216139 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1
ONE CIVIC SQUARE NOBLESVILLE LANDFILL
CARMEL, INDIANA 46032 1801 S 8TH STREET CHECK AMOUNT: $25.00
NOBLESVILLE IN 46060 CHECK NUMBER: 216139
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 15250 25 . 00 BUILDING REPAIRS & MA
N® Vi e
aladfin Inc ate nvoic"e# .
12/28/2012 15250
Terms
Due on receipt
Bill To.
Carmel Street Department
3400 W 131 st Street
Carmel, IN 46074
Date Product Ticket/Truck Number Quantity Rate Amount
12/21/2012 Road Kill:Deer 72927 1 25.00 25.00
Total $25`.00
1801 S. 811'Street o Noblesville, IN 46060
317-770-8155 o Fax 317-770-8999
VOUCHER NO. WARRANT NO.
ALLOWED 20
Noblesville Landfill
IN SUM OF $
1801 S. 8th Street
Noblesville, IN 46060
$25.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 15250 I 43-501.001 $25.00 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
Friday1, January 04, 2013
d.
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
12/28/12 15250 $25.00
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