155300 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 00352873 Page 1 of 1
ONE CIVIC SQUARE G K SERVICES INC
CARMEL, INDIANA 46032 9145 EAST 33RD STREET CHECK AMOUNT: $2,170.37
o �o INDIANAPOLIS IN 46236 CHECK NUMBER: 155300
CHECK DATE: 1/1012008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 196.39 OTHER EXPENSES
651 5023990 .1,973.98 OTHER EXPENSES
i
GS<K SERVICES
G K SERVICES Remit To:
9145 EAST 33RD STREET
INDIANAPOLIS,IN 46235 -3606
Phone: (317) 898 -4874
CITY OF CARMEL WATER UTIL Invoice Number: 1101569169
WATER TREATMENT PLANT 5 Invoice Date: 10/26/2007
5484 EAST 126TH STREET Payment Method: CHARGE
CARMEL, IN 46033 Bill -To Number: 0054923
Customer Number: 54923 -04 P.O. Number:
jj Service Agreement: 394883 Fed ID Number: 41- 1670526
Contact:MORRIS HOUSTON Route Sale Rep: 59 Christopher L
ORIGINAL
Message(s)
T
Wearer Wearer Name Locker/ Clock# Billing A
Number Product Description Frequency Quantity Amount X
001 COOK DS, STEVE 0 $119.98
JEAN,RGFTPREW,DENIM $0.00 0
Direct Sale,RGFTPREW,DENIM $50.00 2
WINDBREAKER,MICROFIB,NAVY $0.00 0
Direct Sale,MICROFIB,NAVY $34.99 1
WINDBREAKER,MICROFIB,KHAKI $0.00 0
Direct Sale,MICROFIB,KHAKI $34.99 1
002 HOLLANDER DS, GREG 0 $34.99
WINDBREAKER,MICROFIB,NAVY $0.00 0
Direct Sale,MICROFIB,NAVY $34.99
SUB TOTAL: $154.97
TAX 6 0 $0.00
TOTAL: $154.97
Page 1 of 2
Thank you for your business! G
Cash: Payment is due on receipt of invoice.
Charge: Net 10th of month following delivery. ww
All sales adjustments are subject to r&K management approval.
Goods and services offered pursuant to a contract.
Returned checks are subject to a service fee.
Special Charges have been reviewed
and approved
Initials
10/26/2007
Customer Signature
PAYMENT RECEIVED
CASH AMOUNT CHECK NUMBER CHECK AMOUNT
$0.00
Page 2 of 2
VOUCHER 074260 WARRANT ALLOWED
00352873 IN SUM OF
G &K Services Inc.
91',45 East 33rd St
F Indianapolis, IN 46236
R
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
L
PO INV ACCT AMOUNT Audit Trail Code
122707 01- 6360 -03 $766.96
122707 01- 6360 -06 $910.31
Voucher Total.
Cosy. distribut ledger classification if
claim: paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER s
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00352873
G &K Services Inc. Purchase Order No.
9145 East 33rd St Terms
Indianapolis, IN 46236 Due Date 12/27/2007
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/27/200; 122707 $1,677.27
f'
f
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
Date Officer
s
SEWER
INVOICE AMOUNT ACCOUNT
1101576111 220.48 7362.05
1101579596 v 222.98
1101581322 267.04
1101584780 V 222.98
total 1 933.48
1101576113 J 117.54 7360.01
1101577848 96.7
1101579598 95.7
1101581324 95.7
1101583055,/ 95.7
1101584782 95.7
total 597.04
0
110157846 v 220.48 7362.06
4
1101583053 222.98
yy3.Y6
total -700z
TOTAL SEWER 222 -a�
Prescribed by State Board Accounts ACCOUNTS PAYABLE VOUCHER
Form No. 301 -5 (Rev. 1995}
TO
ADDRESS
Invoice Date Invoice Number Item Amount
l�
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
19
Signature Title
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.
D
Officer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE -%l0L' DETAILED ACCOUNTS
SANITATION DEPARTMENT A
t' CARMEL, INDIANA
�s K Favor Of
Total Amount of Voucher
Deductions
01-7 362.05 133 Y3
01. 734 6,01' 7 O q
047362,06
vY3 y6
1973 q,5
Amount of Warrant
Month of 19
VOUCHER RECORD Acct. No.
Collection System
Operation
Plant
Commercial
General
Undistributed
Construction
Depreciation Reserve
Stock Accounts Merchandise
Total
Allowed
Board Members
Filed
BOYCE FORMS SYSTEMS 1- 800- 382 -8702 325