179831 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 363116 Page 1 of 1
ONE CIVIC SQUARE ROCK TRANSPORT CHECK AMOUNT: $57.04
CARMEL, INDIANA 46032 10101 N GRAY ROAD
INDIANAPOLIS IN 46280 CHECK NUMBER: 179831
CHECK DATE: 11/24/2009
DEPARTM ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4236000 2392 57.04 GRAVEL
Rock Transport Invoice Date: 13- Nov -09
Remit To: 10101 North Gray Road INVOICE 2392
Indianapolis, IN 46280
JOB BROOKSHIRE GOLF
Sold To:
JOB NAME: CARMELFEST
BROOKSHIRE
BROOKSHIRE GOLF CLUB /CITY OF CA JOB TYPE: TONNAGE
PO
12120 BROOKSHIRE PKWY
CARMEL, IN 46033 WEEK ENDING: 11/7/2009
TONNAGE INVOICE
DATE EMP/TRK# TICKET TONS RATE FSC TONS FSC RATE TOTAL
11/5/2009 010:NA 6110534 20.74 5 2.75 0.00 $0.00 57.04
TOTAL FOR 11/5/2009 20.74 0.00 $57.04
TOTAL TONS: 20.74 0.00
OF TICKETS
PLEASE PAY THIS AMOUNT: FTOTAL CUSTOMER INVOICE: $57.04
NET DUE UPON RECEIPT: 1 1/2% ON PAST DUE INVOICES AFTER 30 DAYS
Any questions in regard to this invoice, please call (3 17) 846 -5100
Thank You We Appreciate Your Business!
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
cic Ste? Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
ll d y j 5'u
Total`7, Q
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
IN SUM OF
1d U/ ZIC72 �XIV-w 9—JW
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
p -cD p tl 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
20 02
Signature
Cost distribution ledger classification if Titl
claim paid motor vehicle highway fund