HomeMy WebLinkAbout235326 07/30/14 ���• CITY OF CARMEL, INDIANA VENDOR: 368498
j; ® ONE CIVIC SQUARE ACTION PEST CONTROL, INC CHECK AMOUNT: $********80.00*
d9 _� CARMEL, INDIANA 46032 PO BOX 5759 CHECK NUMBER: 235326
.yy�TON.� EVANSVILLE IN 47716 CHECK DATE: 07/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 30057240 80.00 OTHER EXPENSES
Service Slip / Invoice
Action Pest Control,Inc. ORDER: 30057240
PO Box 5759 DATE: 7/11/14
Evansville,IN 47716 Friday
317-209-1654
Bill To: [310021257] 3+7-55P' 8` Work Location: [310059452] 317 571264
Carmel Utilities Carmel Utilities
3450 W 131st St. 4915 E 106th St
p K�r�Le>v[�1� Carmel,IN 46033
WactUeld;IN 46074
Work Date Technician Tech License# PCO#- Time In
7/11/14 I-GRAY(Brad Gray) 10:34 AM
PO Terms Last Service Map Code Time Out
DUE UPON COMPLETION 4/2/14
Location Instructions:anytime.for the other utilities buildings,call 733-2855an hour
ahead
Service Description Quantity Amount
QTR 4 SEASONS Quarterly Four Seasons 1 $80.00
SUBTOTAL $80.00
TAX $0.00
TOTAL $80.00
Received :
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ACCT #: � � ��
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TECHNICIAN SIGNATURE
Pesticide/ Product Method EPA# % UOM Amount Equip. Target
1. 5U5PENl €RCfLYZbNE.Sus isri Exieriar R?ss::ss:::::::::_::x432.1514. # 500
7 .. ..GA:.::::.:::>::::.:;::1.Ot#l0 ..::::.....::Haisd.S ra :...Craih!Iirl .xInsao.... €° >
....../.........p...................................................................................................................................................................................................... ..... .................... ............................................................................................
I hereby acknowledge the satisfactory completion of all services rendered,
and agree to pay the cost of services as specified above.
VOUCHER # 141181 WARRANT # ALLOWED
350787 IN SUM OF $
ACTION PEST CONTROL
PO BOX 5759
EVANSVILLE, IN 47716
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
30057240 01-6360-03 $80.00
Voucher Total $80.00
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
350787
ACTION PEST CONTROL Purchase Order No.
PO BOX 5759 Terms
EVANSVILLE, IN 47716 Due Date 7/21/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/21/2014 30057240 $80.00
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
74- Y C'---A-
Date
--- AY'ti...Date Officer