220084 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 364047 Page 1 of 1
` ONE CIVIC SQUARE BOONE COUNTY RESOURCE RECOVE
CARMEL, INDIANA 46032 985 S US HIGHWAY 421 HECK AMOUNT: $92.00
ZIONSVILLE IN 46077 CHECK NUMBER: 220084
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4460814 119425 46. 00 STREET DEPT FACILITY
902 4460814 119437 46 . 00 STREET DEPT FACILITY
Boone County Resource Recovery Systems, Inc.
985 South US Hwy.421 "Zionsville, |N46O7T
(81T)7S9'4223"Fax(317)78D'47O3
Ticket: 119425
Mar. ! - Oct.31 / Nov. 1 - Feb.28 Date: 5/3/2013
M-F: 7-5 & Sat 8-2 / NO 7-4 & Sat: 8-2 Time: 09:41:38 - 09:41:57
Scale
Customer: 505/City of Carmel Street Department
3400 W. 131st Street
Westfield, IN 46074-
Truck: 505
Truck Typeg Single Axel Dump
Comment: -------_
Origin Materials & Services Quantity Unit Rate/Unit Amount
------------------------------------------------------------------------------------------
} HA/Hamilton CFL/Brush, Chips, 45.00 $1.00/Each $45.00
|
HA/Hamilton F/BC Tipping Fee 2.00 $0.50/Each $1.00
Total Amount: $46.00
Driver: Deputy Weighmaster:
Boone County Resource Recovery Systems, Inc.
985 South US Hwy.421 *Zionsville, |N 4G077 0�
'
\y--l/--7 (317)78O'4228"Fax(317)7O9'4763 \_/ `
Ticket: 119437
Mar. ! - Oct.31 / Nov. ! - Feb.28 Date: 5/3/2013
M-F: 7-5 & Sat 8-2 / M-F: 7-4 & Sat: 8-2 Time: 11:02:03 - 11:02:37
Scale
Customer: 505/City of Carmel Street Department
3400 W. 131st Street
Westfield, IN 46074-
Truck: 505
Truck e Axel Dump
Comment:
Origin Materials & Services Quantity Unit Rate/Unit Amount
------------------------------------------------------------------------------------------
| HA/Hamilton CFL/Brush, Chips, 45.00each $1.00/Each $45.00
HA/Hamilton F/BC Tipping Fee 2.00each $0.50/Each
Total Amount: $46.00
Driver: Deputy Weighmaster:
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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 7
ij n e 4.a& KP 5wr& /�vn S�Lntr• Purchase Order No.
05 �. I I76y'tl,'f42 Terms
Z 10115Vi lle U/ 4lop Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5-3-13 I jq> 2_5 �ra'( �toW r �e�ris ��u►� �n9
5-3--13 119'+376,U`'
Total IZ."
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
gt)Q/1E (oun�`� fiPS°Ur(f RN�oUfr� S�s�i�s,�il. IN SUM OF $
115 S, US #,,V. q2J
4 �
X77
$
q2
ON ACCOUNT OF APPROPRIATION FOR
�02- mvs/#
J
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
902 11 91+ 5 46,00 or bill(s) is (are) true and correct and that
q 02 lq�3-7 46,00 the materials or services itemized thereon
for which charge is made were ordered and
received except
5-2,� 20)'3
Ignature
Executive Director
Title
Cost distribution ledger classification if Carmel Redevelopment Commission
claim paid motor vehicle highway fund