177363 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 00353370 Page 1 of 1
*'r ONE CIVIC SQUARE PRIMELIFE ENRICHMENT, INC CHECK AMOUNT: $1,666.67
'o CARMEL, INDIANA 46032 1078 THIRD AVE SW
CARMEL IN 48032 CHECK NUMBER: 177363
CHECK DATE: 9/1512009
DEPARTMEWN ACCOUNT PO NUMBER INVOICE NUMBER AM DESCRIPTION
2201 4350900 083109 1,666.67 OTHER CONT SERVICES
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City of Carmel i
INVOICE
Date: 9/4/09
Naine of Company: PrimeLife Enrichment, Inc.
Address Zip: 1078 Third Ave S.W.
Cannel, IN 46032
Telephone No: 31.7- 815 -7000
Fax No: 317- 815 -7007
Project Name: PrimeLife Enrichment Provided Recycling Service
Invoice No: 083109
Purchase Order No: 0407.04.05
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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 August City Recycling Program 1 month cr $1,666.67 $6,666.68 $13,333.32
Enrichment, 2009 $1,666,67
Inc
INVOICE TOTAL $1,666.67
Contract Balance $13,333.32
Signature
Colleen Bonanne
Printed Name
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VOUCHER NO. WARRANT NO.
ALLOWED 20
PrimeLife Enrichment
IN SUM OF
10783rd 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 083109 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
4 �hursday(Se ber 10, 2009
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Street Commis i er
Shout
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))
09/04109 083109 $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