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212749 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 00350479 Page 1 of 1 ONE CIVIC SQUARE RAY'S TRASH SERVICE INC CHECK AMOUNT: $350.00 CARMEL, INDIANA 46032 DRAWER I CLAYTON IN 46118 CHECK NUMBER: 212749 CHECK DATE: 9/12/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 2943368 350 . 00 6360 . 02 ' Ray's Trash Service, Inc. Drawer I, Clayton, IN 46118 TRASH SERVICE, INC. Tel: (317) 539-2024 1-800-531-6752 INVOICE Fax: (317) 539-5962 www.raystrash.com ' 0002943368 TO: i CARMEL WATER DEPARTMENT Aug-25-12 3450 W 131 ST ST 261970 CARMEL,IN 46074 0 .. Balance forward : $0.00 _$0.00. -- Adjustments: $0.00 Invoices : $0.00 (0001) `` CARMEL WATER DEPARTMENT 10909 N GRAY RD, CARMEL IN t Sery#001 Roll Off(Open Top)20.00 17 Aug ! Final Pull-`;', I ALFO^RD 1.00 $340.00 WO#: 1091656 17-Aug Trip-Fuel Surcharge SC2420030 $10.00 4 1.5%per month late charge on balances over 60 days from date of invoice. To ensure proper credit,please include account number on your check and e include the bottom portion of this invoice. $350.00 e CURRENT 31-60 DAYS 61-90 DAYS OVER 90 DAYS A • $350.00 $0.00 $ $0.00 • $350.00 VOUCHER # 122042 WARRANT # ALLOWED 00350479 IN SUM OF $ RAY'S TRASH SERVICE { DRAWER I CLAYTON, IN 46118 Carmel Water Utility i ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 2943368 01-6360-02 $350.00 Voucher Total $350.00 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No.201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMIEL 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 9/4/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/4/2012 2943368 $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 Date Officer