250743 10/21/15 CITY OF CARMEL, INDIANA VENDOR: 369888
® 'I ONE CIVIC SQUARE KLEENFLOW LLC CHECK AMOUNT: $*****1,028.10*
CARMEL, INDIANA 46032 15335 ENDEAVOR DR#107 CHECK NUMBER: 250743
NOBLESVILLE IN 46060 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1043 1,028.10 OTHER EXPENSES
KI 646V(®w -K1eenFlow LLC
15335 Endeavor Drive
eWe �awLc NobleI07 1 Noblesville,IN 46060
Phone# 317-912-0027 10/9/2015 1043
www.kleenfow.com
City of Carmel Wastewater Treatment Plant City of Carmel Wastewater Treatment Plant
ATTN:Accounts Payable ATTN:Duane Jarvis
9609 Hazel Dell Parkway 9609 Hazel Dell Parkway
Indianapolis,IN 46280 Indianapolis,IN 46280
P.O. 1 i
515456 Net 45 TG 10/9/2015 KleenFlow NA
Quantity Item Code Description ' Amount
3 BP50(1) Bio-Matrix 2.2 Cubic Foot Double Compressed Bag 50.50 151.50
1 KU85 KleenOil Super Duty Filter Unit 832.50 832.50
1 3112-US(1) PowerUp Diesel FX 1 Quart 44.10 44.10
Sales Tax 7.00% 0.00
i
028.10
Total
( --•-- -. it
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
369888
KLEENFLOW Purchase Order No.
15335 ENDEAVOR DRIVE Terms
SUITE 107 Due Date 10/13/2015
NOBLESVILLE, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/13/201! 1043 $1,028.10
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
�A A /Y`.`
Date Officer
VOUCHER # 156492 WARRANT # ALLOWED
I
369888 ' IN SUM OF $
I
KLEENFLOW
15335 ENDEAVOR DRIVE
SUITE 107
NOBLESVILLE, IN 46060
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR ;
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1043 01-7202-06 $1,028.10
I
Voucher Total $1,028.10
Cost distribution ledger classification if
claim paid under vehicle highway fund