165824 11/12/2008 Page 1 of 1 VENDOR: 358552 Pa
�F CITY OF CARMEL, INDIANA g
ONE CIVIC SQUARE INTELLIGENT CLEANING SYSTEMS
0 CHECK AMOUNT: $25.75
CARMEL, INDIANA 46032 17338 WESTFIELD PARK RD STE 3
WESTFIELD IN 46074 CHECK NUMBER: 165824
CHECK DATE: 11/12/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 3381 25.75 OTHER MAINT SUPPLIES
10
Intelligent Cleaning Systems, Inc. Inv
k"'ANm„RSTItm 17338 Westfield Park Road
Date Invoice
Suite 3
Westfield, IN 46074 10/28/2008 3381
Bill To Ship To
City of Carmel City of Carmel
One Civic Square One Civic Square
Carmel, IN 46032 Carmel, IN 46032
Attention: Accounts Payable
P.O. Number Terms Rep Ship Via F.O.B. Project
Jeff Barnes 1 10 Net 30 NV 10/30/2008 ICS Truck
Quantity Item Code Description Price Each Amount
1 524 -W Preserve C- Fold Towels, White, 2,400, 16/250 25.75 25.751'
Sales 'rax 0.00% 0.00
Effective 2/1/08; a $30.00 fee will be assessed on each overdue invoice
Total $25.75
_Prescribe by Stale 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
Intelligent Cleaning Systems, Inc Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Pres e 6-Fo'd Towels, White, 2,400 161250 $25.75
Total
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
i
VOUCHER N0
v ''vvoo ARRANT NO.
ALLOWED 20
Intelligent Cleaning Systems, Inc
17338 Westfield Park Road, Ste. 3 IN SUM OF
Westfield, IN 480=74
$25.75
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
Board Members
PO# or
DEPT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1205 3381 389 25.75 materials or services itemized thereon for
which charge is made were ordered and
received except
20
i
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund