178111 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 00350277 Page 1 of 1
of „yf ONE CIVIC SQUARE DEERING CLEANERS
CARMEL, INDIANA 46032 602 N CAPITOL AVE CHECK AMOUNT: $274.04
INDIANAPOLIS IN 46204 -1206 CHECK NUMBER: 178111
<ipN
CHECK DATE: 10111412009
DEPARTMENT ACCOUNT PO NUMBER I NUMBER A MOUNT DESCRIPTION
'1120 4350600 274.04 CLEANING SERVICES
beering Cleaners
602 N. Capitol Ave.
Indianapolis, IN 46204
317- 251 -6740 Account Number Closing Date Statement Date
DE 109 10/01/2009 10/01/2009
ti
Statement Date Due Date Account Number
10/01/2009 10/31/2009
DE 109
Pa nt New Charges Total Due
8,948.50 276.03 6,271.53 Name
Carmel Fire Dept. Carmel Fire Dept.
Gary Carter Total Due
Two Civic Square
Carmel, IN 46032 6,271.53
o
Pick -up Invoice Amount
Date Payments
Invoice Amount
09/23/09 Check 177171
($4,648.50) ($4,648.50)
Carmel Fire Dept.
09/22/09 DE- 08- 006130 DryCleaning
09/22/09 DE -08- 006132* Laundry $23.04 DE -08- 0061.30 $23.04
$1.99 DE -08- 006132 $1.99
Subtotal:
Carmel, Davis J $25.03
09/28/09 DE -09- 006353 Drycleaning
09/28/09 DE -09- 006355 Drycleaning $28-00 DE -09- 006353 $28.00
09/28/09 DE -09- 006373 Drycleaning $3.00 DE -09- 006355 $3.00
09/2 D&09- 006358 Drycleaning $2.50 DE -09- 006373 $2.50
3.00 DE -09- 006358 $3.00
Subtotal:
Carmel, Drake C $36.50
09/22/09 DE- 09- 003065 Drycleaning
$28.00 E -09- 003065 $28.00
Subtotal:
Carmel, Keaton T $28.00
09/22/09 DE- 09- 000843 Drycleaning
09/22/09 DE -09- 00046 Drycleaning $28.00 F_09 000843 8.00
$8.00 E -09- 000846 $8.00
Subtotal: $36.00
Carmel, Mason B
09/28/09 DE- 09- 006351 Drycleaning
$2 8.00 E -09- 006351 $28.00
Carmel, Mitchell J Subtotal: $28.00
09/24/09 DE -09- 005621 Drycleaning
$14.00 E- 09- 005621 $14.00
Subtotal:
Carmel, Moriarty J $14.00
indicates a paid invoice
TOTAL DUE
$6,271.53
Current 1 to 30 Days 31 to 60 Days 61 to 90 Days
$274.04 $5,997.49 $0.00 $0
Page 1 of 2
Deering Cleaners
602 N. Capitol Ave.
Indianapolis, IN 46204 Account Number Closing Date Statement Date
317- 251 -6740 DE 109 10/01/2009 10/01/2009
Statement Date Due Hate Account Number
10/01/2009 10/31/2009
DE 109
Payments New Charges Total Due
4,648.50 276.03 6,271.53 Name
Carmel Fire Dept. Carmel Fire Dept,
Gary Carter Total Due
Two Civic Square
Carmel, 1N 46032 6,271.53
F 10
Pick -up Invoice Amount
09M /09 DE -09- 006371 Drycleaning
09/28/09 DE -09- 006372 Drycleaning $30.50 DE -60 %6371 A $30.50
6.00 DE-09- 006372 $6.00
Carmel, Reeves 5 Subtotal: $36.50
09/01/09 DE -09- 000216 Drycleaning
09/02/09 DE -09- 000219 Drycleaning $40.00 DE -09- 000216 $40.00
$32.00 DE- 09- 000219 $32.00
Subtotal: $72.00
indicates a paid invoice
TOTAL DUE
$6,271.53
Current 1 to 30 Days 31 to 60 Days 61 to 90 Days
$274.04 $5,997.49 $0.00 $0.00
Page 2 of 2
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))
$274.04
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. W N
ALLOWED 20
De: -aring Cleaners
IN SUM OF
602 North Capitol Avenue
Indianapolis, IN 46204
$274.04
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO Dept, INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 43- 506.00 $274.04 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
OCT 1 2 2009
r a
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund