168663 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00353370 Page 1 of 1
ONE CIVIC SQUARE PRIMELIFE ENRICHMENT, INC
0 �o CARMEL, INDIANA 46032 1078 THIRD AVE SW CHECK AMOUNT: $1,66fi.67
CARMEN IN 46032
CHECK NUMBER: 168663
CHECK DATE: 21412009
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 1231 1,666.67 OTHER CONT SERVICES
a,
sae
City of Carmel
INVOICE
Date: 1/5/09
Name of Company: PrimeLife Enrichment, Inc.
Address Zip: 1078 Third Ave S.W.
Carmel, IN 46032
Telephone No: 317 -815 -7000
Fax No: 317- 815 -7007
Project Name: PrimeLife Enrichment Provided Recycling Service
Invoice No: 1231
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
se arately and in detail) Work
PrimeLife December City Recycling Program 1 month $1,666.67 $1.3,333.36 $6,666.64
Enrichment, 2008 $1,666.67
1Jnc
INVOICE TOTAL $1,666.67
Contract Balance $6,666.64
Signature
Colleen Bonanne
Printed Name
VOUCHER NO. WARRANT NO.
ALLOWED 20
Primel-ife Enrichment
IN SUM OF
1078 3rd Ave. S. W.
Carmel, IN 46302
$1,666.67
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 1231 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
Thus ay, l ary 29, 2009
s
S td Co rnls
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))
01/05/09 1231 $1,666.67
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