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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 # �I7}5����}y��yy��1 11111SnMff TO:{}�}HS�.E. FU(�U(TV`Q�7J11 LL 1601 Se C4J h 3�'�3EE U M CLESMOLLE9 M 46060 ( 317) 770-8135 �®� 0 71005 �_-nej_S'_AmE_4 Dnp�f Phone: ®ate:_q_�� I 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 I • OF LOADS QUT I Ddyer's Signal; Tuck U UE UU 7 TO: R.E. Il Il UAS U [�� 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