205594 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 357097 Page 1 of 1
ONE CIVIC SQUARE SERVICE FIRST CLEANING, INC CHECK AMOUNT: $167.61
CARMEL, INDIANA 46032 PAYMENT PROCESSING CENTER
10632 GRAND RIVIERE DRIVE CHECK NUMBER: 205594
TAMPA FL 33647
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4350600 153062 200.00 CLEANING SERVICES
1701 4350600 153068 -32.39 CLEANING SERVICES
SERVICE FIRST
CLEANING...
FOR YOUR IMAGE. FOR YOUR HEALTH'
Service First Cleaning 317 770 8042
S E R V I C E F I R S TC LEA N I N G. C O M Credit Memo
Payment Processing Center
10632 Grand Riviere Dr. Date Credit No.
Tampa, FL 33647 12/31/2011 153068
Customer
City of Carmel Treasurer's Dept
One Civic Square
Carmel, IN 46032
P.O. No. Project
Description Qty Rate Amount
Desk Pad 2006 Black -1 32.39 -32.39
Thank you for your business.
Total 32.39
Invoices $0.00
Balance Credit 32.39
Phone Fax E -mail
3175728042 support a servicelirstcleaning.com
E:F ICE F R S T
---CLEANING---
FOR YOUR IMAGE. FOR YOUR HEALTH.°
Service First Cleaning 317 770 8042
56RVICEFIRSTC LEANING.COM Invoic
Payment Processing Center
1.0632 Grand Riviere Dr. Date Invoice
Tampa, FL 33647 12/31/2011 153062
Bill To
City of Carmel "Treasurer's Dept
One Civic Square
Carmel, IN 46032
P.O. No. Terms Project
Net 30
Quantity Description Rate Amount
1 FOR THE MONTH OF JANUARY 200.00 200.00
"Thank you for your business.
Total $200.00
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 291 (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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached in or bills
t
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.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
15 30b ',R) 6 "3a. bill(s) is (are) true and correct and that the
bto ZOb materials or services itemized thereon for
which charge is made were ordered and
received except
J Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund