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212354 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 00350479 Page 1 of 1 ONE CIVIC SQUARE RAY'S TRASH SERVICE INC CARMEL, INDIANA 46032 DRAWER I CHECK AMOUNT: $166.44 'c oazo, CLAYTON IN 46118 CHECK NUMBER: 212354 CHECK DATE: 8/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 2917748 166 . 44 CONT SERVICES OTHER (o f4 Ray-'z Trash servoc ey Dnco Drawer I, Clayton, IN 46118 /j�Q TRASH SERVICE, INC. Tel: (317) 539-2024 1-800-531-6752 �U�V VOX E Fax: (317) 539-5962 www.I'aystraSI7.com 0002917748 � 1 To: 0 Rau 09/01/2012 ,1 .G 246454 CARMEL WATER DEPARTMENT gu-@q6 0000 3450 W 131 st St Carmel IN 46074-8267 25 Balance Forward 0.00 -- Payments 0.00 --- Adjustments 0.00 Invoices 0.00 CARMEL WATER DEPARTMENT 3450 W 131ST ST CARMEL, IN 09/01/12 Service 1.00 76.00 09/01/2012-09/30/2012 09/01/12 Fuel Surcharge Commerical 1.00 7.22 CARMEL WATER TREATMENT 5484 E 126TH ST CARMEL, IN 09/01/12 Service 1.00 76.00 09/01/2012-09/30/2012 09/01/12 Fuel Surcharge Commerical 1.00 7.22 per month late charge on balances over 60 days from date of invoice. ,sure proper credit,please include account number on your check and 1e the bottom portion of this invoice. l�J 1r�ry 1 66.44 U UU1J L4T.1 Vl:.1J`u'I5 CURRENT 31-60 DAYS 61-90 DAYS OVER 90 DAYS P'LTRM POW 7NP 166,44 0.00 0.00 0.00 0 166.44 N AM 10 WIN f 4 a 1 t �6, 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 00350479 RAY'S TRASH SERVICE Purchase Order No. DRAWER I Terms CLAYTON, IN 46118 Due Date 8/17/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/17/2012 2917748 $166.44 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 /�/, c _ Date Officer VOUCHER # 121844 WARRANT # ALLOWED 00350479 IN SUM OF $ RAY'S TRASH SERVICE DRAWER I CLAYTON, IN 46118 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code II 1 2917748 01-6360-03 $83.22 2917748 01-6360-06 $83.22 I i I Voucher Total $166.44 Cost distribution ledger classification if claim paid under vehicle highway fund