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171922 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 362206 Page 1 of 1 ONE CIVIC SQUARE LEEMAN TOPSOIL CARMEL, INDIANA 46032 13023 STRAWTOWN AVENUE CHECK AMOUNT: $1,350.00 NOBLESVILLE IN 46060 CHECK NUMBER: 171922 CHECK DATE: 4/29/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION 2201 4462401 MARCH 09 1,350.00 LANDSCAPING r JOBINVOI z Leeman Topsoil 13023 Strawtown Ave: Noblesville, IN /f G 46080 (317) 984 -3017 (Otfloo) (317) 714 -M (Can) DATE ORDERED ORDER TAKEN BY TO PHONE NO. CUSTOMER ORDER ADDRESS JOB,LOGATION r: JOB PHONE STARTING DATE ATTENTION TERMS Z ✓ck MATERIAL jj o DESCRIPTION WOR o Z5 X S d r /v c,e r'zI/ ,C 72;S asf7 3 S� I rye c "r ,f/ 05 2z5 d� u lua,c sa• as a 5 02596 5 o's u INus z I az 'L;13 MISCELLANEOUS CHARGES LW 77 WORK ORDERED BY TOTAL LABOR DATE ORDERED TOTAL MATERIALS DATE COMPLETED --TOTAL MISCELLANEOUS `SUBTOTAL CUSTOMER APPROVAL SIGNATURE TAX AUTHORIZED SIGNATURE GRAND TOTAL JOB INVOICE MADE:IN Mtm(,.0 Prescribed by State Board of Accounts ,�Oity 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)) 04/14/09 March 09 $1,350.00 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. WARRANT N ALLOWED 20 Leeman Topsoil IN SUM OF 13023 Strawtown Avenue Noblesville, IN 46060 $1,350.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 March 09 2201 624.01 $1,350.00 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 1 l 1 i J We- Vesd ril 2 009 A' �eC�t�Cll'i'g1fS� Title Cost distribution ledger classification if claim paid motor vehicle highway fund