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325718 05/30/2018
+u1_C�q� �% CITY OF CARMEL, INDIANA VENDOR: T358622 j i. ONE CIVIC SQUARE AAA EXTERMINATING INC CHECK AMOUNT: $********90.00* s• ;_�; CARMEL, INDIANA 46032 PO BOX 2170 CHECK NUMBER: 325718 pM��oN�°. NOBLESVILLE IN 46061 CHECK DATE: 05/30/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350100 139694 90.00 BUILDING REPAIRS & MA VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# T358622 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER AAA EXTERMINATING INC IN SUM OF$ CITY OF CARMEL PO BOX 2170 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. NOBLESVILLE, IN 46061 Payee $90.00 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Brookshire Golf Course Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 139694 43-501.00 $90.00 1 hereby certify that the attached invoice(s),or 5/18/18 139694 Pest Control $90.00 1207 101 1207 101 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 Monday, May 21,2018 C/ 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 20 Cost distribution ledger classification if claim paidmotor vehicle highway fund. Clerk-Treasurer g �Ca1 �EXterminatin Inc. - � 1'{31,7) 773-3797 s Invoice/Work Order Compaay Information AAA Account 13 694 , .� EXTERMINATING INC. Billing Address Service Address P.O.Box 2170 Brookshire Golf Club Brookshire Golf Club Noblesville,IN 46061 12120 Brookshire 12120 Brookshire 317-773-3797 Carmel,IN 46033 Carmel,IN 46033 317 846-7422 Pam 317 846-7422 Pam I plister@carmel.in.gov plister@carmel.in.gov j Target Pest: =arget ests Name General Materials: aterial�>1 ed ' i Name EPA# Active° Application Rate Transport 2793-109- 0.11% 1.25 oz per gal per 1000 sq.ft Bait Stations Rodents 0 % Contrac All-Weather Blox 12455-79 0.005% Findings and Observations: ' Deficie cies ©bserva ions . r Zone Mobile Observations Station Number I.P.Location Action Responsibility Resolved No Items ' nvoice 3 7565 Service Name Price Tax Payments& Discount AccountTotal Credits Balance Quarterly Pest $90.00 $0.00 $0.00 $0.00 $90.00 $90.00 1' Invoice Amount(All WO Paid Discount Total Charges) $90.00 $0.00 $0.00 $90.00 Invoice Item Original Amt Quarterly Pest $90.00 — . I Total Due:I ~^i Il $90.001 r. v Technicians . Signatures Technicia etails Signature certificate.. License Date Name Number # 'Completed Customer Employee Supervnsor Toby `.RT253174 5/18/2018 Hardin, eceipt ofservnce Past due accounts shall bear interest at a rate of 1 5/o ° per n highest Terms Payment due upon r month or rate allowed blaw if not,pAid in full withuni.30 days uservnce. Click here to l'og onto fur account to review history manage yourrofile and review services' 1; AAA Exterminating, uc 4412 Conner St Noblesville,-IN,46060 __ _ w '777—,` -