259081 05/31/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 369888
CHECK AMOUNT: S*******150.00*
ONE CIVIC SQUARE KLEENFLOW LLCCARMEL, INDIANA 46032 15335 ENDEAVOR DR#107 CHECK NUMBER: 259081
NOBLESVILLE IN 46060 CHECK DATE: 05/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER' AMOUNT DESCRIPTION
651 5023990 1083 150.00 OTHER EXPENSES
VOUCHER # 165335 WARRANT # ALLOWED
369888 IN SUM OF $
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
1083 01-7502-06 $150.00
Voucher Total $150.00
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
369888
KLEENFLOW Purchase Order No.
15335 ENDEAVOR DRIVE Terms
SUITE 107 Due Date 5/16/2016
NOBLESVILLE, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/16/2016 1083 $150.00
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
Date Officer
Invoice
/ ffi-e 'kleenFlow LLC
15335 EndeavorDfive ~
1, "en
lo
Suite-10f" Date I •
�c Noblesville,IN 46060
Phone# 317-912-0027 5/10/2016 1083
www.kleenflow.com
c •
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
F.O.B.11.0.Ntijiiber Terins Rep Ship Via
516082 Net 45 FTG 5/10/2016 MeenFlow NA
Code 1
10 3092-1 PowerUp ThixOGrease Tube 15.00 150.00
f
• Total
$150:00
•
Packing Slip
KI 6�-eWDate Invoice#
5/10/2016 1083
KleenFlow LLC Ship To
15335 Endeavor Drive City of Carmel Wastewater Treatment Plant
Suite 107 ATTN:Duane Jarvis
Noblesville,IN 46060 9609 Hazel Dell Parkway
Indianapolis,IN 46280
P.O. No. Ship Via FOB Project
S16082 5/10/2016 K1eenFlow NA
Quantity Item Code Description
10 3092-1 PowerUp ThixOGrease Tube