236610 09/03/14 CITY OF CARMEL, INDIANA VENDOR: 358491
4.
ONE CIVIC SQUARE ARAB TERMITE&PEST CONTROL CHECK AMOUNT: $********80.00*
x.
ate; CARMEL, INDIANA 46032 4035 MILLERSVILLE ROAD CHECK NUMBER: 236610
9M,�TON�o� INDIANAPOLIS IN 46205 CHECK DATE: 09/03/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350100 164559 80.00 BUILDING REPAIRS & MA
SEE AB JC ARAB TERMITE & PEST CONTROL, INC.
INDIANAPOLIS, .(317)545-1275 GREENWOOD (317).888-1999
4035 MILLERSVILLE ROAD ANDERSON (765)642-4208
INDIANAPOLIS, IN 46205 MARION (765)664-6812
Am erlelc .Owed and Operated Sinee.1929 - www.seeabug.net - MUNCIE (765)282-7600
-.,Seivice>Location: -
BROOKSHIRE GOLF CLUB. INVOICE / SERVICE TICKET P.O. No:
:1:2120 BROOKSHIRE PKWY SERVICE DESCRIPTION. CHARGES
Previous Balance 80-ov
CARMEL; IN . .46033 . �• ;r, .
201-PEST.CONTROL
Phone No: . , n
Customer No:
200.1409 :Sales Tax' W _
164559
Invoice No:. Total Due 160.100--
-Date
60.00 Date: 08/25/2014
SPECIAL INSTRUCTIONS
$25 Refer a Friend $25 SEE KEN MILLER LOG BOOK,:
CLUB HOUSE,PRO-SHOP
!Name -MARCH NOVEMBER
'PFione No.
S4reet Atildress
•City/State/Zip ,
'My Name/Account No..
N_,Jaterial/Product EPA# Qty % 11 COMAPENTSM13 RECO END-4TIONS
Invoice: 164559 Invoice: 164559 Invoice: 164559
Route No 01T chnician's Name Dwight Hamilton Technician's License Number
Time 1_ J t. ��J �'Ti: e Out �� �a a e j /25/2014 Services Completed Sati actoril (sign.below)
Technician's Signature /F I /J ustomer's Signature
----- -------- - -------------
ServlCe.LOCatIOn: Please tear-off and send all payments to:
s
BROOKSHIRE GOLF CLUB ARAB Termite and Pest Control.Inc. Payment Collected Date
i�Ft12126 BROOKSHIRE PKWY 4035 Millersville Road
f� CARMEL IN 46033 Indianapolis, IN 46205 �� Pd ❑ Cash ❑Check#
.. Tech Signature
Customer No:. 2001409 _
Invo'ic'e-No 164559 Total This Invoice: 80.00
Date:
08/25/2014 Past. Due Balance: ,8o-oa %.O
Pilling Phone NO: 846-7431 PAUL BLOC Vital Due: .160.00
BROOKSHIRE GOLF CLUB: This bill is due and payable upon receipt.
A.service charge;of 1.'/2% per month will be
12120 BROOKSHIRE PKWY charged on accounts'past 30 days..
-— CARMEL -IN _ ;_ 46033_._ _ RETURNED-CHECKS WILL INCURA FEE. -
08/20/2014
VOUCHER NO. WARRANT NO.
ALLOWED 20
Arab Termite and Pest Control Inc.
IN SUM OF$
4035 Millersville Road
Indianapolis, IN 46205
$80.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I 164559 I 43-501.00 I $80.00 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
Tuesday, August 26, 2014
Director, Brookshl olf Club
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.
I
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
08/25/14 164559 Pest Control $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
120
Clerk-Treasurer