177092 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 358798 Page 1 of 1
ONE CIVIC SQUARE AMERICAN CLEAN 8; SEAL CHECK AMOUNT: $2,050.00
CARMEL, INDIANA 46032 4469 BRAGDON STREET
o INDIANAPOLIS IN 46226 CHECK NUMBER: 177092
CHECK DATE: 9/15/2009
DEPARTMENT ACCOUNT PO NUM BER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4341999 3619 2,050.00 OTHER PROFESSIONAL FE
I C 1 -4 q?,
AMERICAN CLEAN SEAL
AUG
4469 BRAGDON STREET 22009.. I NVOICE
INDIANAPOLIS, INDIANA 46226
FED. ID. #43- 2014054
(317) 536 -0211
Date: 08/07/09 Inv. No.: 3619
Due Date: 08/17/09 Page No.: 1
Ship To /Remarks
The Monon Center
Jeremy Kerr
1235 Central Park Drive East
Carmel IN 46032
REFERENCE TERMS YOUR OUR SALES REP
Net 10 Days JEFF
CE
REFEREN PRICE
UNIT
DISCO
3,000 PSI 3,000 PSI Waterblasting 1.0 1025.0000 1025.00
Used 3,000 psi water pressure cleaning
method and acid to remove the limescale
from the pool tub. (MAIN POOL)
3,000 PSI 3,000 PSI Waterblasting 1.0 700.0000 700.00
Used 3,000 psi water pressure cleaning
method and acid to remove the limescale
from the pool tub. (ZERO DEPTH POOL)
3,000 PSI 3,000 PSI Waterblasting 1.0 325.0000 325.00
Used 3,000 psi water pressure cleaning
method to clean the stairs and tile area
around the stairs to remove the
limescale (ZERO DEPTH POOL).
Job Location: 1235 Central Park Drive E
Job Completed: 8 -6 -09 AUG 1 9 2009
Thank You Very Much for your Business
Purchase CW 2j
Description
PorF
P.O.
G.L
Budget
Line Dena
Purchaser Date
Approval Dat
SUBTOTAL 2050.00
TAX 0.00
TOTAL 2050.00
2050.00
NET TO PAY
ACCOUNTS PAYABLE VOUCHER
t CITY OF CARMEL
An invoice of 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.
American Clean Seal Terms
4469 Bragdon Street
Indianapolis, IN 46226
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
8/7/09 3619 Pressure wash indoor pools 22321 F 2,050.00
Total 2,050.00
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.
American Clean Seal Allowed 20
4469 Bragdon Street
t Indianapolis, IN 46226
In Sum of$
2,050.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1047 3619 4341999 2,050.00 1 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
10 -Sep 2009
Signature
2,050.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund