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225484 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 358820 Page 1 of 1 ONE CIVIC SQUARE NOBLESVILLE LANDFILL CHECK AMOUNT: $25.00 �4 CARMEL, INDIANA 46032 1801 S 8TH STREET NOBLESVILLE IN 46060 CHECK NUMBER: 225484 CHECK DATE: 10123/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350100 16133 25 . 00 BUILDING REPAIRS & MA No vn'fle Rnc Date Invoice No. 09/30/2013 16133 _-Terms-- Due on receipt Bill To Carmel Street Department 3400 W 131st Street Cannel,IN 46074 Date Product Ticket/Truck Number Quantity Rate Amount 09/03/2013 Road Kill:Deer 78566 1 25.00 25.00 Total 525.00 1801 S. 8th Street o Noblesville, IN 46060 317-770-8155 - 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. I ACCT#/TITLE I AMOUNT Board Members 2201 I 16133 I 43-501.00 j $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 )A , 0 All #44 4 Wedn ay, ber 1 , 2013 S @gam §WgFr 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)) 09/30/13 16133 $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