HomeMy WebLinkAbout214020 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
mot. ONE CIVIC SQUARE NOBLESVILLE LANDFILL
? 0 1 CHECK AMOUNT: $50.00
CARMEL, INDIANA 46032 1801 S 8TH STREET
NOBLESVILLE IN 46060 CHECK NUMBER: 214020
CHECK DATE: 10/2312012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 14989 50 . 00 BUILDING REPAIRS & MA
Nod em* k
70891
ez h � .._ p-4-
Phone:
Date:
JOB MARfil[E:
--z
• pick up/small trailer ❑ Semi-dump
• Single axle/large trailer ❑ 20 yd dump box
• Tandem axle ❑ 40 yd dump box
• Tri axle ❑ he
CIRCLE ONE:
Q7ump Fee Fill Dirt Other
Screened Sand B-Gravel C F
Top Soil,unpulverized Top Soil, pulverized
# OF LOADS ON:
# OF LOADS OUT
Driver's Slgon ton nre
Truck #
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1601 Se C4J h 3�'�3EE U
M CLESMOLLE9 M 46060
( 317) 770-8135
�®� 0 71005
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Phone:
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JOB NAME:
❑ Pick up/small tri iler ❑ Semi-dump
• Single axle/large trailer ❑ 20 yd dump box
• Tandem axle ❑ 0 d dump box
• Tri axle CJ her
CIRCLE ONE:
dump Fee Fill Dirt Other
Screened Sand I-Gravel C F
Top Soil,unpulverized Top Soil, pulverized
i
• OF LOADS ON I
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• OF LOADS QUT
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Ddyer's Signal;
Tuck
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1601 (�S. 11p/11L11 Il ST[U��l1EE7
HO Ll�c[ESMDI�7,l�'�f�y(p�9H X46060
Q317➢ U 0 0-8155
NobR!:VRflRe
andfi n Inc
Dated Invoice#
09/29/2012 14989
Teems.,
Due on receipt
Bill.To. „ ..
Carmel Street Department
3400 W 131 st Street
Carmel,IN 46074
Date, Product Ticket/Truck Number ,: Quantity Rate Amounts
09/04/2012 Road Kill:Deer 70891 TK 50 1 25.00 25.00
09/10/2012 Road Kill:Deer 71005 TK 50 1 25.00 25.00
SubTotal $50.00
Tax(7%) $0.00
Total ;,$50.00'
1801 S. 811 Street ® Noblesville, IN 46060
317-770-8155 o Fax 317-770-8999
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))
09/29/12 14989 $50.00
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
VOUCHER NO. WARRANT NO.
Noblesville Landfill ALLOWED 20
IN SUM OF $
1801 S. 8th Street
Noblesville, IN 46060
$50.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 14989 I 43-501.001 $50.00 I 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
f'(Thursday; October 18, 2012
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund