HomeMy WebLinkAbout185859 05/26/2010 a- CITY OF CARMEL, INDIANA VENDOR: 364139 Page 1 of 1
ONE CIVIC SQUARE MARK MILLER CLEANING CHECK AMOUNT: $1,584.00
?o CARMEL, INDIANA 46032 P.O. Box 68
CARMEL IN 46082 CHECK NUMBER: 185859
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 12792 2791 1,584.00
MARK MILLER CLEANING SERVICES
P.O. Box 68
Carmel, Indiana 46082 Work Orde Inv ®Ic 2791
DATE F ORD ORDER TAKEN BY
Cell (317} 694 -3321 -O ZJU' 0
Y
PHONE WORK ORDERED BY cc (3 f
STARTING D TE TIME ItV
l� -1 -t _20< DAY WORK q�RONTRACT EXTRA
JOB NAME N
To:, (�''�J Z
J08 LOCATION
(4 {va3 Z.
INVOICE DATE JOB PHONE
AMOUNT r nMAT .TRIAL D''' UiIIVIENT
r SAN a AMOUNT
"p„ use __.T. 9av,�ra§ ::w. xr. +..�m..., a.... •�•.a't8a, ...u.G a km,orna.'�s�..w
:1C::1T1 C
-T oj 3w TOTAL
i-
�OTHE�R CHARGES k" AMOUNT;
ko
i
�1
TOTAL
LABOR r ;FiRS RATE Q, EIMOUNT�
3c.a
I
TOTAL
SPECIAL" IMSTRUCTiONSsP.`k a
All attorney fees collection costs are to be paid by client in the even of default of payment.
Payment due 30 days from date of invoice or 10% late charge is assessed I certify that I
have read conditions and agree to same.
Authorized $I nature Date
TOTALLABOR
TOTAL WORK
TERMS: TOTAL MATERIALS/EQUIPMENT
�j TOTAL WORK
I hereby ac iowledg completi of the above described work. TAX
PLEASE PAY THIS AMOUNT
0 IZED S4 6T DATE
O io �In
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mark Miller Cleaning
IN SUM OF
P.O. Box 68
Carmel, IN 46082
$1,584.00
ON ACCOUNT OF APPROPRIATION FOR
n rparmel Fire Department
�y
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
12792 2791 43- 501.00 $1,584.00 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
MAY 2 4 20 10
Fire Chief
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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2791 $1,584.00
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