HomeMy WebLinkAbout214380 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
ONE CIVIC SQUARE NOBLESVILLE LANDFILL
CARMEL, INDIANA 46032 1801 S 8TH STREET CHECK AMOUNT: $15.00
+� NOBLESVILLE IN 46060
CHECK NUMBER: 214380
CHECK DATE: 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 15075 15 . 00 BUILDING REPAIRS & MA
Nob] Vifl e
andfi l Inca
i
10/24/2012 15075
Terms
Due on receipt
Lill To f—
Carmel Street Department
3400 W 131st Street
i Carmel, IN 46074
I `
- —Ticket/Truck-Number Quantity Rate Amount -
10/18/2012 Road Kill:Dog 171823 ( 1 , 15.00 15.00 ,
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SubTotal $15.00
Tax (7%) $0.001
Total $15.00
1801 S. 811 Street ® Noblesville, IN 46060
317-770-8155 a Fax 317-770-8999
71823
No � e
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Phone:
Date: I C)_ C>
JOB NAME-
❑ Pick up/small trailer ❑ Semi-dump
• Single axle/large trailer ❑ 2 0yd dump box
• Tandem axle ❑ 40 yd dump box
• Tri axle ❑ Ot—he i� :,"')96
CIRCLE ONE: �/�
ump Fee Fill Dirt Other
Screened Sand Gravel C F
Top Soil, unpulverized Top Soil, pulverized
• ®F LOADS ft
• OF LOADS OU
Driver's Signature
RUM TO: R.E. FRASH
�p
1.6001 So Mh STREET
MOBLESMLLE, 5M 46060
(317) 770-0155
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))
10/214/12 15075 $15.00
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Noblesville Landfill
IN SUM OF $
1801 S. 8th Street
Noblesville, IN 46060
$15.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE I AMOUNT Board Members
2201 I 15075 I 43-501.001 $15.00 1 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
Thursday, November 01, 2012
-7
Street Commissioner
/ u
Street CG;Titlels-Q loner
Cost distribution ledger classification if
claim paid motor vehicle highway fund