
1801 S. 8th Street
Noblesville, IN 46060
$25.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 11703 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
fi Thursday, Nmibmber 19, 2005
Street Commissioner
f
Street GorTit1'ssioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund