162438 08/07/2008 CITY OF CARMEL, INDIANA VENDOR: 361678 Page 1 of 1
ONE CIVIC SQUARE NATIONAL EXHAUST CLEANING, INC CHECK AMOUNT: $329.88
CARMEL, INDIANA 46032 634 E SR 42
MOORESVILLE IN 46158 CHECK NUMBER: 162438
CHECK DATE: 817/2008
DEPARTMENT ACCO P O NUMBER I NUMBER AMOUNT DESCRIPTION
1150 4350000 BR45 -21501 329.88 EQUIPMENT REPAIRS M
i
NATIONAL EXHAUST CLEANING, INC. JULY 17, 2008
EX ""usrT: 634 E. S.R. 42 INVOIC NUMBER MOORESVILLE, INDIANA 46158 BR45 -21501
(317) 831 -4750 SALES
FAX (317) 831 -8952 CUSTOMER NO.
SOLD TO JOB NAME /LOCATION
BROOKSHIRE GOLF CLUB SAME
12120 BROOKSHIRE PKWY
CARMEL, IN. 46033
CLEANING OF THE COOKING GREASE EXHAUST SYSTEM $325.00
SURCHARGE 4.88
TOTAL DUE: $329.88
THANK YOU FOR YOUR BUSINESS!
HANDLING CHARGE OF 20% ON ALL INVOICES OVER 30 DAY'S
National Exhaust Cleaning, Inc. JOB MORE ORDER
634 E. STATE ROAD 42 21501
MOORESVILLE, INDIANA 46158
(317) 831 -4750 DATE OF ORDER
JULY 14 2008
CQSTOMER'S ORDER NO. PHONE MECHANIC HELPER STARTING DATE
DON CRAG
BILL TO ORDER TAKEN BY
BROOKSHIRE GOLF CLUB
ADDRESS
DAY WORK
CITY BROOKSHIRE PKWY CONTRACT
EXTRA
CARMEL, IN. 033
JOB NAME AND LOCATION
1
JOBPHONE
KEN MILLER 317 846 -7431
DESCRIPTION OF WORK
CLE ANING OF
THE COOKING GREASE EXHAUST SYSTEM
:5 6 b �dh SP_ i Ilee �2
TIME IN: 0
TIME OUT:
TOTAL MATERIALS
TOTALLABOR
TAX
DATE COMPLETED WCRK ORDERED BY
TOTAL AMOUNT
I
No one home Total amount due Total billing to
Signature for above work: or be mailed after
completion
I hereby acknowledge the satisfactory completion AM of work
of the above described work.
PrescnbA!d 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.
11 Payee
�X�i4tc5� 4�iN� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
-07 1 �0
Total 5,2 8
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
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
50 l o 32 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
&4
Si re
Cost distribution ledger classification if
claim paid motor vehicle highway fund