HomeMy WebLinkAbout211884 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
ONE CIVIC SQUARE NOBLESVILLE LANDFILL
CARMEL, INDIANA 46032 1801 S 8TH STREET CHECK AMOUNT: $25.00
� ? NOBLESVILLEIN 46060
CHECK NUMBER: 211884
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 69562 25 . 00 BUILDING REPAIRS & MA
No VIORRe
bi and fin Inc
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07/31/2012 14771
Due on receipt
Bil
Carmel Street Department
3400 W 131st Street
Carmel,IN 46074
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07/03/2012 "Road Kill:Deer 69562 TK T-60 1 25.00 25.00
SubTotal $25.00
Tax(7%) $0.00
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1801 S. 8 1h Street ® Noblesville, IN 46060
317-770-8155 o Fax 317-770-8999
Nab emofle 69562
Phone:
Date.
JOB NAME:
❑ Pick up/small trailer ❑ Semi-dump
gle axle arge trailer ❑ 20 yd dump box
• Tandem axle ❑ 40 yd dump box
• Tri axle Other
CIRCLE ONE:
CT m Pill Dirt Other
Screened Sand P-Gravel C F
Top Soil,unpulverized Top Soil, pulverized
# OF LOADS ft J
# OF LOADS OUT
Driver's S6gnaiturs
Tra�r�Cs# � 1F—e l,— `_y T—=
REPA9 ' TO: R.E. GAG ASH
1601 Se th STREET
HOL3LaC��gS�7G DILL E, 9H 46060
Q� Il 0➢ U !1®°�II��
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 69562 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
l� e Thursday, ust 09, 2012
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))
07/03/12 69562 $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