178687 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 359972 Page 1 of 1
ONE CIVIC SQUARE FIKES FRESH BRANDS, INC CHECK AMOUNT: $33.00
CARMEL, INDIANA 46032 10080 E 121ST ST, #118
FISHERS IN 46037 CHECK NUMBER: 178687
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350900 S212561 33.00 OTHER CONT SERVICES
REMIT TO: *OTHER SERVICES I nvoice
F 10080 E 121st St Suite 118 WE PROVIDE:
Fishers, IN 46037 Janitorial Supplies Date Invoice
FRESH BRANDS INC. Phone`. (317) 849 -9013 Pest Control 10/12/2009 A212561
Your Odor Control Specialists Fax: (317) 849 -9018 Service
fikesfresh @ea net *Drain Tre vV YO PLEASE INCLUDE INVOICE
www.fikesfreshbrands.com Servi Gip' Esc NUMBER WITH PAYMENT
Service Address Billing Address d TERMS: NET 10 DAYS
BROOKSHIRE GOLF CLUB CITY OF CARMEL FIKES W
12120 BROOKSHIRE PKWY ONE CIVIC SQUARE ANITONIAL finance
jr
W .I month (24 per annum) will be
CARMEL, IN 46033 CARMEL, IN 46032 SupPLIES added to past due amounts.
317. 8 -9013 PO
Customer Account Route Terms
e -mail: 09372 7 CHARGE
Quantity Description Price Each Amount
3 Air Freshener Service 7.00 21.00
3 Wave Urinal Screen Service 4.00 12.00
(1) AIF WAVE IN MAINTENANCE SHED BOTTOM OF
HILL
Service Notes: KEN MILLER 1 A/F SCREEN IN MAINTENANCE SHED
PLEASE PAY FROM THIS INVOICE. THANK YOUI i
Invoice Total $33.00
TECH DATE TIME //1�n CUSTOMER j `T l Customer Total Balance $66.00
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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.
2127Z Lcu 11 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total j
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
-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
crb 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
r' 021 2007
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n $i nature
Cost distribution ledger classification if Ti #e
claim paid motor vehicle highway fund