248711 08/26/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 358491
ONE CIVIC SQUARE ARAB TERMITE& PEST CONTROL CHECK AMOUNT: $*******316.00*
CARMEL, INDIANA 46032 4035 MILLERSVILLE ROAD CHECK NUMBER: 248711
INDIANAPOLIS IN 46205 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 191789 30.00 OTHER CONT SERVICES
1120 4350900 191790 46.00 OTHER CONT SERVICES
1120 4350900 191812 30.00 OTHER CONT SERVICES
1120 4350900 192308 30.00 OTHER CONT SERVICES
1093 4350100 192316 75.00 BUILDING REPAIRS & MA
1120 4350900 192365 30.00 OTHER CONT SERVICES
1093 4350100 192787 75.00 BUILDING REPAIRS & MA
r
SEE ABUG
ARAB TERMITE & PEST CONTROL, INC. ,�`
...CALL INDIANAPOLIS 317 545-1275 GREENWOOD 317 888-1999
K D 4035 MILLERSVILLE ROAD ANDERSON (765) 642-4208
INDIANAPOLIS, IN 46205 MARION (765) 664-6812'.
American Owned and Operated Since 1929 www.seeabug.net MUNCIE (765) 282-7600 °':'=+•t.
Service Location:
INVOICE / SERVICE TICKET P.O. No: 12502 n
CARMEL FIRE DEPT 945
10701 N COLLEGE AVE STE D SERVICE DESCRIPTION CHARGES
K„
Previous Balance
Indianapolis IN 46280
p _;fsa
201-PEST CONTROL 30.00
Phone No: 818-3400
Customer No: 2001 133 Sales Tax 0.00
�` `*
Invoice No: 191789 ' •
Total Due
08/10/2015
Date:
SPECIAL INSTRUCTIONS -' `fi •'� �'
**,*DO NOT LEAVE INVOICE*** ;?
' PO#24198
Name SIGN LOG BOOK
Phone No. ENTRANCES, KITCHEN, BREAK ROOM,
Street Address RR, FOOD STORAGE, DINING, OTHER
City/State/Zip AREAS UPON REQUEST
I'My Name/Account No. [ '
•--------------------------------------
Material / Product EPA# Qty % COMMENTS AND RECOMMENDATIONS
• _ v' , r is
Invoice: 191789 Invoice: 191789 Invoice: 191789
Route:No. 01 Technician's Name Travis Flowers Technician's License Numbert/42, 1��/�/
Time In Time Out Date 08/10/2015 Services Completed Satisfactorily (sign,below)
J
Technician's Signature Customer's Signatur r
,Y�
I -------•----•------•---•-------------- � --------------------------- --- -----•-•-•--•-•-`---_...-------�•�•:�- ----•------------------- -.���r
Service Location: Please tear off and send all payments to:
d
' CARMEL FIRE DEPT#45
.sl ARAB Termite and Pest Control In Payment Colledted Date
-1701 N COLLEGE AVE STE D 4035 Millersville Road I
Pd ❑ Cash ❑:Check# :.
a, Indianapolis IN 46280 Indianapolis, IN 46205
Tech Signature
Customer No: 2001 133 ~ w
.�T
Invoice No: 191789 Total This Invoice: 30.00 " J
,Date:: 08/10/2015 Past Due Balance:. 30.00- x
Billing Phone No: 818-3400 GARY CART dotal Due: -60=00
This bill is due and payable upon receipt. ;
CITY OF CARMEL FIRE DEPT
A service charge of.11/2% per month will be,,
charged'.on accounts past 30 days.
2 CARMEL CIVIC SQUARE "=
CARMEL IN 46032
RETURNED CHECKS WILL INCUR A FEE.
08/04/2015
.-. ATPC-05-0412
R,y`G
I ^ " SEE A BUG :.
...CALL4&
ARAB TERMITE & PEST CONTROL, INC."," a:
INDIANAPOLIS (317) 545-1275 GREENWOOb (3:17) 888-1999 ,
"1r Q 4035 MILLERSVILLE ROAD ANDERSON (765) 642-4208
_ INDIANAPOLIS, IN 46205 MARION (765) 664-6812 .
American Owned and Operated Since 1929 _s
www.seeabug.net MUNCIE (765) 282-7600. `•- .
Service Location: ;
CARMEL FIRE DEPT 43 INVOICE / SERVICE TICKET ' P.O. No:
3708 BARRINGTON DR SERVICE DESCRIPTION CHARGES
Previous Balance 180.00
R
CAMEL IN 46033 =;
201-PEST CONTROL
Phone No: 5-08-5777 r
•a
4306127 Sales Tax 0.00
Customer No:
Invoice No: 191812 : .
