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189986 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 277500 Page 1 of 1 ONE CIVIC SQUARE SCAT PEST CONTROL INC. }I CARMEL, INDIANA 46032 Po Box 142 CHECK AMOUNT: $125.00 WESTFIELDIN 46074 CHECK NUMBER: 189986 CHECK DATE: 9/14/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350900 159462 125.00 OTHER CONT SERVICES Pest Control M P.O. Box 142 Westfield, Indiana 46074 159462 (317) 896 -9200 U b b b s CUSTOMER'S ORDER NO. DEPT. DATE s1a3tfo NAME ADDRESS X400 Qsl ,o N u1401 u SOLD �BY CASH C.O.D. CHARGE' ON ACCT. MDSE. RETD. PAIO OUT .DESCFtIPT l0N 1 General Insect Control 2 Termite 31 Rodent Control 4 Special Service 6 ra r, AL A,V 7 8 9 10 11 12 Pesticides Used 13 r rr I J r 14 15 16 17 18 RECD BY Invoices unpaid beyond 30 days will be assessed at 1 per month Finance Charge which is an annual percentage rate of 18 Purchaser agrees to pay reasonable attorney fees, court costs, late charges and other collection costs. Acceptance of goods and/or services establishes purchases acceptance of these terms. RETURN PINK COPY WITH PAYMENT VOUCHER NO. WARRANT NO. ALLOWED 20 Scat Pest Control IN SUM OF P. O. Box 142 Westfield, IN 46074 $125.00 t ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Member 2201 159462 43 509.00 $125.00 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 Thursday, September 09, 2010 Street Commissioner Street 'c issioner 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)) 08/23/10 159462 $125.00 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