HomeMy WebLinkAbout216213 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 366611 Page 1 of 1
ONE CIVIC SQUARE TCB FARMS
' CARMEL, INDIANA 46032 202 E.COLONIAL ST CHECK AMOUNT: $838.50
PO BOX 28 CHECK NUMBER: 216213
KEMPTON IN 46049
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 103 838 . 50 SLUDGE REMOVAL EXPENS
Dec 13 12 02:59p Kempton Grain&Supply 765-947-5103 p.2
202 E Colonial St., PO BOX 28
Kempton, IN 46050 765-947-7019
SOLD TO:
Carmel Waste Water Treatment Plant INVOICE NUMBER 103
9609 Hazel Dell Parkway INVOICE DATE December 13,2012
Indianapolis,IN 46280 OUR ORDER NO.
YOUR ORDER NO.
TERMS
SHIPPED TO: SALES REP
Same SHIPPED VlA
F.O.B.
PREPAID or COLLECT
Sales Tax Rate:
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
258 Yards of Carmel Bio-Solids for the month of of October 2012 325 $838.50
$5.00/yard minus($1.75/yard for Spreader Truck Rental=$3.251yard
SUBTOTAL 838.50
TAX
FREIGHT
$838.50
DIRECT ALL INQUIRIES TO: MAKE ALL CHECKS PAYABLE TO: PAYTHIS
Carrie Boyer TCB Farms LLC AMOUNT
765-947-7019
tmbjdl aAaol.com 202 E Colonial St.
Kempton, IN 46049
THANK YOU FOR YOUR BUSINESS!
VOUCHER # 126389 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
103 01-7110-05 $838.50
Voucher Total $838.50
Cost distribution ledger classification if
claim paid under 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 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 12/19/2012
KEMPTON, IN 46049
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/19/201: 103 $838.50
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
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Date Officer