Total Due ) Il • 210.00
Date: 08/12/2015
SPECIAL INSTRUCTIONS ' I
ANT---GENERAL P.C.
Name,
Phone;No. i�c
Street'Address ;
City/State/Zip !
My.Name/Account No.
•---------------------------------------
_ Material / Product EPA# Qty % COMMENTS AND RECOMMENDATIONS
f rl.;•t �'/,. � fir-�( �.: — � v �� ''�� � /� .C�/ r—'v—[r'r�, �' 't./ �v v "�-� ��y_y,J �`t
Invoice: 191812 .Invoc a
19181It? �^ n'dGice.:�--. 19'1812 �
Route No. 0.1 "Technician's Name Travis Flowers Technician's License Number
08%12/2015 ;
Time In Time Out ___ Date Services Completed,Satisfactorily (sign below)
Technician's:Signature - Customer's Signature X YT •t''r
v._
� Service Location:. - r •�.�.'.���
Please tear off and send all payments to: Y
CARMEL FIRE DEPT 43 '''
.,) ARAB Termite and Pest Control Inc. Payment Collected Date a'•r
`108 BARRINGTOti{ R
'� 4035 Millersville-Road
ti Pd ❑ Cash ❑ Check# ;
C+A'RMEL r IN 46033 Indianapolis, IN 46205
E. Tech Signature
Customer;;No: 4306127
-• .
h Total This Invoice: `30:00;:
191.81;2
8 s.:�,'::� �, � --1-• 't,�: _ '�-- - Past'`�Due•Balariee•,., '•`��'-t :08/:1=2/_0,1�., i.•• ;
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2,10.00
✓.
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ry
_ 57
Billing �Phone No _
^xz
et:
F=• ... yr.,
This'bill.is clue,acid payable upon receipt:' N
'CITY'OF CARMEL FIRE DEPT - ::`.•
A service charge of 1'/2% per month will be ? ::
2 CARMEL CIVIC SQ charged on accounts past 30 days. =s'
CARMEL IN 46032 RETURNED CHECKS WILL INCUR A FEE. 'S<<
08/04/2015
ATPC-05-0412;
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SEE ABUG ARAB TERMITE & PEST CONTROL, INC." .011�;
...CALL
INDIANAPOLIS (317) 545-1275 GREENWOOD (317) 888-1999
4035 MILLERSVILLE ROAD ANDERSON (765) 642-4208.`
INDIANAPOLIS, IN 46205 MARION (765) 664-6812_.,',;<<.
American Owned and Operated Since 1929 www.seeabug.net MUNCIE (765) 282-7600
Service Location:
12502
CARMEL FIRE DEPT HEADQUARTERS INVOICE / SERVICE TICKET P.O. No:
2 CARMEL CIVIC SQUARE SERVICE DESCRIPTION CHARGES U
Previous Balance 4600-
0.
CARMEL IN 46032
5:
201-PEST CONTROL 46.00 `
Phone No: 571-2600
2001 129 Sales Tax 0.00 .'
Customer No:
Invoice No: -. 191790
Total Due
Date: 08/10/2015 UUP/
SPECIAL INSTRUCTIONSre -
'
° ***DO NOT LEAVE INVOICE*** '
PO#24198
r Name
SIGN LOG BOOK--GO TO 2ND FLOOR ADMIN SIDE
;Phone No. ENTRANCES, KITCHEN, BREAK ROOM,
Street Address RR, FOOD STORAGE, DINING AND OTHER AREAS
City/State/Zip BE SURE TO DO BOTH SIDES OF FIREHOUSE
My Name/Account No. UPON REQUEST ;s
t r ala=
Material Product EPA# Qty % COMMENTS AND RECOMMENDATIONS
ra,
Invoice: 1917905` Invoice: 191790 Invoice: 191790
O1 Travis FlowersNumber:
Route No. Technician's Name Technician's License ' •
08/10/2015
Time In Time Out,/0,?- Date Services Completed Satisfactorily (sign below) °r
Technician's Signature �f` __ _--- Customer's Signature
---------------------- ------------------------------------------------------------------ -------------_------
Service Location: ;r
Please tear off and send all payments to: s.p
;CARMEL F[RE DEPT HEADQUARTE i ','K
��iAB Termite and Pest Control Inc. Payment Collected Date
+ 2 CARMEL CIVIC SQUARE 4035 Millersville Road, =a'
i1CARMEL IN 46032 Indianapolis, IN 46205 Pd ❑ Cash ❑ Check#
dw
Tech Signature
Customer No: 2001129
Invoice No: 191790 Total This Invoice: 46.00
Date: 08/10/2015 Past Due Balance: 4'6.00
571-2600 571-2667 GA l'OEtal Due: 92;00' :
Billing Phone No: r; .
