HomeMy WebLinkAbout175828 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
0 ONE CIVIC SQUARE NOBLESVILLE LANDFILL CHECK AMOUNT: $25.00
CARMEL, INDIANA 46032 1801 S 8TH STREET
NOBLESVILLE IN 46060 CHECK NUMBER: 175828
CHECK DATE: 8/6/2009
DEPAR TMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DE
2201 4350100 11272 25.00 BUILDING REPAIRS MA
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DATE INVOICE
07/15/2009 11272
TERMS
s
Due on receipt
BILL TO
Carmel Street Department
3400 W 131st Street
Westfield, IN 46074
Date
Product Ticket/Truck Number ,Quantity Rate Amount
07/08/2009 Road Kill:Deer 51053 1 25.00 25.00:
SUBTOTAE $25 00
TAX (7 $0.00
TOTAL $25.00
1801 S. 8 11 Street Noblesville, IN 46060
it 317 770 -8155 o Fax 317- 770 -8999
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®b Lan dfill ville 51053
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Phone:
Date:
JOB NAME:
Type of Truck
Pick up /small trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle 40 d dump box
Cl Tri axle I Other
CIRCLE ONE: e s te r
mp Fee Fill Dirt Other
Screee nd P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS IN:
OF LOADS OUT.
Driver's Signature
Truck
REMIT TO: R.E. FRASH
1801 S. 8t STREET
NOBL ESVIL�L E, IN 45 050
(317) 770-8155
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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))
07/15/09 11272 $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
V OUCHER NO. WARR NO.
ALLOWED 20
Noblesville Landfill
IN SUM OF
1801 S. 8th Street
Noblesville, IN 46060
$25.00
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ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 11272 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
Thu 30, 2009
Street Commisyo!Ybr
S Tur ,%r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund