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Home My WebLink About203442 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 00352873 Page 1 of 1 li ONE CIVIC SQUARE G K SERVICES INC CHECK AMOUNT: $854.53 CARMEL, INDIANA 46032 9145 EAST 33RD STREET INDIANAPOLIS IN 46235 -3606 CHECK NUMBER: 203442 CHECK DATE: 11/9/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 WATER 854.53 CONT SERVICES OTHER G&K TOTAL WATER 854.53 WATER INVOICE AMOUNT ACCOUNT 1101126831 374.20 1101129648 378.31 1101124005 102.02 91820786 total 854.53 *credit 884456 is applied to #91820786 the whole invoice and to #1101124005 for $259.98. 10/12/2011 WED 12:13 FAX 913178984157 2001/001 G &K SERVICES cOUnt ;fatlmnt 9145 EAST 33RD STREET INDIANAPOLIS,IN 46235 Date 10/12/2011 (317)898 -4874 Account Number 1109847 eil). (800)GKCARES Payment Terms Payable 10th day of month SM Currency USD G &K SERVICES' stmt Code L1 GK DPC 101 CITY OF CARMEL UTILITIES LISA KEMPA 760 3RD AVE SUITE 110 CARMEL IN 46032 Account statement for 10/12/2011 Deliv Loc Inv Date Invoice No Purch Order Amount Payment Applications from 10/12/2011 to 10/12/2011 No postings in the account statement period. Open receivables as of 10/12/2011 08/03/2011 884456 395.91 invoice pd on 07/20/11 Subtotal 395.91- 54923 -01 08/04/2011 91820786 135.93 54923 -01 09/16/2011 1101112589 358.95 54923 -01 09/23/2011 1101115454 377.25 54923 -01 09/30/2011 1101118304 358.95 54923 -01 10/07/2011 1 101 121 166 358.95 92301- Subtotal 1,590.03 54923 -02 09/09/2011 1101109719 148.11 54923 -02 09/16/2011 1101112597 148.11 54923 -02 09/23/2011 1101115461 148.11 54923 -02 09/30/2011 1101118312 148.11 54923 -02 10/07/2011 1 101 121 173 148.11 92302- Subtotal 740.55 Balance 10/12/2011: 1,934.67 Aging as of 10/1212011: Currency to 0 Days 1 to 30 Days 31 to 60 Days 61 to 90 Days over 90 Days USD 507.06 1,687.59 135.93 395.91- 0.00 10/12/2011 WED 12:04 FAX 913178984157 2001 /001 G &K Services 9145 EAST 33RD STREET invoke INDIANAPOLISJN4 ,5235 (317)898 -4874 Invoice Number 91820786 (800)GKCARES Invoice Date 08/04/2011 gkservices.com /shop PO Number G &K SERVICES Delivery Number 81523793 Shipping Date 08/04/2011 Order Number 3895488 CITY OF CARMEL UTILITIES Order Date 07/25/2011 DISTRIBUTION OFFICE customer number 1109847 3450 WEST 131ST STREET Payment Terms Net 30 days CARMEL IN 46074 cost center Shipping Cond UPS Grnd Commercial Ship -to address CITY OF CARMEL UTILITIES PAUL PACE 3450 W 131ST ST CARMEL IN 46074 Repeat printout Line Item Description 1000193930 John Mascari 100 16254E EMB DICKIES° LS T -SHIRT WITH POCKET Color Size Qty Unit Price Total Black L RG 6 EA 11.99 71.94 Merchandise Total 71.94 Value Added Services 18.00 Merchandise /Value Ad 89.94 1000193930 John Mascari 200 31189E EMB THREE SEASON STORM JACKET Color Size Qty Unit Price Total Navy Blue L RG 1 EA 42.99 42.99 Merchandise Total 42.99 Value Added Services 3.00 Merchandise /Value Ad 45.99 Final amount 135.93 Please note our new remittance address. Delivery Tracking Numbers 1Z4FY5850302394496 a G &K SERVICES G K SERVICES Remit To: 9145 EAST 33RD STREET INDIANAPOLIS,IN 46235 -3606 Phone: (317) 898 -4874 CITY OF CARMEL UTILITIES Invoice Number: 1101129648 DISTRIBUTION OFFICE Invoice Date: 10/28/2011 3450 WEST 131ST STREET Payment Method: CHARGE CARMEL, IN 46074 Bill -To Number: 0054923 Customer Number: 54923 -01 P.O. Number: Service Agreement: 394883 Fed ID Number: 41- 1670526 Contact:PAUL PACE Route Sale Rep: 59 Terrell J ORIGINAL Message(s) T Wearer Wearer Name Locker/ Clock# Billing A Number Product Description Frequency Quantity Amount X 002 WHITLOW, SEAN 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,33,30 $3.18 3 004 CREASY, ANDREW 0 $22.54 PANT DUNGAREE,CONSTRCT,DENIM,36,32 $3.18 3 Swing Suit,CONSTRCT,DENIM $1.06 1 Prep Charge,CONSTRCT,DENIM $18.30 6 MDSE Due Us,CONSTRCT,DENIM $0.00 6 Pending Iss.,CONSTRCT,DENIM $0.00 6 005 LUPER, MIKE 0 $5.30 PANT DUNGAREE,CONSTRCT,DENIM,40,34 $5.30 5 Pending Iss.,CONSTRCT,DENIM $0.00 2 006 RANSFORD, BRETT 0 $5.34 SHIRT STRIPED,INDUST,WH /BL PN,XLT,SS $2.16 3 JEAN,BUTTON,DENIM,38,32 $3.18 3 007 BUCKSOT, BRUCE 0 $4.35 PANT DUNGAREE,CONSTRCT,DENIM,48,30 $4.35 3 Pending Iss.,CONSTRCT,DENIM $0.00 1 009 MCNULTY, MATT 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,36,36 $3.18 3 010 SIMPSON, DON 0 $7.42 SHIRT STRIPED,INDUST,NV /KH ST,XLT,SS $2.16 3 JEAN,RGFTPREW,DENIM,38,34 $3.18 3 CVRLL,SPEDSUIT,MED BLUE,2X,SS $2.08 1 013 ZAPF, CHAD 0 $3.18 Page 1 of 4 Delivering Uniform Service Ex(ellence. 1 k `a G &K SERVICES PANT DUNGAREE,CONSTRCT,DENIM,36,30 $3.18 3 014 SMITH, JAY 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,38,32 $3.18 3 015 SPEARS, JACK 0 $8.70 JEAN,BUTTON,DENIM,46,30 $4.35 3 Pending Iss.,BUTTON,DENIM $0.00 9 PANT DUNGAREE,CONSTRCT,DENIM,46,30 $4.35 3 Pending Iss.,CONSTRCT,DENIM $0.00 3 016 CASTENEDA, ALDWIN 0 $5.30 PANT DUNGAREE,CONSTRCT,DENIM,34,30 $5.30 5 Pending Iss.,CONSTRCT,DENIM $0.00 6 017 FROLICK, JEFF 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,36,32 $3.18 3 018 CALLAHAN, STEVE 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,40,30, $3.18 3 019 CARPENTER, JEFF 0 $5.34 SHIRT STRIPED,INDUST,WH /BL PN,XLT,SS $2.16 3. PANT DUNGAREE,CONSTRCT,DENIM,34,32 $3.18 3 020 ALVEY, RICK 0 $3.18 JEAN,RGFTPREW,DENIM,38,32 $3.18 3 022 BELL, WILLIAM 0 $5.36 PANT DUNGAREE,CONSTRCT,DENIM,36,32 $3.18 3 CVRLL,INDUST,NAVY,52,RG $2.18 1 023 CLOUD, JERRY 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,36,30 $3.18 3 025 JENKINS, DAN 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,36,32 $3.18 3 026 USE, COMPANY 0 $0.69 COAT LAB LONG,BASIC,WHITE,X,RG $0.69 1 027 MASCARI, JOHN 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,32,30 $3.18 3 028 ANTHIS, KRIS 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,34,32 $3.18 3 029 TOLAN, BRIAN 0 $4.35 PANT DUNGAREE,CONSTRCT,DENIM,46,32 $4.35 3 030 VANDERGRIFF, TIM 0 $5.36 PANT DUNGAREE,CONSTRCT,DENIM,38,34 $3.18 3 CVRLL,INDUST,NAVY,52,RG $2.18 1 032 DIALLO, TJ 0 $5.30 PANT DUNGAREE,CONSTRCT,DENIM,34,32 $5.30 5 033 HOLLANDER, GREG 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,38,34 $3.18 3 034 ISENBERGER, TONY 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,36,30 $3.18 3 035 RAYLE, JAKE 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,36,32 $3.18 3 036 DAVIS, JOSH 0 $5.30 PANT DUNGAREE,CONSTRCT,DENIM,36,32 $5.30 5 039 COOKSEY, SHAWN 0 $3.18 Page 2 of 4 Delivering Uniform Service Excellence: i G &K SERVICES PANT DUNGAREE,CONSTRCT,DENIM,30,30 $3.18 3 041 COOK, STEVE 0 $2.90 JEAN,BUTTON,DENIM,46,32 $2.90 2 3X4 MAT,TRACKCTL,MID GRAY WKLY 3 $9.09 4X6 MAT,TRACKCTL,MID GRAY WKLY 6 $33.66 5X8 MAT,TRACKCTL,GRAY WKLY 3 $29.49 3X10 MAT,TRACKCTL,MID GRAY WKLY 3 $20.85 SHOPTOWEL 18X18,BAGGED,ORANGEWKLY 200 $24.60 Auto Replace,BAGGED,ORANGE WKLY 100 $70.00 ENVIRON WW CHRG 1 $34.05 ENERGY SURCHG 1 $3.15 IG- GARMENTPROTECTION 1 $12.17 SUB TOTAL: $378.31 TAX 7.000 $0.00 TOTAL: $378.31 Thank you for your business! Cash: Payment is due on receipt of invoice. Charge: Net 10th of month following delivery. All sales adjustments are subject to G &K management approval. Goods and services offered pursuant to a contract. Returned checks are subject to a service fee. Special Charges have been reviewed and approved Charges Accepted 10/28/11 Page 3 of 4 Delivering Uniform Service Excellence: b� �1 O G &K SERVICES Customer Signature 10/28/11 Last Name: kerri Page 4 of 4 Delivering Uniform Service Excellence. G &K SERVICES G K SERVICES Remit To: 9145 EAST 33RD STREET INDIANAPOLIS,IN 46235 -3606 Phone: (317) 898 -4874 CITY OF CARMEL UTILITIES Invoice Number: 1101126831 DISTRIBUTION OFFICE Invoice Date: 10/21/2011 3450 WEST 131ST STREET Payment Method: CHARGE CARMEL, IN 46074 Bill -To Number: 0054923 Customer Number: 54923 -01 P.O. Number: Service Agreement: 394883 Fed ID Number: 41- 1670526 Contact:PAUL PACE Route Sale Rep: 59 Terrell J ORIGINAL Message(s) T Wearer Wearer Name Locker/ Clock# Billing A Number Product Description Frequency Quantity Amount X 002 WHITLOW, SEAN 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,33,30 $3.18 3 004 CREASY, ANDREW 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,38,32 $3.18 3 005 LUPER, MIKE 0 $5.30 PANT DUNGAREE,CONSTRCT,DENIM,40,34 $5.30 5 Pending Iss.,CONSTRCT,DENIM $0.00 2 006 RANSFORD, BRETT 0 $5.34 SHIRT STRIPED,INDUST,WH /BL PN,XLT,SS $2.16 3 JEAN,BUTTON,DENIM,38,32 $3.18 3 007 BUCKSOT, BRUCE 0 $4.35 PANT DUNGAREE,CONSTRCT,DENIM,48,30 $4.35 3 Pending Iss.,CONSTRCT,DENIM $0.00 1 009 MCNULTY, MATT 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,36,36 $3.18 3 010 SIMPSON, DON 0 $7.42 SHIRT STRIPED,INDUST,NV /KH ST,XLT,SS $2.16 3 JEAN,RGFTPREW,DENIM,38,34 $3.18 3 CVRLL,SPEDSUIT,MED BLUE,2X,SS $2.08 1 013 ZAPF, CHAD 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,36,30 $3.18 3 014 SMITH, JAY 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,38,32 $3.18 3 015 SPEARS, JACK 0 $8.70 Page 1 of 4 Delivering Uniform Service Excellence:- G &K SERVICES JEAN,BUTTON,DENIM,46,30 $4.35 3 Pending Iss.,BUTTON,DENIM $0.00 9 PANT DUNGAREE,CONSTRCT,DENIM,46,30 $4.35 3 Pending Iss.,CONSTRCT,DENIM $0.00 3 016 CASTENEDA, ALDWIN 0 $20.55 PANT DUNGAREE,CONSTRCT,DENIM,34,30 $5.30 5 Prep Charge,CONSTRCT,DENIM $15.25 5 Pending Iss.,CONSTRCT,DENIM $0.00 6 017 FROLICK, JEFF 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,36,32 $3.18 3 018 CALLAHAN, STEVE 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,40,30 $3.18 3 019 CARPENTER, JEFF 0 $5.34 SHIRT STRIPED,INDUST,WH /BL PN,XLT,SS $2.16 3 PANT DUNGAREE,CONSTRCT,DENIM,34,32 $3.18 3 020 ALVEY, RICK 0 $3.18 JEAN,RGFTPREW,DENIM,38,32 $3.18 3 022 BELL, WILLIAM 0 $5.36 PANT DUNGAREE,CONSTRCT,DENIM,36,32 $3.18 3 CVRLL,INDUST,NAVY,52,RG $2.18 1 023 CLOUD, JERRY 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,36,30 $3.18 3 025 JENKINS, DAN 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,36,32 $3.18 3 026 USE, COMPANY 0 $0.69 COAT LAB LONG,BASIC,WHITE,X,RG $0.69 1 027 MASCARI, JOHN 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,32,30 $3.18 3 028 ANTHIS, KRIS 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,34,32 $3.18 3 029 TOLAN, BRIAN 0 $4.35 PANT DUNGAREE,CONSTRCT,DENIM,46,32 $4.35 3 030 VANDERGRIFF, TIM 0 $5.36 PANT DUNGAREE,CONSTRCT,DENIM,38,34 $3.18 3 CVRLL,INDUST,NAVY,52,RG $2.18 1 032 DIALLO, TJ 0 $5.30 PANT DUNGAREE,CONSTRCT,DENIM,34,32 $5.30 5 033 HOLLANDER, GREG 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,38,34 $3.18 3 034 ISENBERGER, TONY 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,36,30 $3.18 3 035 RAYLE, JAKE 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,36,32 $3.18 3 036 DAVIS, JOSH 0 $5.30 PANT DUNGAREE,CONSTRCT,DENIM,36,32 $5.30 5 039 COOKSEY, SHAWN 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,30,30 $3.18 3 041 COOK, STEVE 0 $2.90 JEAN,BUTTON,DENIM,46,32 $2,90 2 Page 2 of 4 Delivering Uniform Service Excellence: f I z G &K SERVICES 3X4 MAT,TRACKCTL,MID GRAY WKLY 3 $9.09 4X6 MAT,TRACKCTL,MID GRAY WKLY 6 $33.66 5X8 MAT,TRACKCTL,GRAY WKLY 3 $29.49 3X10 MAT,TPACKCTL,MID GRAY WKLY 3 $20.85 SHOPTOWEL 18X18,BAGGED,ORANGEWKLY 200 $24.60 Auto Replace,BAGGED,ORANGE WKLY 100 $70.00 ENVIRON WW CHRG 1 $34.05 ENERGY SURCHG 1 $3.15 IG- GARMENTPROTECTION 1 $12.17 SUB TOTAL: $374.20 TAX 7.000 $0.00 TOTAL: $374.20 Thank you for your business! Cash: Payment is due on receipt of invoice. Charge: Net 10th of month following delivery. All sales adjustments are subject to G &K management approval. Goods and services offered pursuant to a contract. Returned checks are subject to a service fee. Special Charges have been reviewed and approved Charges Accepted 10/21/11 Page 3 of 4 Delivering Uniform Service Excellence:° 4( G &K SERVICES Customer Signature 10/21/11 Last Name: becky Page 4 of 4 Delivering Uniform Service Excellence:- G &K G K SERVICES Remit To: 9145 EAST 33RD STREET INDIANAPOLIS,IN 46235 -3606 Phone: (317) 898 -4874 CITY OF CARMEL UTILITIES Invoice Number: 1101124005 DISTRIBUTION OFFICE Invoice Date: 10/14/2011 3450 WEST 131ST STREET Payment Method: CHARGE CARMEL, IN 46074 Bill -To Number: 0054923 Customer Number: 54923 -01 P.O. Number: Service Agreement: 394883 Fed ID Number: 41- 1670526 Contact:PAUL PACE Route Sale Rep: 59 Terrell J ORIGINAL Message(s) T Wearer Wearer Name Locker Clock# Billing A Number Product Description Frequency Quantity Amount X 002 WHITLOW, SEAN 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,33,30 $3.18 3 004 CREASY, ANDREW 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,38,32 $3.18 3 005 LUPER, MIKE 0 $5.30 4 PANT DUNGAREE,CONSTRCT,DENIM,40,34 $5.30 5 Pending Iss.,CONSTRCT,DENIM $0:00 2 006 RANSFORD, BRETT 0 $5.34 SHIRT STRIPED,INDUST,WH /BL PN,XLT,SS $2.16 3 JEAN,BUTTON,DENIM,38,32 $3.18 3 007 BUCKSOT, BRUCE 0 $4.35 PANT DUNGAREE,CONSTRCT,DENIM,48,30 $4.35 3 Pending Iss.,CONSTRCT,DENIM $0.00 1 009 MCNULTY, MATT 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,36,36 $3.18 3 010 SIMPSON, DON 0 $7.42 SHIRT STRIPED,INDUST,NV /KH ST,XLT,SS $2.16 3 JEAN,RGFTPREW,DENIM,38,34 $3.18 3 CVRLL,SPEDSUIT,MED BLUE,2X,SS $2.08 1 013 ZAPF, CHAD 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,36,30 $3.18 3 014 SMITH, JAY 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,38,32 $3.18 3 015 SPEARS, JACK $8.70 Page 1 of 4 Delivering Uniform Service Excellence:�' G &K SERVICES JEAN,BUTTON,DENIM,46,30 $4.35 3 Pending Iss.,BUTTON,DENIM $0.00 9 PANT DUNGAREE,CONSTRCT,DENIM,46,30 $4.35 3 Pending Iss.,CONSTRCT,DENIM $0.00 3 016 CASTENEDA, ALDWIN 0 $8.35 PANT DUNGAREE,CONSTRCT,DENIM,34,30 $5.30 5 Prep Charge,CONSTRCT,DENIM $3.05 1 Pending Iss.,CONSTRCT,DENIM $0.00 2 017 FROLICK, JEFF 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,36,32 $3.18 3 018 CALLAHAN, STEVE 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,40,30 ;:3.18 3 019 CARPENTER, JEFF 0 $5.34 SHIRT STRIPED,INDUST,WH /BL PN,XLT,SS $2.16 3 PANT DUNGAREE,CONSTRCT,DENIM,34,32 $3.18 3 020 ALVEY, RICK 0 $3.18 JEAN,RGFTPREW,DENIM,38,32 $3.18 3 022 BELL, WILLIAM 0 $5.36 PANT DUNGAREE,CONSTRCT,DENIM,36,32 $3.18 3 CVRLL,INDUST,NAVY,52,RG 2.18 1 023 CLOUD, JERRY 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,36,30 $3.18 3 025 JENKINS, DAN 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,36,32 $3.,18 3 026 USE, COMPANY 0 $0.69 COAT LAB LONG,BASIC,WHITE,X,RG $0.69 1 027 MASCARI, JOHN 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,32,30 13.18 3 028 ANTHIS, KRIS 0 r $3.18 PANT DUNGAREE,CONSTRCT,DENIM,34,32 $3.18 3 029 TOLAN, BRIAN 0 $4.35 PANT DUNGAREE,CONSTRCT,DENIM,46,32 54..3$ 3 030 VANDERGRIFF, TIM 0� $5.36 PANT DUNGAREE,CONSTRCT,DENIM,38,34 $3.18 3 CVRLL,INDUST,NAVY,52,RG ,2.18 1 032 DIALLO, TJ 0 $5.30 PANT DUNGAREE,CONSTRCT,DENIM,34,32 x5.30 5 033 HOLLANDER, GREG 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,38,34 $3.18 3 034 ISENBERGER, TONY C $3.18 PANT DUNGAREE,CONSTRCT,DENIM,36,30 $3.18 3 035 RAYLE, JAKE 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,36,32 X3.18 3 036 DAVIS, JOSH 0 $5.30 PANT DUNGAREE,CONSTRCT,DENIM,36,32 3.30 5 039 COOKSEY, SHAWN 0 $3.18 PANT DUNGAREE,CONSTRCT,DENIM,30,30 "3.18 3 041 COOK, STEVE 0 $2,90 JEAN,BUTTON,DENIM,46,32 ..2.90 2 Page 2 of 4 Delivering !Uniform Service Excellence:, G &K SERVICES 3X4 MAT,TRACKCTL,MID GRAY WKLY 3 $9.09 4X6 MAT,TRACKCTL,MID GRAY WKLY 6 $33.66 5X8 MAT,TRACKCTL,GRAY WKLY 3 $29.49 3X10 MAT,TRACKCTL,MID GRAY WKLY 3 $20.85 SHOPTOWEL 18X18,BAGGED,ORANGEWKLY 200 $24.60 Auto Replace,BAGGED,ORANGE WKLY 100 $70.00 ENVIRON WW CHRG 1 $34.05 ENERGY SURCHG 1 $3.15 IG- GARMENTPROTECTION 1 $12.17 SUB TOTAL: $362.00 TAX 7.000 s $0.00 TOTAL: $362.00 Thank you for your business! Cash: Payment is due on receipt of invoice. Charge: Net 10th of month following delivery._ tj All sales adjustments are subject to G &K management a roval. Goods and services offered pursuant to a contract. Returned checks are subject to a service fee. Special Charges have been reviewed and approved �U 'I Charges Accepted 1U.: Page 3 of 4 Delivering Uniform Service Excellence: Fy y G &K SERVICES I i I J I Customer Signature Last Name: kerri Page 4 of 4 Delivering Uniform Service Excellence.- Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 00352873 G &K Services Inc. Purchase Order No. 9145 East 33rd St Terms Indianapolis, IN 46236 Due Date 10/31/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/31/201' 102811 $752.51 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 Date Officer VOUCHER 112752 WARRANT ALLOWED 00352873 IN SUM OF G &K Services Inc. 9145 East 33rd St WAIVIIA Indianapolis, IN 46236 OONS Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 102811 01- 6360 -03 $171.88 102811 01- 6360 -06 $580.63 34 -a' t 11D�1 �4c�s c� c��cGo <c� G� 4 LA CA Voucher Totalg Eq. S5 Cost distribution ledger classification if claim paid under vehicle highway fund