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213154 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 00350479 Page 1 of 1 0 ONE CIVIC SQUARE RAY'S TRASH SERVICE INC CARMEL, INDIANA 46032 DRAWER I CHECK AMOUNT: $338.63 CLAYTON IN 46118 CHECK NUMBER: 213154 CHECK DATE: 9/25/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 2955182 338 . 63 OTHER EXPENSES 4 Guy-s Trash servkey h7co Raf Drawer I, Clayton, IN 46118 �/��/�O O TRASH SERVICE, INC. Tel: (317) 539-2024 1-800-531-6752 �LI V VX E Fax: (317) 539-5962 www.rayStrash.COM 0002955182 TO: 0 1 �t�ti�t��tt��rn�ttr�r l�tr��tt�nt���r��n�tir�t���t��rtt�tt��� C�51II 10/01/2012 246454 CARMEL WATER DEPARTMENT min 0000 3450 W 131 st St i Carmel IN 46074-8267 25 @MTM Grip ■. ■ WIRNM ■u Balance Forward 166.44 Payments 166.44 Adjustments 0.00 Invoices 0.00 CARMEL WATER DEPARTMENT 3450 W 131ST ST CARMEL, IN 10/01/12 Service 1.00 76.00 10/01/2012-10/31/2012 10/01/12 Fuel Surcharge Commerical 1.00 7.98 CARMEL WATER TREATMENT 5484 E 126TH ST CARMEL, IN 10/01/12 Service 1.00 76.00 10/01/2012-10/31/2012 10/01/12 Fuel Surcharge Commerical �2j 1.00 7.98 CARMEL WATER TREATMENT PLANT#1 4915 E 106TH ST CARMEL, IN (^J 10/01/12 Service ( n_ `p 2.03 154.45 08/31/2012-10/31/2012 10/01/12 Fuel Surcharge Commerical r✓ 1.00 16.22 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 include the bottom portion of this invoice. UCH 338.63 CURRENT 31-60 DAYS 81-9l)DAYS OVER 90 DAYS o s U WLIC.J° 338.63 0.00 0.00 0.00 338.63 AN law 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 9/19/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/19/2012 2955182 $338.63 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 VOUCHER # 122186 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 2955182 01-6360-03 $254.65 2955182 01-6360-06 $83.98 i i Voucher Total $338.63 Cost distribution ledger classification if claim paid under vehicle highway fund