173321 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 359972 Page 1 of 1
ONE CIVIC SQUARE FIKES FRESH BRANDS, INC
CARMEL, INDIANA 46032 CHECK AMOUNT: $33.00
10080E 121ST ST, #118
L off FISHERS IN 46037 CHECK NUMBER: 173321
CHECK DATE: 6/10/2009
DEPARTMEN A CCOUNT PO NUMBER INVOICE NUMBER AM OUNT DESCRIPTIO
1207 4350900 A192037 33.00 OTHER CONT SERVICES
a
c
REMIT TO: *OTHER SERVICES
10080 E 121st St Suite 118 WE PROVIDE:
Fishers, IN 46037 Janitorial Supplies
FRESH BRANDS INC. Phone: 317 849 -9013 Date Invoice
hest Control
Fax: (317) 849 -9018 Service 5/25/2009 A192037
Your Odor Control Specialists
fikesfresh @earthlink.net *Drain Treatrr PLEASE INCLUDE INVOICE
www.fikesfreshbrands.com Serv C Y NUMBER WITH PAYMENT
Service Address Billing Address V S O TERMS: NET 10 DAYS
BROOKSHIRE GOLF CLUB CITY OF CARMEL FINES w A finance charge of 2% per
12120 BROOKSHIRE PKWY ONE CIVIC SQUARE PEST 0 month (24% per annum) will be
CARMEL, IN 460330 (v• CARMEL, IN 46032 added to past due amounts.
317-849.90113 PO
y
Customer Account _bate Terms
e -mail: 09372 7 CHARGE
Quantity escription Price Each Amount
3 Air Freshener Service 7.00 21.00
3 Wave Urinal Screen Service 4.00 12.00
(1) A/F WAVE IN MAINTENANCE SHED BOTTOM OF
HILL
Service Notes: KEN MILLER 1 A/F SCREEN IN MAINTENANCE SHED
n
PLEASE PAY FROM THIS INVOICE. THANK YO 4_
Invoice Total $33.00
Customer Total Balance $66.00
TECW DATE TIME CUSTOMER
L
Y 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
��0_ r ((ZC►'1G�5 1Y Purchase Order No.
12- I S t l Terms
4 L V 5-1 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
hn� ►ry L-eJ
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
C/OUCHER NO. WARRANT NO.
ALLOWED 20
L��� IN SUM OF
it
ON ACCOUNT OF APPROPRIATION FOR
C�UAD
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
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Sign�tur
O Title
aozk
Cost distribution ledger classification if
claim paid motor vehicle highway fund