HomeMy WebLinkAbout209281 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
e ONE CIVIC SQUARE NOBLESVILLE LANDFILL CHECK AMOUNT: $25.00
CARMEL, INDIANA 46032 1801 S 8TH STREET
NOBLESVILLE IN 46060 CHECK NUMBER: 209281
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 14363 25.00 BUILDING REPAIRS MA
Nob]l 7 vRone
andfin ffimc
;Date Invoice.
04/30/2012 14363
��Terms
Due on receipt
'Fa'"`� r 4r
Carmel Street Department
3400 W 131 st Street
Carmel, IN 46074
`R�- F-
Date rProduct TicketlTruck s 1 Quartity Rate dAmountx
04/09/2012 Road Kill:Deer 67642 1 w 25.00 25.00
SubTotal $25.00
Tax (7 $0.00
w
b #Total
1801 S. 8 Street o Noblesville, IN 46060
317- 770 -8155 Fax 317- 770 -8999
Nub esvifle 67642
e S Tee
Phone:
Date:
JOB NAME:
c9 n 1TrrUC
Cl Fick up /small trailer Semi -dump
Single axle /large trailer 20 yd dump box
Tandem axle 40 yd dump box
Tri axle Xf Other
CIRCLE ONE:
u�Fe Fil l Dirt Other
Screened Sand P-Gravel C F
Top Soil, unpulverized Top Soil, pulverized
OF LOADS ill:
OF LOADS OUT
Driver's o rr
Truck
REIN M TO:
1�{}Il R. E. U �IR�AS U
MOBL SMPLLE, 0H 46060
Q317) 770 =6166
VOUCHER NO. WARRANT NO.
ALLOWED 20
Noblesville Landfill
IN SUM OF
1801 S. 8th Street
Noblesville, IN 46060
$25.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 I 14363 I 43- 501.001 $25.00 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
Al
Tur 2012
d�
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
04/30/12 14363 $25.00
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