174989 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 362206 Page 1. of 1
ONE CIVIC SQUARE LEEMAN TOPSOIL
CARMEL, INDIANA 46032 13023 STRAWTOWN AVENUE CHECK AMOUNT: $225.00
NOBLESVILLE IN 46060 CHECK NUMBER: 174989
CHECK DATE: 7122/2009
DEPARTMENT ACCOUNT PO. NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4462401 2602 225.00 LANDSCAPING
JOB INVOICE
L9eman Topsoil
13023 Strawlown Ave.
Noblesville, tN
(31'11 98417
(317) 714.620 (Cell}
DATE ORDERED ORDER TAKEN BY
on
TO PHONE NO. CUSTOMER ORDER
,4DDRESS JOB LOCATION
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JOB PHONE;=
STARTING DATE
ATTENT{ON TERMS
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TOTAL LABOR
DATE ORDERED
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TOTAL MATERIALS
DATE COMPLETED
TOTAL MISCELLANEOUS
SUBTOTAL
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SIGNATURE TAX
'AUTHORIZED SIGNATURE GRAND TOTAL
s&nw NC2817 JOB INVOICE
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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))
07/13/09 2802 $225.00
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. W ARRANT NO.
ALLOWED 20
Leeman Topsoil
IN SUM OF
13 Strawtown Avenue
N6blesville, IN 46060
$225.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 2802 2201- 624.01 $225.00 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
c /Fp iday,/ 17, 2009
p
C F
Street Commissioner
a. z esi ts'si ii f ttcal�fi6r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund