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HomeMy WebLinkAbout170079 03/18/2009 a CITY OF CARMEL, INDIANA VENDOR: 358593 Page 1 of 1 ONE CIVIC SQUARE REPUBLIC WASTE SERVICES OF INDIANA CARMEL, INDIANA 46032 PO BOX 9001824 CHECK AMOUNT: $3,081.39 LOUISVILLE KY 40290 -1824 CHECK NUMBER: 170079 CHECK DATE: 3/18/2009 DE PARTMENT ACCOUNT PO NU MBER I NVOICE NUMBER AMOUNT DESCRIPTION 1125 4350101 3236940 254.43 TRASH COLLECTION 1125 4350101 3236941 106.43 TRASH COLLECTION 1125 4350101 3241529 737.28 TRASH COLLECTION 1110 4350101 3245423 55.10 TRASH COLLECTION 601 5023990 3245424 113.44 OTHER EXPENSES 651 5023990 3245425 187.95 OTHER EXPENSES 651 5023990 3245426 395.31 OTHER EXPENSES 601 5023990 3251026 113.65 OTHER EXPENSES 651 5023990 3257923 1,117.80 OTHER EXPENSES 011204 -000001- 011249 2027050 2240ST011 3 Republic Services Of Indiana INVOICE 832 Av Langsdale g Am Indianapolis, e 46202 Invoice Date 02/17/2009 Invoice No 3236941 Account No 3056 11 0 63450 2 CARMEL CLAY PARK'S Service Period 1411 E 116TH ST Page No 1 of 2 CARMEL, IN 46032 Due Date 03/04/2009 Current Charges Total Amount Due X00 $1f06 43 „I. 43 FES2� Please Pay Total Amount Due Billing Questions? Call 317- 917 -7300 Republic riow offers on line blllpayrnent tour web=slte "www and ;waste.com Service Address: CARMEL CLAY PARK'S, 1411 E 116TH ST, CARMEL, IN 46032 `uAlt utSCRiPT uiy .QuANTIT'r RATc TOTAL" WORK ORDER 3233305 02/12/2009 30 YD OPEN DELIVERY 1.00 85.00 02/12/2009 FUEL /ENVIRONMENTAL FEE 1.00 21.43 Total Current Charges 106 43 1. -m. "F R�C. V FD Purchase MAR 0 2 2009 FEB 2 5 2009 Description P.O. PeIF Y: G.L. Budget Line Descr ACCOUNT STATUS y,. Current sY: 31.,6U£Da s 6.1.90,Da s, Oyer.:9U.Da "'s Totat Ainurtt Que Purchaser Date 106.43 0.00 0.00 0.00 106.43 Approval Date 2 3 /L /v S Did you know thatyou can pay your blll by phone. Just call'`our toll'free at 1 866 350 76 nd have your inuolce'and 2 method of "payment,handy It's a quick °antl easy way `to pay;yourtii l at your convenience) 4 y Please return the portion below with your payment. Do not attach check to stub. 4 y 002256- 000001 -002266 2027381 2240ST011 3 Republic Services Of Indiana INVOICE 832 Langsdale Ave Indianapolis, IN 46202 Invoice Date 02/24/2009 Invoice No 3241529 Account No 3056 11 0 63450 2 CARMEL CLAY PARK'S Service Period 1411 E 116TH ST Page No 1 of 2 CARMEL, IN 46032 Due Date 03/11/2009 Current Charges Total Amount Due $337.87 $444.30 Please Pay Total Amount Due Billing Questions? Call 317 917 -7300 Republic now offers on line bill payment tour web site www.indywaste.com Service Address: CARMEL CLAY PARK'S, 1411 E 116TH ST, CARMEL, IN 46032 DATE DESCRIPTION QUANTITY RATE TOTAL 0212012009 CHANGE \CANCEL SERV CRED 02119 02/19 WORK ORDER 3238288 02/19/2009 30 YD OPEN REMOVAL 1.00 175.00 02/19/2009 FUEL /ENVIRONMENTAL FEE 1.00 21.43 02/19/2009 DISPOSAL CHARGE 4.16 34.00 141.44 Total Current'=,Charg,es ===========>,337.87 NJ T- ACCOUNT STATUS MAR 0 2 2009 ,,,,,Current�W 31 =60 :Da s t 6�1�90�Da �Q'ver�90.�a s �T'otal =AmounfDue 3�, 444.30 0.00 1 0.00 1 0.00 444.30 Did you know that youxcan, pay your -bill by phone? Justcall.ourtoll free number at 1- 866'350 -7603 and have'your,invoice and method.of.payment handy. It ".;s a quick and easy:way to .pay yourbill at your,convenience! y Please return the portion below with your payment. Do not attach check to stub. 1, 011203 000001- 011248 2027050 2240ST011 3 Republic Services Of Indiana INVOICE 832 Langsdale Ave Indianapolis, IN 46202 Invoice Date 02/17/2009 Invoice No 3236940 Account No 3056 11 0 63318 2 CARMEL CLAY PARK'S Service Period 1411 E 116TH ST ��°i� Page No 1 of 2 CARMEL, IN 46032 Due Date 03/04/2009 Current Charges Total Amount Due Please Pay Total Amount Due Billing Questions? Call 317 917 -7300 Repubhc;now offers on: ^Ilne bil payment ati +,our -web site;www:i nd waste.com Service Address: CARMEL CLAY PARK'S, 3030 W 116TH ST, CARMEL, IN 46032 0►+T`E DESCRIPT;ICN `QUANT =ITr RATE TOTAL; 02/16/2009 CHANGE \CANCEL SERV CRED 02/12 02112 WORK ORDER 3233301 02/12/2009 30 YD OPEN REMOVAL 1.00 145.00 02/12/2009 FUEL /ENVIRONMENTAL FEE 1.00 21.43 02/12/2009 DISPOSAL CHARGE 2.75 32.00 88.00 �:i E To 254:43 tai Current Ch,ahges F `D Purchase FEB 2 5 2009 Descn on Nik! 0 2009 P.O.0 �t��? Po F G.1-49 1 3 I c) Budget ACCOUNT STATUS Line Descr ECurrent 1 31:6Q,Da" s j. ,.61;94 Da' °s .Oder 80.Da s, T tat Ariictunt D,ue. Purchaser Date 363.49 0.00 1 0.00 0.00 363.49 Approval e L�Z f (jy Did you know that you can pay your" bill by phone�;Just call our toll free number at 1 866 350 and have your Invoice and method of payment Bandy It's a quick and easy way to pay your blll.at "your convenience) 4 Please return the portion below with your payment. Do not attach check to stub. y y ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 358593 Republic Waste Services of Indiana Terms PO Box 9001824 Date Due Louisville, KY 40290 -1824 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/17/09 3236941 Delivery/Fuel fee for 30 YD roll off 106.43 2/17/09 3236940 Dum ster for Perelman property cleanup 254.43 2/24/09 3241529 Dum ster for Maint office cleanup 337.87 Total 698.73 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 1 20 Clerk- Treasurer Voucher No. Warrant No. 358593 Republic Waste Services of Indiana Allowed 20 PO Box 9001824 Louisville, KY 40290 -1824 In Sum of 698.73 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO# or INVOICE NO. ACCT AMOUNT Board Members Dept TITLE 1125 3236941 4350101 106.43 1 hereby certify that the attached invoice(s), or 1125 3236940 4350101 254.43 bill(s) is (are) true and correct and that the 1125 3241529 43501011 337.87 materials or services itemized thereon for which charge is made were ordered and received except 12 -Mar 2009 Signature 698.73 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 036317 -000001- 036461 2027693 2240ST011 3 Republic Services Of Indiana INVOICE 632 Langsdale Ave Indianapolis, IN 46202 Invoice Date 02/27/2009 e'b Invoice No 3251026 Account No 3056 11 0 57550 8 CARMEL UTILITIES Service Period MARCH 3450 W 131 ST ST Page No 1 of 2 WESTFIELD, IN 46074 Due Date 03/14/2009 Current Charges Total Amount Due 1 °13 65„ $227 61 Please Pay Total Amount Due Billing Questions? Call 317 917 -7300 Republic now off ers on !W b 11 payment tflur,webslte,wwwind'";wastecom Service Address: CARMEL UTILITIES, 3450 W 131ST ST, WESTFIELD, IN 46074 DATE DESCRJP d0N NII KAit :u Tu 02/27/2009 FUEL /ENVIRO FEE -COMM 9.00 02/27/2009 6YD FL SOLID WASTE P /U: 01 1.00 104.65 w t C h 11 Total Curren r 3 65: QE ACCOUNT STATUS C urrent� 31 -G0D,a s 61„ „9;O�Da s c Over, 9,0aa sT <ota[ Aiiioun #,>3tie 227.61 0.00 1 0.00 0.00 227.61 Did) know that you can pay your oily by pnone Just cali'�ui iol f��e, nurrbe -4t 1 BEt; 3FO 7603 and have your inuolce'and method of payment handy It's a quick and easy way to pay;your at your conveniences 4 4 Please return the portion below with your payment. Do not attach check to stub. 4 y 036316-000001 -036460 2027693 2240ST011 3 Republic Services Of Indiana INVOICE 832 Langsdale Ave .891 Indianapolis, IN 46202 Invoice Date 02/27/2009 Invoice No 3245424 Account No 3056 14 0 10952 1 CARMEL UTILITIES Service Period MARCH 3450 W 131 ST ST Page No 1 of 2 WESTFIELD, IN 46074 Due Date 03/14/2009 Current Charges Total Amount Due $113 ,44 $227, 20 Please Pay Total Amount Due Billing Questions? Call 317 917 -7300 Repubhcnow offers on hne bell payment t our web site,www.md waste Service Address: CARMEL UTILITIES, 5484 E 126TH ST, CARMEL, IN 46032 `DATE DESCRIPT1uN QUANTiTr RATE IuTi�L 02/27/2009 FUEL /ENVIRO FEE -COMM 8.98 02/27/2009 6YD FL SOLID WASTE P /U: 01 1.00 104.46 1 ren 44 s Tota Cur t Charges :113 ACCOUNT STATUS 227.20 0.00 1 0.00 0.00 227.20 Did you know that you can pay your bell by phoney Just tail our -toll freenulnber at 1 866 3FO 7603 and have your muo►ce and methotl of payment handy It's a quick easy way to pay yourblll your convemencel__ L J Please return the portion below with your payment. Do not attach check to stub. 41 y 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. O Payee 358593 REPUBLIC WASTE SERVICES OF INDIANA Purchase Order No. PO BOX 9001824 Terms LOUISVILLE, KY 40290 -1824 Due Date 3/10/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/10/2009 3245424 $113.44 U 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 Date Officer VOUCHER 091256 WARRANT ALLOWED 358593 IN SUM OF REPUBLIC WASTE SERVICES OF INDI PO BOX 9001824 LOUISVILLE, KY 40290 -1824 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 3245424 01- 6360 -03 $113.44 �a51CZ� �,I.�.�L�C(v II�•C�s Voucher Total �a 7 Cost distribution ledger classification if claim paid under vehicle highway fund 021886- 000001- 022269 2027779 2240ST011 3 Republic Services Of Indiana INVOICE 832 Langsdale Ave Indianapolis, IN 46202 Invoice Date 03/02/2009 Invoice No 3257923 Account No 3056 11 0 63292 8 CARMEL UTILITIES HHW Service Period FEBRUARY 760 3RD AVE SE SUITE 1 Page No 1 of 2 CARMEL, IN 46032 Due Date 03/17/2009 Current Charges Total Amount Due $1,117..80 $2102i 2 20 Please Pay Total Amount Due Billing Questions? Call 317 917 -7300 Republic! now offers on hne bill payment t our waste com Service Address: CARMEL UTILITIES HHW, 901 N RANGELINE RD, CARMEL, IN 46032 DATE DESCRIP7.IUN' r, QUANTITY. M RATE..,..' WORK ORDER 3226358 02/03/2009 30YD COMPARTMENTAL P &R 1.00 124.20 02/03/2009 NO DISPOSAL CHARGE 0.53 WORK ORDER 3227665 02/05/2009 30YD COMPARTMENTAL P &R 1.00 124.20 02/05/2009 NO DISPOSAL CHARGE 0.87 WORK ORDER 3229515 02/09/2009 30YD COMPARTMENTAL P &R 1.00 124.20 02/09/2009 NO DISPOSAL CHARGE 0.72 WORK ORDER 3231033 02/10/2009 30YD COMPARTMENTAL P &R 1.00 124.20 02/10/2009 NO DISPOSAL CHARGE 0.98 Continued.... ACCOUNT STATUS Current x,'M 31.-60 ©a ,sf, 61 =9,Q Qa "`s C%er 9Q Da s Cotat Amount Oue, 2,102.20 0.00 1 0.00 0.00 2,102.20 id you "k 1 6 350 76now that D you can pay your btll by phone? Just call our toll free', number at 8603 and have your mvolce and method of payment handy Itus a quick and easy way to pay your <bill at your convenlencel 4 4, Please return the portion below with your payment. Do not attach check to stub. 4 y CARMEL UTILITIES HHW 3056 11 0 63292 8 Page 2 of 2 DATE DESCRIPTION QUANT =ITY. RATE TOTAL WORK ORDER 3233280 02/12/2009 30YO COMPARTMENTAL P &R 1.00 124.20 02/12/2009 NO DISPOSAL CHARGE 1.04 WORK ORDER 3236126 0211812009 30YO COMPARTMENTAL P &R 1.00 124.20 02/18/2009 NO DISPOSAL CHARGE 1.14 WORK ORDER 3237622 02/19/2009 30YD COMPARTMENTAL P &R 1.00 124.20 02/19/2009 NO DISPOSAL CHARGE 0.75 WORK ORDER 3241003 02/24/2009 30YD COMPARTMENTAL P &R 1.00 124.20 02/24/2009 NO DISPOSAL CHARGE 1.04 WORK ORDER 3242364 0212612009 30YD COMPARTMENTAL P &R 1.00 124.20 02/26/2009 NO DISPOSAL CHARGE 1.50 Tot harges al 'Current 117 C 02426 &000001 024410 2027693 2240ST011 3 Republic Services Of Indiana INVOICE 832 Langsdale Ave Indianapolis, IN 46202 Invoice Date 02/27/2009 Invoice No 3245426 Account No 3056 14 0 10955 5 CARMEL UTILITIES Service Period MARCH 760 3RD AVENUE SW /SUITE 1 Page No 1 of 2 CARMEL, IN 46032 Due Date 03/14/2009 Current Charges Total Amount Due $395.31" $791721 Please Pay Total Amount Due Billing Questions? Call 317 917 -7300 epublic now offers on I►ne bill p�yrnent tour web site www.indyWaste com, Service Address: CARMEL UTILITIES, 9609 HAZELDALE PKWY, CARMEL, IN 46032 DESCRIP QUANTITY RATE TOTAL 02/27/2009 FUEL /ENVIRO FEE -COMM 31.30 02/27/2009 2YD FEL SOLID WASTE P /U: 02 10.00 364.01 aJ Current Tot Charges 395:31 ACCOUNT STATUS Gu'rrentl �'I 90:Da s... „C?ver s ,.7'otal:Ancaurit=t3ues 791.72 0.00 0.00 1 0.00 791.72 Did you know that you can "pay your by phone? Just call"our toll free number at 1, 866 -350 7603 and have your Invoice an method. of payment "handy. It`s a quicK and" easy vray to pay your bell at your convenience. l J J Please return the portion below with your payment. Do not attach check to stub. 4 y 024267 -000001- 024409 2027693 2240ST011 3 Republic Services Of Indiana INVOICE 832 Langsdale Ave Indianapolis, IN 46202 Invoice Date 02/27/2009 Invoice No 3245425 Account No 3056 14 0 10954 7 CARMEL UTILITIES Service Period MARCH 760 3RD AVENUE SW /SUITE 1 Page No 1 of 2 CARMEL, IN 46032 Due Date 03/14/2009 Current Charges Total Amount Due '$187.95 $376.42 Please Pay Total Amount Due Billing Questions? Call 317 917 -7300 Repti�lic now"offers "nndine bill'payment at:our wa ste:com Service Address: CARMEL UTILITIES, 901 N RANGELINE RD, CARMEL, IN 46032 DATE; uESCRIPTIUN QUANTITY ATE: TOTAL 02/27/2009 FUEL /ENVIRO FEE -COMM 14.88 02/27/2009 8YD FL SOLID WASTE P /U: 01 1.00 126.13 02/27/2009 2YD FEL SOLID WASTE P /U: 01 1.00 46.94 Total.Current Charges 187.95 ACCOUNT STATUS Gurrent����' ,31.:6t} Qa s E,61 ;9Q Da" s ,C3uer 90 Da s, Totat A�'►'iauntgllue,..� 376.42 0.00 0.00 0.00 376.42 Did you know that you can "pay your bill by phone? °Just call our tool free number at 1 -866 350'- 7603 "and have yourinvolce and 'LLL M of payment handy: It's,a quick and "easy way to pay .your bill at your conueniercel 4 Please return the portion below with your payment. Do not attach check to stub. y y 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 358593 REPUBLIC WASTE SERVICES OF INDIANA Purchase Order No. PO BOX 9001824 Terms LOUISVILLE, KY 40290 -1824 Due Date 3/10/2009 ,g Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/10/2009 3257923 $2,102.20 hereby certify that the attached invoice(s), or bill(s) is (are) true and orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Officer VOUCHER 095240 WARRANT ALLOWED 358593 IN SUM OF REPUBLIC WASTE SERVICES OF INDI PO BOX 9001824 LOUISVILLE, KY 40290 -1824 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 1, 2 /117. g0 3257923 01- 736H -08 3 0(.736 *2.05 a395.3( 3��{Sy2S -7 3611 .08 o O.ol �SY.3$ 1 ,73b Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund 024266-000001-02440112027693 2240ST011 3 Republic Services Of Indiana INVOICE 832 Langsdale Ave Invoice Date 02/27/2009 Indianapolis, IN 46202 Invoice No 3245423 Account No 3056 14 0 10950 5 CARMEL POLICE SHOOTING Service Period MARCH 3 CIVIC SQUARE Page No 1 of 2 C/O TERESA ANDERSON Due Date 03/14/2009 CARMEL, IN 46032 Current Charges Total Amount Due $55.1 Q $110:36:. Please Pay Total Amount Due Billing Questions? Call 317 917 -7300 Republic now off ers on Ilne bill payment auour, web site www nd waste coin; Service Address: CARMEL POLICE SHOOTING RA,.9605 HAZEL DELL PKWY, CARMEL, IN 46032 DATE DESCRIPTION QUANTITY RATE °TOTAL. 02/27/2009 FUEL /ENVIRO FEE -COMM 4.36 02/27/2009 2YD FEL SOLID WASTE P /U: 01 1.00 50.74 55 Total Current Charges i0' ACCOUNT STATUS .�.C.urrent; 'ffl31 6Q ©a"" "s. f ".,61 9Q s.. CJrer,.9Q,Da si Total.Ana urzt Que 110.36 0.00 0.00 0.00 110.36 Did you'know that you can.pay your,bill by'phone? Just;call our toll free number at 1 866 350 7603 antl have your invoice and.: method of payment handy It`s a „quick and easy way to pay your bill at your convenience! m J 4 Please return the portion below with your payment. Do not attach check to stub. 4 y 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 Republic Waste Services of Indiana Purchase Order No. P.O. Box 9001824 Terms Louisville, KY 40290 -1824 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 245423 monthly payment 55.10 Total 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 VOUCHER NO. WARRANT NO. ALLOWED 20 R epublic Services of Indiana IN SUM OF P.O. Box 9001824 Louisville, KY 40290 -1824 55.10 r' ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 3245423 501 -01 55.10 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 March 10 2009 Signature Assistant Chief of Polic Cost distribution ledger classification if Title claim paid motor vehicle highway fund 024265 000001- 024407 2027693 2240ST011 3 Republic Services Of Indiana INVOICE 832 Langsdale Ave Indianapolis, IN 46202 Invoice Date 02/27/2009 Invoice No 3245421 Account No 3056 14 0 10948 0 CARMEL CLAY PARK'S Service Period MARCH 1411 E 116TH ST Page No 1 of 2 CARMEL, IN 46032 Due Date 03/14/2009 RE IVED Current Charges Total Amount Due BAR ®S 209 3994 Please Pay Total Amount Due $Y: Billing Questions? Call 317 917 -7300 Rdpubhc now "offers orr line bill'paymeiit at our web site www.ind waste.com Service Address: CARMEL CLAY PARK'S, 1411 E 116TH ST, CARMEL, IN 46032 DATE; DESCRIPTION QUANTITY RATE TOTAL' 0212712009 FUEL /ENVIRO FEE -COMM 31.63 02/27/2009 8YD FL SOLID WASTE P /U: 02 2.00 367.78 Total'Current Charges 399.41i' ACCOUNT STATUS Current 31 6Q Da s> 81 9Q Qa s.., Over 9D "Da s Tota# Arriaunt>uEes; 799.92 0.00 0.00 0.00 799.92 Did you know that youcan payyour bill by phone? Just calf our toll free number at 1 -866 350- "7603 antl have "your invoice and method of payment handy" It'sa: quick and easy way to, pay your bill "at "your convenience) 4 y Please return the portion below with your pavment. Do not attach check to stub. y y ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 358593 Republic Waste Services of Indiana Terms PO Box 9001824 Date Due Louisville, KY 40290 -1824 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/27/09 3241529 Trash collection Adm Acct 3056140109480 399.41 Total rs 399.41 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 ,20_ Clerk- Treasurer Voucher No. Warrant No. 358593 Republic Waste Services of Indiana Allowed 20 PO Box 9001824 Louisville, KY 40290 -1824 In Sum of$ 399.41 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT AMOUNT Board Members Dept TITLE 1125 3241529 4350101 399.41 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 12 -Mar 2009 r Signature 399.41 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund