HomeMy WebLinkAbout203590 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 00353370 Page 1 of 1
ONE CIVIC SQUARE PRIMELIFE ENRICHMENT, INC
CHECK AMOUNT: $1,666.67
CARMEL, INDIANA 46032 1078 THIRD AVE SW
4 CARMEL IN 46032 CHECK NUMBER: 203590
CHECK DATE: 111912011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 11 -1031 1,666.67 OTHER CONT SERVICES
City of Carmel
INVOICE
Date: l i /1 /11
Name of Cony)an PrimeLife Enrichment, Inc.
Address Zip: 1078 Third Ave S.W.
Carmel, M 46032
Telephone No: 317 -815 -7000
Fax No: 317 -815 -7007
Project Name: PrimeLife Enrichment Provided Rec@ing Service
Invoice No: 11 -1031
Purchase Order No: 0407.04.05
Person Date Goods /Services SERVICES Current Year to Balance
Providing Goods/ Provided Hourly Month Date Remaining
Goods/ Service (Describe each Rate Expended Expended
Service Provided good /service Hours
separately and in detail) Work
PrimeLife October City Recycling Program 1 month $1,666.67 $10,000.02 59,999.98
Enrichment, 2011. $1,666.67
file
INVOICE TOTAL $1,666.67
Contract Balance $9,999.98
Signature
Colleen. Bonan.ne
Printed Name
VOUCHER NO. WARRANT N
Primel-ife Enrichment ALLOWED 20
IN SUM OF
1078 3rd Ave. S. W.
Carmel, IN 48302
$1,666.67
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 11 -1031 43- 509.00 $1,666.67 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
fThursday,;Novernber 03, 2011
U VAJ Y CI
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/01/11 11 -1031 $1,666.67
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