171957 04/29/2009 „F CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
h ONE CIVIC SQUARE NOBLESVILLE LANDFILL CHECK AMOUNT: $25.00
s CARMEL, INDIANA 46032 1801 S 8TH STREET
NOBLESVILLE IN 46060 CHECK NUMBER: 171957
CHECK DATE: 4/2912009
DEP ARTMENT ACCO PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
"=`2201 4350100 10994 25.00 BUILDING REPAIRS MA
VC&I VdRe
�1.Il�1��Il�� �Il71C�
DATE''' ;'INVOICE
04/10/2009 10994
TERMS.
Due on receipt
BILL TO
Carmel Street Department
3400 W 131 st Street
Westfield, IN 46074
Date` Product Ticket/Truck_ Number Quantity` Rate Amount
04/02/2009 Road Kill:Deer 49448 TK 55 1 25.00 25.00
SUBTOTAL $25.00
TAX (7 $0.00
"TOTAL $25.00
1801 S. 8 Street Noblesville, IN 46060
317 770 -8155 Fax 317- 770 -8999
I �s VR 49448
andfi l In K" V
Phone:
Date: �l
JOE NAME:
Type of Truck
Pick up /small trailer Semi -dump
ing a a large trailer 20 yd dump box
andem axle 40 yd dump box
Tri axle Ck--
CIRCLE ONE: e
4 n Fill Dirt Other
cr
S Sand P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS IN:
OF LOADS OUT-
Driver's Si nature a Z�
Truck 5
REMIT TO: R.E. FRAS H
1301 S. 8th STREET
NOBLESVILLE, IN 4 5050
(3 1 7) 770-8155
Prescribed by State Board of Accounts City Form No. 2LJ(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))
04/10/09 10994 $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
VOUCN NO. WARRANT 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 10994 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
Wed,hWsdayN ril 22, 2009
X, L
i
Street Commissipror
i 11 7 1 I.; I J I
J Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund