180513 12/16/2009 CITY OF CARMEL, INDIANA VENDOR: 00350479 Page 1 of 1
0 ONE CIVIC SQUARE RAY'S TRASH SERVICE INC
CARMEL, INDIANA 46032 DRAWER I CHECK AMOUNT: $185.00
CLAYTON IN 46118
CHECK NUMBER: 180513
CHECK DATE: 12/16/2009
DEPARTMENT ACCOUNT PO NUMBER INV OICE NUMBER AMOUNT DE
1207 4350101 0001793217 185.00 TRASH COLLECTION
Ray's Trash Service, Inc.
Drawer 1, Clayton, IN 46118
TRASH SERVICE, INC. Tel: (317) 539 -2024 1- 800 531 -6752 IN VOICE
Fax: (317) 539 -5962
www.raystrash.com
0001793217
TO: 1
CITY OF CARMEL /DBA BROOKSHIRE GOLF COURS Dec -05 -09
12120 BROOKSHIRE PKWY 181660
CARMEL, IN 46032 0
DESCRIPTION
Balance forward,. $370.00
Payments: $185-00,
Adjustments $0.00
Invoices
'r
(0001)
BROOKSHIRE GOLF COURSE
12120 BROOKSHIRE PKWY, CARMEL IN
Sefv #001 Roll Off (Open Top) 10.00 4
r
24 Nov Haul Fill B HIGGINS 1:00 $135.00.
W 61063
24 Nov Disposal (YD Solid "Fill) •GC- 02097695 10.00 YD $50.00
I
f
1.5% per month late charge on balances over 60 days from date of invoice.
To ensure proper credit, please include account number on your check and
include the bottom portion of this invoice. $185,00
CURRENT t 31- 60 DAYS 61 90 DAYS OVER 90 DAYS'.:. P THIS
$370.00 $0.00 $0:00 $0.00 AMOUNT$370.00
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
i
ya, f Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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. WARRANT NO.
1
ALLOWED 20
IN SUM OF
/Jos,
ON ACCOUNT OF APPRQPRIATION FOR
s
Board Members
I
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
o f -c31 /1Q 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
:iffier 20
Si nature
&,n L
Cost distribution ledger classification if T le
claim paid motor vehicle highway fund