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169425 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 359972 Page 1 of 1 ONE CIVIC SQUARE FIKES FRESH BRANDS, INC 0 CHECK AMOUNT: $33.00 CARMEL, INDIANA 46032 10080E 121ST ST, #118 FISHERS IN 46037 CHECK NUMBER: 169425 CHECK DATE: 3/4/2009 DEPARTMENT' ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239099 88081476 33.00 OTHER MISCELLANOUS REMIT TO: *OTHER SERVICES 10080 E 121 st St Suite 118 WE PROVIDE: I nvoice Fishers, IN 46037 Janitorial Supplies Date Invoice FRESH BRANDS I N C. Phone: (317) 849 -9013 Pest Control 02/02/2009 88081476 Fax: (317) 849 -9018 Service Your Odor Control Specialists Drain Treatment fikesfresh @earthlink.net PLEASE INCLUDE INVOICE www.fikesfreshbrands.com Service NUMBER WITH PAYMENT Service Address Billing Address TERMS: NET 10 DAYS BROOKSHIRE GOLF CLUB CITY OF CARMEL A finance charge of 2% per 12120 BROOKSHIRE PKWY ONE CIVIC SQUARE month (24% per annum) will be CARMEL, IN 46033 CARMEL, IN 46032 added to past due amounts. P 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 Service Notes: KEN MILLER 1 A/F SC EN IN MAINTENANCE SHED PLEASE PAY FROM THIS INVOICE, THAN U l t nice Tota $33.00 TEC DATL TIMECUSTOMER Customer Total Balance $66.00 —O 1 '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 K &5 Purchase Order No. e O! LQ jo�7 /o21 st", e /Z Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) a C) C Q rv;c S9160 Total 66 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 33. ov ON ACCOUNT OF APPROPRIATION FOR /a67 G6-1 66' L1- '!A,5- Board Members Po# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1 ,,201 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 c 1 Signatu Cost distribution ledger classification if J O Title claim paid motor vehicle highway fund