159413 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 361252 Page 1 of 1
ONE CIVIC SQUARE INDY CLEAN TEAM LLC
CARMEL, INDIANA 46032 PO BOX 4251 CHECK AMOUNT: $450.D0
CARMEL IN 46062 CHECK NUMBER: 159413
CHECK DATE: 5/1412008
DEP ARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
905 4350600 450.00 CLEANING SERVICES
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Indy Clean Team, LLC
317- 810 -0771
P.O. Box 4251
Carmel, IN 46082
DATE ORDERED ORDER TAKEN BY
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ADDRESS i JO.B LOCATION
JOB PHONE STARTING DATE,
ATTENTION TERMS
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TOTAL LABOR
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;,arias NC2817 J I N V OI CE
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))
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.
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ALLOWED 20
u IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
C �QQ,Y'}1 .Sljs Board Members
Post or INVOICE NO. ACCT #/TITLE AMOUNT
EPT. q I hereby certify that the attached invoice(s), or
f� 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
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund