205572 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 00353370 Page 1 of 1
ONE CIVIC SQUARE PRIMELIFE ENRICHMENT, INC
CARMEL, INDIANA 46032 1078 THIRD AVE SW CHECK AMOUNT: $1,666.67
CARMEL IN 46032 CHECK NUMBER: 205572
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350900 11 -1231 1,666.67 OTHER CONT SERVICES
City of Carmel
INVOICE
Date: 1/1/12
Naine 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: 11 -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
separately and in detail) Work
PrimeLife December City Recycling Program 1 month $1,666.67 $13,333.36 $6,666.64
Enrichment, 2011 $1,666.67
Inc
INVOICE TOTAL $1,666.67
Contract Balance $6,666.64
Signature
Colleen Bonanne
Printed Name
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))
01/01/12 11 -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
V N WARRANT N
ALLOWED 20
PrimeLife Enrichment
IN SUM OF
1078 3rd Ave. S. W.
Carmel, IN 46302 4
$1,666.67
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member;
2201 11 -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
Wednesday, January 11, 2012
Street Commiss on
i v
sir
Title ssione,
c'.�i
Cost distribution ledger classification if
claim paid motor vehicle highway fund