CITY OF CARMEL FIRE DEPT This bill is due and payable upon receipt. rxb=
A service charge of 1'/2% per month will be
2 CARMEL CIVIC SQUARE charged on accounts past 30 days.
PR
CARMEL IN " ' 46032 RETURNED CHECKS WILL INCUR A FEE.'
08/04/2015
ATPC-05-0412. ,?T
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))
191812 43T $30.00
191789 45 $30.00
191790 41 $46.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Arab Termite & Pest Control, Inc.
IN SUM OF $
4035 Millersville Road
Indianapolis, IN 46205
$106.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 191812 43-509.00 $30.00 1 hereby certify that the attached invoice(s), or
1120 191789 43-509.00 $30.00 bill(s) is (are) true and correct and that the
1120 191790 43-509.00 $46.00 materials or services itemized thereon for
which charge is made were ordered and
received except
AUG 2 b 2095
/it A�� a 1pn
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
rg�
SEE ABUG ARAB TERMITE & PEST CONTROL, INC.
...CALL ZPINDIANAPOLIS 317 545-1275 GREENWOOD 317 888-1999
4035 MILLERSVILLE ROAD ANDERSON (765) 642-4208
INDIANAPOLIS, IN 46205 MARION (765) 664-6812
S: American Owned and Operated Since 1929 www.seeabug.net MUNCIE (765) 282-7600
Service Location:
CARMEL FIRE DEPT SUB STATION#4 INVOICE / SERVICE TICKET P.O. No:
631 MOHAWK CT SERVICE DESCRIPTION CHARGES
Previous Balance i 60.00
CARMEL IN 46033 f
" 201-PEST CONTROL 30.00
Phone No:
317-508-5777---GARY RTE
Customer No:
4305962 Sales Tax 0.00
�. 192308
Invoice No: - Total Due �!%'; 'i`//L/ 90.00
Date: 08/17/2015
SPECIAL INSTRUCTIONS.
t t
1 Namer t
No.,
r •;Street Address ;
,,�.."._:City/StateRip
m
My Nae/Account No.
t r
1----------------- -----------------t
Material / Product EPA# Qty % COMMENTS;AND RECOMMENDATIONS
�. r X17 �r —� l��-TG•'--�-�i: •r r�//:�xn..-,
Invoice: 192308 Invoice: 192308 Invoice: 192308
„. Route No. 01 "--Technician's Name Travis Flowers "'.Technician's License Number_h--_�S /03
08/17/2015
.' Time In 1/t�LVI) Time Out Date Services Completed Satisfactorily (sign below)
Technician's Signature r_- // Customer's Signature X
-- v
-,:- --- -------- - -• --------- . ._
` Service Location:
P ase tear oft and send all payments to:
{} CARMEL FIRE DEPT SUB STATIONAB Termite and Pest Control Inc. y
Pa ment Collected Date
s. 631. MOHAwK CT 4035 Millersville Road
tiiCARMEL. IN 46033 Pd ❑ Cash ❑ Check#
Indianapolis, IN 46205
s:. Tech Signature
Customer No: 4305962
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- " This bill i`s due an d?payable'tapoii receipt. ”
CARMEL,FIRE DEP"I'. "
K A service charge of 11h% per month will be
l' 2 CIVIC SQUARE charged on accounts past 30 days.
rf
CARMEL IN 46033 RETURNED CHECKS WILL INCUR A FEE.
08/12/2015
ATPC-05-0412
(^��^ SEE ABUG , , ARAB TERMITE & PEST CONTROL INC.
CALL ¢Y
INDIANAPOLIS (317) 545-1275 GREENWOOD (317) 888-1999
4035-rMILLERSVILLE ROAD ANDERSON (765) 642-4208
INDj'ANAPOLIS, IN 46205 MARION (765) 664-6812
American Owned antl Operated Since 1929 Www.seeabug.net MUNCIE (765) 282-7600
Service Location: INVOICE / SERVICE TICKET P.O. No: 12502
CARMEL FIRE DEPARTMENT#42
SERVICE DESCRIPTION CHARGES
3610 W 106TH ST '
Previous Balanceb/h 30.00
h
CARMEL IN 46032 ]
201-PEST CONTROL 30.00
li. Phone No. 733-1480
2001130•
- _ -• Sales,t � _.
Customer No: -
yw _
192365
Invoice No: Total Due tl ,��/,� �//C1 60.00
Date: 08/17/2015
Y .:.... SPECIAL INSTRUCTIONS `
W° ***DO NOT LEAVE INVOICE*** PO#24198
Name ENTRANCES, KITCHEN, BREAK ROOM, -
;Phone No. RR, FOOD STORAGE, DINING AREA,
Street Address OTHER UPON REQUEST
:. City/State/Zip
. - My Name/Account No.
t r
---------------------------------------
' Material / Product EPA# Qty % COMMENTS AND RECOMMENDATIONS
fl. ,
r��' '_' �( �v �s'.'-� --^L�;1'�„� 'L..'b� _- \'11j. '�� i�'' ��-•�: r��, �'\G� �A.�. . ..k-. ����,�rc1� -
�ry
Z Invoice: 192365 Invoice: 192365 Invoice: 192365
_ n
Route No. 04 Technician's Name Ishague Shah Technician's License Number
x:
`L
08/17/2015 �I-
,; Time In 63\A 4 Time Out OQ\ •-" T\ Date Services Completed Satisfactorily ( ' elo�i)
Technician's Signature �`��J'� Customer's Signature X
...............
........... 7-�................
------ ................... ........................ .
Service Location:
':. Please tear off and send all payments to: ,
}< CARMEL FIRE DEPARTMENT#42 ARAB Termite and{Pest Control Inc. Payment Collected Date
3610 W 106TH ST
4035 Millersville Road ,
Pd ❑ Cash 0 Check#
CARMEL iN 46032 Indianapolis, IN 4205
W, . s: Tech Signature 'K
' Customer.No: 2001 130
k - 192365' Total'.Thisilnvoice: 30.00'
Invoice-'No w� ;x
4
' - Sta
e8/17)20:1Dae
3
0.00.a Baa c
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• -�� `'This-6ill is-due and �a able'u on recet: .-
;CITY.OF'CARMEL FIRE DEPT p y P. p
A service charge of 1/2% permonth will be
1r. 2 CARMEL CIVIC SQUARE charged on accounts past 30 days.
CARMEL IN 46032
RETURNED CHECKS WILL INCUR A FEE. .
08/12/2015
'.r ATPC-05-0412
n
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))
192308 44T $30.00
192365 42 $30.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Arab Termite & Pest Control, Inc.
IN SUM OF $
4035 Millersville Road
Indianapolis, IN 46205
$60.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 192308 43-509.00 $30.00 1 hereby certify that the attached invoice(s), or
1120 192365 43-509.00 $30.00 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
�uG 2 2M
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
>:,.', •• " SEE ABUG
. QR TERMITE & PEST CONTROL, INC.
T ...CALLo,-A0- I�Ft INDIANAPOLIS 317 545-1275 GREENWOOD 317 888-1999
4035 MILLERSVILLE ROD ANDERSON (765) 642-4208
INDIANAPOLIS, IN�46 05 MARION (765)'664=6812
' www.seeabu.g7rn, tfMUNCIE (765) 282-7600
,�::;•• American Ownetl and Operated Since 1929
'Service'Location:
¢y.,. MONON CENTER PARK INVOICE / SERVICE TICKET P.O. No:
- SERVICE DESCRIPTION CHARGES
'.. 1235 CENTRAL PARK E
Previous BalanceCARMEL IN 46032
w:' 201-PEST CONTROL 75.00
,.—Phone No: 4 848-7275 573-5254
Customer No: 2001347 Sales Tax •y a 0.00
.' ?
Invoice No: =9? s-7
'� i Total Due
08/03"/2015
SPECIAL INSTRUCTIONS
iF ' 5 `LEAVE INVOICE-, ~, ~�
r Name
Phone No.,, AUG - 5 2015 i
, Street Address '
City/State/Zip,B '°`-'
My Name/Account No. Y r
s" --------------------------------------
Material / Product EPA# Qty % COMMENTS AND RECOMMENDATIONS
ZI
Invoice: 192787 Invoice: 192787 Invoice: 192787
Y Route No. 01 Technician's Name Travis Flowers .` Technician's License Number
Q0., y. ,, �-• _,_�
`'Time In C�, / Time Out Date 08/03/2615 Services Completed Satisfactorily n belo )
Technician's Signature Customer's Signature X,
,:.
----------------------------------- ----------------—------—-------- ---------- -------—--------------------------------------------------------._________�__.________a.-�_ ._�____.� _
"' SerVICe LOCatIOn:;. Please tear off and send all payments to:
'•:< .
..NioNON CENTER PARK ARAB Termite and Pest Control Inc.
: ,'• Payment Collected Date
4035 Millersville Road
X9235 CENTRAL PARK E �-
± „ �` Pd ❑ Cash ❑ Check#
{ -' .• =�RMEL 1N 46032 Indianapolis, IN 46205
' E
ZS"
^,t Tech Signature
Customer No: .j 2001347
Total This Invoice: 75.00
Invoice No: 192767 '
" Date: 08/03/2015 Past Due Balance: ','�,_i.-/�jT��.+y/
i/"4�/
" •"Billin 9 Phone;No: 848-7275 573-5254 Total Due: ,1.7,5 —',i
� lam'' >
MONON CENTER PARK This bill is due and payable upon receipt.
� ,
A service charge of 11/2% per month will be
1235 CENTER PARK E charged on accounts past 30 days.
=r CARMEL IN 46032 RETURNED CHECKS WILL INCUR A FEE.
,i` _ ATPC-05-0412
�. - 'int:` `�'�,. p�• v'* ..
SEE ABUG t°r� r ARAB TERMITE & PEST CONTROL, INC.
171 ..CALL :{�ppIANAPOLIS 317 545-1275 GREENWOOD 317 888-1999
X015 MILLERSVILLE ROAD ANDERSON (765) 642-4208
AUG I9 2015 INDIANAPOLIS, IN 46205 MARION (765) 664-6812
h`. AmerlcanOw'ried•antl Operated,Since 1929
www.seeabug.net MUNCIE (765) 282-7600
yt Service Location:,_,-- INVOICE./ SERVICE TICKET P.O. No:
, MONON CENTER PARK
i
SERVICE DESCRIPTION CHARGES
1,235 CENTRALTARK-E
x` CARMEL ) Previous Balance r/ 25.00
i1
IN 46032
§. 201-PEST CONTROL 75.00
Phone No: e' 848-7275 573-5254
Sales Tax 0.00
Customer No: 2001347
Invoice No: 192316 Total Due 1,,9'. ' / 100.00
5•: Date: 08/17/2015
SPECIAL INSTRUCTIONS
• LEAVE INVOICE
F;
LOG BOOK Name.., PESF MCC—
Phone No. ;
r - r
Street Address
City/State/Zip
My Name/Account No. `
Material/ Product EPA# Qty % COMMENTS AND RECOMMENDATIONS
Ory
� 'f!/'t,� ' ��; % /- � Z� �`�' �� 'i?c:' ��/".I�� .r .- :.. Y �,.E•Q if / Arm _
4 / r ! 1 `� •H� AZA I
,y Invoice: 192316 _Ln,,roicef' 192316 , Invq:ice: 192316 A
�? t 4l"c.rc•-t..G4- fl�.� .!+ G` c - .. ..�:.., v
Route No. 01 Technician's Name Travis Flowers. ,� Technician's License Numberf.>�
`
08/17/201,5
Time In°n/.-) /_ Time Out L Date Services Completed-Satisfactorily (sign below)
g ,a g
Technician's Si nature Customer's Sinature X/1 i f -- -
Service Location: Please tear off and send all payments to:
'. MONON CENTER PARK -'
is> ,, . ARAB Termite and Pest Control Inc. Payment Collected Date f;: 1235 CENTRAL PARK E
4035 Millersvilie Road
CARMEL IN 46032 Indianapolis, IN 46205 Pd El Cash ❑Check#
§:•. Tech Signature
' 001347
Customer No: '-
s 192316 Total This Invoice: 75.00
Invoice No:
Date: 08/17/2015
Past-Due Balance: 25.00
100.00
Billing Phone No: 848-7275 573-5254 Total Due: ''
g
k MONON-CENTER PARK . This bill is due and payable upon receipt.
a` ¢ A service charge of 11h% per month will'.be
1235 CENTER PARK E charged on accounts past 30 days,
CARMEL IN 46032 RETURNED CHECKS WILL INCUR A FEE.
08/12/2015
ATPC-05-0412
illi.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
358491 Arab Termite & Pest Control, Inc. Date Due
4035 Millersville Rd.
Indianapolis, IN 46205
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
8/3/15 192787 Pest Control MCC $ 75.00
8/17/15 192316 Pest Control MCC $ 75.00
Total $ 150.00
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
120
Clerk-Treasurer
Voucher No. Warrant No.
Allowed 20
358491 Arab Termite & Pest Control, Inc.
4035 Millersville Rd.
Indianapolis, IN 46205 In Sum of$
$ 150.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 192787 4350100 $ 75.00 1 hereby certify that the attached invoice(s), or
1093 192316 4350100 $ 75.00 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
August 20, 2015
pkmph��
Signature
$ 150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund