219744 05/07/2013 CITY OF CARMEL, INDIANA VENDOR: 367109 Page 1 of 1
e ONE CIVIC SQUARE GREENCYCLE OF INDIANA INC CHECK AMOUNT: $64.00
CARMEL, INDIANA 46032 400 CENTRAL AVENUE
o� STE 115 CHECK NUMBER: 219744
NORTHFIELD IL 60093
CHECK DATE: 517/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 W21302666 64 . 00 OTHER EXPENSES
Whitestown 2013
Invoice #:
4227 Perry Worth Road
Whitestown, IN 46075 w 21302666
317-769-5668
Customer: ' �• =/lAiarlq DAI'I_.D
C� L�P
Carmel Utilities
3450 VV. 131st St. 4/25/13
Carmel, IN 46074
SALESPERSON YOUR NO. SI-1111 VIA SHIP 1XVIT-1
Markila 13ustamante Economy
Q'I.Y. ITFNI NO. DESCRIPTION I'.I:ICE I X I C?NDI D
4 Economy Economy Mulch $16.00 $64.00
Comments SALE ANI-I. $64.00
'thank VOLT! FRII 1CIFIT $0.00
SALES TAX $0.00
I'OTAI_,AMT $64.00
PAID TODAY $0.00
BALANCE, DUI, $64.00
Received by:..... ^.. ...................
Please pay from this invoice.
GreenCycle of Indiana, Inc. TERMS
400 Central Ave.
Suite 115 C.O.D.
Northfield, IL 60093
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
367109
GREENCYCLE OF INDIANA INC Purchase Order No.
400 CENTRAL AVE Terms
SUITE 115 Due Date 4/30/2013
NORTHFIELD, IL 60093
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/30/2013 W21302666 $64.00
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
Date Officer
VOUCHER # 131494 WARRANT # ALLOWED
367109 IN SUM OF $
GREENCYCLE OF INDIANA INC i
400 CENTRAL AVE
SUITE 115
NORTHFIELD, IL 60093
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
W21302666 01-6200-06 $64.00
1
i
Voucher Total $64.00
Cost distribution ledger classification if
claim paid under vehicle highway fund