178310 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
ONE CIVIC SQUARE NOBLESVILLE LANDFILL
CARMEL, INDIANA 46032 1601 S 8TH STREET CHECK AMOUNT: $25.00
NOBLESVILLE IN 46060 CHECK NUMBER: 178310
CHECK DATE: 10/14/2009
DEPARTMENT ACC P O NUM INVOICE N UMBER AMOUNT DESCRIPTION
2201 4350100 11527 25.00 BUILDING REPAIRS MA
rye
Nob2 VROHe
09/30/2009 11527
Due on receipt
BILL�TO k
Carmel Street Department
3400 W 131 st Street
Westfield, IN 46074
Date P�oduct�' ;�fTicket/T�uck Number fry Quantity Rates Amount.`
,u..
09/18%2 .....�r ,..r
009 k6ad Ki1l:Deer 52206 TK 56 1 25.00 l 25.00
SUBTOTAL $25.00
TAX (7 $0.00
1801 S. 8 Street Noblesville, IN 46060
317 770 -8155 Fax 317- 770 -8999
®b L an d fill vi lle 52206
Inc
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 U,-Other
CIRCLE ONE: e'p l'
m Fill Dirt Other
c e an P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS IN: f
1
OF LOADS OUT:
0
Driver's Signature %,K�,?��
Truck
REMIT TO: R.E. FR ASH
1801 S. 8th STREET
NOBLESVILL E, 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))
09/30/09 11527 $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 NO. WARRA NO.
ALLOWED 20
Noblesville Landfill
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 11527 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
Fla O r 09, 2009
Street Commiss4n4
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund