164890 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 00353370 Page 1 of 1
ONE CIVIC SQUARE PRIMELIFE ENRICHMENT, INC
CHECK AMOUNT: $1,666.67
CARMEL, INDIANA 46032 1078 THIRD AVE SW
CARMEL IN 46032 CHECK NUMBER: 164890
CHECK DATE: 10116/2008
C. XPARTMENT- A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 R4350900 17515 1129 1,666.67 RECYCLING
City of Carmel
INVOICE
Date: 10/03/08
Name of Company: PrimeLife Enrichment, Inc.
Address Zip: 1078 Third Ave S.W.
Carmel, IN 46032
Telephone No: 317 -815 -7000
Fax No: 317 815 -7007
Project Name: PrimeLife Enrichment Provided Recycling Service
Invoice No: 1129
Purchase Order No: 0407.04.05
Person Date Goods /Services SERVICES Current Year to Balance
Providing Goods/ Provided Hourly Month Date Remaining
Goods/ Service (Describe each Rate/ Expended Expended
Service Provided good /service Hours
separately and in detail) Work
PrimeLife September City Recycling Program 1 month $1,666.67 $8,333.35 $11,666.65
Enrichment, 2008 $1,666.67
Inc
INVOICE TOTAL $1,666.67
Contract Balance $11,666.65
Signature
Colleen Bonanne
Printed Name
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.
I� ALLOWED 20
IN SUM OF
10 6 OWL CO,
ON ACCOUNT OF APPROPRIATION FOR
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Board Members
PO# or DEPT INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
1 Loci I, b W 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
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Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund