192596 12/08/2010 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: $300.00
NOBLESVILLE IN 46060
CHECK NUMBER: 192596
CHECK DATE: 121812010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4350600 15287 300.00 CLEANING SERVICES
Service First Cleaning Invoice
1 5212 Cumberland Rd Date Invoice
Noblesville, IN 46060
1211!2010 15287
Bill To
City of Carmel IS Department
3 Civic. Square
Carmel, IN 46032
P.O. No. Terms Project
Net 30
Quantity Description Rate Amount
1 FOR THE MONTH OF DECEMBER 300.00 300.00
Thank you for your business.
Total $300.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Service First Cleaning
IN SUM OF
15212 Cumberland Road
Noblesville, IN 46060
$300.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel IS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1202 I 15287 I 43- 506.00 $300.00 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
Monday, December 06, 2010
Directo IS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Slate 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))
12/01/10 15287 $300.00
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