214100 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 366611 Page 1 of 1
ONE CIVIC SQUARE TCB FARMS
s�ra CARMEL, INDIANA 46032 202 E.COLONIAL ST CHECK AMOUNT: $5,135.01
o� PO BOX 26 CHECK NUMBER: 214100
KEMPTON IN 46049
CHECK DATE: 10123/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 100 5, 135 . 01 OTHER EXPENSES
Kempton Grain&Supply 765-947-5103 p.2
Invoice No. 100
TCB Farms
202 E Colonial St, PO BOX 28
Kempton, IN 46049 a*ip' /+
IRV01 E
Customer Misc
I
Name Carmel Waste Water Treatment Plant Date 1 014120 1 2
Address 9609 Naze!Dell Parkway Order No.
City Indianapolis State IN ZIP 46280 Rep
Phone (317)571-2636 Ext.210 c/o Teresa Lewis FOB
Qty.,
Description Unit Price! TOTAL
ty_ - - _
645 Yards of Carmel Biosolids for the Month of March 2012 $ 3.25 $ 2,096.25
$5.00!yard minus($1.75)1 yard for Spreader Trick Rental=$3.25!yard
250 Yards of Carmel Biosolids for the Month of April 2012 $ 3.25 - 5 812.50
$5.00!yard minus($1.75)1 yard for Spreader Truck Rental=$3.251 yard _
55 :Yards of Carmel Biosolids for the Month of June 2012 $ 3.25 $ 178.75
$5.00!yard minus($1-75)f yard fnr Spreader Truck Rental=$3.25!
s of yard
67.5 Yard Carmel Biosolids for the Month of July 2012 $ 3.25 $ 219.38
$5.00/yard mtnus($1.75)1 yard for Spreader Truck Rental=$3.251 yard
232.5 ,Yards of Carmel Biosolids for the Month of August 2012 $ 3.25 $ 755.63 '
330 Y$5.00!yard minus x$1.75)I yard for Spreader Truck Rental=$3.25!yard
ards of Carmel Biosolids for the Month of September 2012 �$ 3.25 S 1,072.50
$5.00 lyard minus($1.75)1 yard for Spreader Truck Rental=$3.251 yard
- — - SubTotal $_.-- 5,13.5.01
Shipping
Payment Credit Tax Rate(s)
Comments TOTAL $ 5,135.01
Name
CC* Office Use Only
Expires
Thank You!
Inset!Farewell Statement Here
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
366611
TCB FARMS Purchase Order No.
202 E. COLONIAL ST. Terms
PO BOX 28 Due Date 10/16/2012
KEMPTON, IN 46049
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/16/201; 100 $5,135.01
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
VOUCHER # 125921 WARRANT # ALLOWED
366611 IN SUM OF $
TCB FARMS
202 E. COLONIAL ST.
PO BOX 28
KEMPTON, IN 46049
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
100 01-7110-05 $5,135.01
Voucher Total $5,135.01
Cost distribution ledger classification if
claim paid under vehicle highway fund