HomeMy WebLinkAbout212957 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 366262 Page 1 of 1
ONE CIVIC SQUARE CHANCE FARMS CHECK AMOUNT: $3,802.50
CARMEL, INDIANA 46032 5420 E 675 N
LEBANON IN 46052 CHECK NUMBER: 212957
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 101 3 , 802 . 50 OTHER EXPENSES
Chance Farms Invoice No. 101
5420 E. 675 N.
Lebanon, IN 46052
INVOICE
Customer Misc
Name Carmel Waste Water Treatment Plant Date 9/4/2012
Address 9609 Hazel Dell Parkway Order No.
City Indianapolis State IN ZIP 46280 ( Rep
Phone (317)571-2636 Ext.210 clo Teresa Lewis _ FOB
Qty I Description I Unit Pricel TOTAL
900 IYards of Carmel Biosolids for the time period of 7/2/12-7/5/12 ( $ 3.25 $ 2,925.00
1$5.00/yard minus($1.75)/yard for Spreader Truck Rental=$3.25/yard f
I,
270 Yards of Carmel Biosolids for the time period of 7/19/12-8/7/12 $ 3.25 $ 877.50
$5.00/yard minus($1.75)/yard for Spreader Truck Rental=$3.25/yard
I
I �
SubTotal $ 3,802.50
Shipping
Payment Credit Tax Rate(s) P�
Comments TOTAL $ 3,802.50
Name
CC# Office Use Only
Expires
Thank You!
i
Insert Farewell Statement Here
VOUCHER # 125679 WARRANT # ALLOWED
T0682 IN SUM OF $
CHANCE FARMS
5420 E 675 N
Lebanon, IN 46052
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
101 01-7110-05 $3,802.50
Voucher Total $3,802.50
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 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
T0682
CHANCE FARMS Purchase Order No.
5420 E 675 N , Terms
Lebanon, IN 46052 Due Date 9/18/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/18/2012 101 $3,802.50
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