205105 12/28/2011 CITY OF CARMEL, INDIANA VENDOR: 357097 Page 1 of 1
ONE CIVIC SQUARE SERVICE FIRST CLEANING, INC CHECK AMOUNT: $400.00
CARMEL, INDIANA 46032 PAYMENT PROCESSING CENTER
�i:o� �b 10632 GRAND RIVIERE DRIVE CHECK NUMBER: 205105
TAMPA FL 33647
CHECK DATE: 12/28/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4350600 153032 200.00 CLEANING SERVICES
1701 4350600 153049 200.00 CLEANING SERVICES
SERVOIC FI RST
CLEANING—
FOR YOUR IMAGE. FOR YOUR HEALTH!'
Service First Cleaning 317 770 8042
$ERVIC EFIFS'TC LF_YNIN G.r'OM I��//pp f voic
Payment Processing Center 11
10632 Grand Riviere Dr. Date Invoice
Tampa, FL 33647 12/14/2011 153049
Bill To
City or Carmel Treasurer's Dept
One Civic Square
Carmel, IN 46032
P.O. No. Terms Project
Net 30
Quantity Description Rate Amount
I For the month of December 200.00 200.00
Please remit to above address.
Total $200.00
C do
C0E F0R:
C l_ E A N I N G•
FOR YOUR IMAGE. FOR YOUR HEALTH^
Service First Cleaning 317 770 8042
S EHVIC EFIRSTCLEANIN G.COM
Invoic
Payment Processing Center
10632 Grand Riviere Dr. Date Invoice
Tampa, FL 33647 l I /l/20I I 153032
Bill To
City orCarmel "t'reasurer's Dept
One Civic Square
Carmel, IN 46032
P.O. No. Terms Project
Net 30
Quantity Description Rate Amount
I FOR THE MONTH OF NOV E MB R 200.00' 200.00
I
"Thank you for your business.
Total $200.00
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.
yee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
U
X30
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
VOUCHER NO. WARRANT NO.
Q ALLOWED 20
IN SUM OF
f.
D
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
`p� GZ 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
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund