HomeMy WebLinkAbout173967 06/24/2009 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
�o, NOBLESVILLE IN 46060 CHECK NUMBER: 173967
CHECK DATE: 6/24/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 11199 25.00 BUILDING REPAIRS MA
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'DATE �INVOICE�#
06/15/2009 11199
Due on receipt
BILL'
Carmel Street Department
3400 W 131 st Street
Westfield, IN 46074
Date Product Ticket/Truck Number Quanfity Rate Amount
06/10/2009 Road Kill:Deer— 50470 TK 59 1 25.00 25.00
SUBTOTAL $25.00
TAX (7 $0.00
A, P
TOTAL
1801 S. 8 Street Noblesville, IN 46060
317- 770 -8155 Fax 317- 770 -8999
Nob t 'e �vIlfl �e 5 0 4 7 0
an dfill Inc
Cc( C M
Phone:
Date: 0 Q
JOE NAME:
Type Of Track
Pick up /small trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle 40 yd dump box
Tri axle U
CIRCLE ONE: 10 le �1
mp Fee Fill Dirt Other
Screene P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS IN: I
OF LOADS OUT
Driver's Si nature
Truck
REMIT TO: R.E. FRASH
1301 So 8th STREET
NOBLESVILLE, IN 46060
(31 7) 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))
06/15/09 11199 $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. WAR RANT N O.
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 11199 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
Thursday, }.Ji(ne 18 2005
Street �ommissi,oner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund