171013 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
ONE CIVIC SQUARE NOBLESVILLE LANDFILL CHECK AMOUNT: $75.00
CARMEL, INDIANA 46032 1801 S 8TH STREET
NOBLESVILLE IN 46060 CHECK NUMBER: 171013
CHECK DATE: 4116/2009
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMB A MOUNT DESCRIPTION
2201 4350100 10923 75.00 BUILDING REPAIRS MA
CIO
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'DATE
03/27/2009 10923
Due on receipt
BILL a� >a� "a=ar a� r�
Carmel Street Department
3400 W 131 st Street
Westfield, IN 46074
,,..Products
03/17/2009 Road Kill :Deer 49180 TK 60 1 25.00 25.00
03/19/2009 Road Kill:Deer 49230 1 25.00 25.00
03/23/2009 Road Kill:Deer 49281 TK 4 1 25.00 25.00
SUBTOTAL $75.00
TAX (7 $0.00
w
$75.90.
1801 S. 8th Street Noblesville, IN 46060
317- 770 -8155 Fax 317- 770 -8999
N b Li 49180
Phone:
Date: 3 a 17 0a l
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
Tri axle Other
CIRCLE O e-
mp Fee Fill Dirt Other
Screened Sand P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS IN: I
OF LOADS OUT
Driver's Si nature
REMIT TO; R.E. FRASH
1801 So 8th STREET
NOBLESVIL LE, ON 46060
(31 7) 770-8155
.N b esvi e 49230
andf ll Inc T h k o
c rrrte
Phone:
Date: 3 1 9
JOE NAME:
Type of Truck
Pick up /small trailer Semi -dump
Single axle /large trailer 20 yd dump box
0 Tandem axle 40 yd dump box
Tri axle theme
CIRCLE ONE: Pe-= il\
ump Fee Fill Dirt Other
Screened Sand P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS IN: I
OF LOADS OUT:
Driver's Signature
Truck
RENT TAO: R.E. FR ASH
1801 S. 8th STREET
NOBLESMLE, W 46060
(317) 770-8155
No'b esvl 49281
andll Inc Man)
C 0r,)A s4 -r p
Phone:
Date: 3 C�
JOB NAME:
Type o f Truck
Pick up /small trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle 40 yd dump box
Tri axle qLOther
CIRCLE ONE: ID
t mpFee Fill Dirt Other
eene and P- Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS IN: J
OF LOADS OUT:
Driver's Signature
Truck
RENT TO: R.E. FRASH
1301 S. 8t STREET
ST EET
NOBLEST LLE, O 46060
(31 7) 770-8155
r
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))
03/27/09 10923 $75.00
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
VOU NO. WARRANT NO.
ALLOWED 20
Noblesville Landfill
IN SUM OF
1801 S. 8th Street
Noblesville, IN 46060
$75.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. I ACCT /TITLE AMOUNT
Board Members
2201 10923 43- 501.00 $75.00 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/, April p9
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund