HomeMy WebLinkAbout173477 06/10/2009 w 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: 173477
CHECK DATE: 6110/2009
DEPART ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTIO
2201 4350100 11122 25.00 BUILDING REPAIRS MA
No w
!andffl kc
E77
05/29/2009 11122
Due on receipt
BILL TO
Carmel Street Department
3400 W 131 st Street
Westfield, IN 46074
Da
an jt�.j
U
P roduc t -TickeiiTruck A mou n t
1 25.00 25.00
6�5/2/200�9 �R6adKill 50080 TK 56
SUBTOTAL $25.00
TAX (7 $0.00
TOTAL
1801 S. 8 Street Noblesville, IN 46060
317-770-8155 Fax 317-770-8999
o �r andfill wills 50080
Inc
C c i n n i
Phone:
Date:
JOB NAME:
fte of Truck
Pick up /small trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle d dump box
Tri axle C►� er
CIRCLE ONE:
ump Fee Fill Dirt Other
Screened a P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS IN:
OF LOADS OUT
Driver's Signature
Truck 5-(.,
X RENT
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))
05/29/09 11122 $25.00
r
I 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
VO NO. WARR 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 Member
2201 11122 43- 501.00 $25.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
ti
materials or services itemized thereon for
which charge is made were ordered and
received except
r w�/ ridgy une, 200
UIVV 1 V! A�, f�
7
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rp V
�Sfreet Corrr±ssioV
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund