HomeMy WebLinkAbout192241 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 357097 Page 1 of 1
ONE CIVIC SQUARE SERVICE FIRST CLEANING, INC
CARMEL, INDIANA 46032 15212 CUMBERLAND ROAD CHECK AMOUNT: $2,102.20
NOBLESVILLE IN 46060
CHECK NUMBER: 192241
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 27055 15276 920.00 CLEANING
2201 4350600 15285 982.20 CLEANING SERVICES
1701 4350600 15286 200.00 CLEANING SERVICES
Service First Cleaning invoice
15212 Cumberland Rd Date Invoice
Noblesville, IN 46060
11/1i2010 15285
Bill To
Carmel Street Department
3400 W. 131 st Street
Carmel, IN 46077
P.O. No. Terms Project
Net 30
Quantity Description Rate Amount
1 FOR THE MONTH OF NOV 982.20 982.20
Thank you for your business.
Total $982.20
VOUCHER NO. WARRANT NO.
ALLOWED 20
Service First Cleaning
IN SUM OF
15212 Cumberland Road
Noblesville, IN 46060
$982.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
2201 15285 43- 506.00 $982.20 I 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
4 Thursday, Nov 18, 2010
>f
1.
Street Commissioner
r'nmrnieeinnrr
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))
11/01110 15285 $982.20
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
Service First Cleaning Invoice
15212 Cumberland R.d
Date Invoice
Noblesville, IN 46060
11/21/2010 15276
Bill To
City of Carmel Police Department
3 Civic Square
Carmel, IN 46032
P.O. No. Terms Project
Net 30
Quantity Description Rate Amount
1 Pressure Wash front entrance and clean ceiling along front exterior 420.00 420.00
1 Seal block along front of the station using a clear concrete sealer. Includes all labor 500.00 500.00
and material
Saks Tax Payable 0.00
Thank you for your business.
Total $920 .00
ity o Ca rme l
CE INDIANA RTIFICATE NO. 003 20155 002 0 PAGE
PURCHASE ORDER NUMBER
Police Department p FEDERAL EXCISE TAX EXEMPT
y• 35- 60000972 2
3MCIVIC SQUARE FHISN BER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 DELIVERY MEMO, PACKING SLIPS,
LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE.REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
)ctmber 20 2010 ._cleanin
VENDOR Service First Cleaning SHIP City `of Carmel Police Department
15212 Cumberland Road TO 3 Civic Square
Noblesville, IN 46060. Camer IN 46032
rONHRMAnoN BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
pressure wash front entrance and clean celitug 920.00
along front exterior and seal black along front
I
Quote #15276
5
I
I
a
$5
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 506 b>mildlLaged cleaning PAYMENT
A!P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THA THERE IS AN UNOBLIGATED BALANCE fN
SHIP REPAID.
THIS APPROP IATI0, UFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Assistant Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL No-27055 A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO, WARRANT NO,
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO, ACCT #!TITLE AMOUNT
DEPT I 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__
20
Signature
Title
Cost distribution ledger classification if
claim paid rnotor vehicle highway fund
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER. City Form No. 201 (Rev. 1995)
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
Service First Cleaning Purchase Order No. 27055F
15212 Cumberland Road Terms
Noblesville, IN 46060 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/21/1C 15276 payment for cleaning bricks 920.00
Total
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
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Service First Cleaning IN SUM OF
15212 Cumberland Road
NOblesville, IN 46060
420.00
ON ACCOUNT OF APPROPRIATION FOR
police meneral? fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
27055' 15276 506 420.00 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
November 22 20 10
*44h� -b �rlml
Signature
Chef_Fof Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund
SEIRV[IGE FIRST CLEANING•••
FOR YOUR IMAGE. FOR YOUR HEALTH.^
Service First Cleaning 317 770 8012 Invoice
SERVICEFIRS7- -NINA -COM
15212 Cumberland Rd
Noblesville, IN 46060 Date Invoice
I I l /2010 15286
Bill To
City of Carmel Treasurer's Dept
One Civic Square
Carmel, IN 46032
P.O. No. Terms Project
Net 30
Quantity Description Rate Amount
FOR TI -II?, MONTH OF NOV 200,00 200.00
Thank you for your business. Total
$200.40
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
vy Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
J5
GwLugli, w 4tu70
JUL-)
ON ACCOUNT OF APPROPRIATION FOR
0 7 4 66to
Board Members
PQ# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. q I hereby certify that the attached invoice(s), or
O 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
P
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund