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205772 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 362886 Page 1 of 1 0 ONE CIVIC SQUARE ALLIED CLEANING SOLUTIONS CHECK AMOUNT: $556.17 CARMEL, INDIANA 46032 11600 COMMONWEALTH DRIVE LOUISVILLE KY 40299 CHECK NUMBER: 205772 CHECK DATE: 1/31/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4238900 11186600 112.38 OTHER MAINT SUPPLIES 1096 4238900 11186800 224.76 OTHER MAINT SUPPLIES 1096 4238900 11193100 219.03 OTHER MAINT SUPPLIES e REMIT AND MAKE CHECK PAYABLE TO CUSTOMER NUMBER ALLIED CLEANING SOLUTIONS INVOICE NUMBER 500940 11600 COMMONWEALTH DRIVE 111931 -00 LOUISVILLE KY 40299 SOLD TO: CARMEL CLAY PARKS REC SHIP TO: MONON CENTER 1411 E 116TH STREET 1235 CENTRAL PARK DRIVE CARMEL, IN 46032 PH #317/573 -4026 CARMEL, IN 46032 317/573 -4023 SERRA GARSKE SALESMAN DATE CUSTOMER NUMBER NAME INVOICED ORDER NUMBER TERMS SHIP VIA F.O.B. 50 BROADSTREET 12/30/11 MCD02416 NET 30 DAYS UPS OVERNIGH CUSTOMER SPECIAL BILLING INSTRUCTIONS: FAX QUANTITY QUANTITY QUANTITY ITEM NUMBER/ QUANTITY UNIT EXTENDED T ORDERED SHIPPED BACKORDERED UM DESCRIPTION BILLED UM PRICE PRICE X 1 1 0 EA PG- LOWTIDE 1 EA 112.38 112.38 N 1 24201 2X TIDE DETER 2.5 GALLON III N N V V 000 III CCCC EEEEE SUB -TOTAL 112.38 I NN N V V O O I C E I N N N V V O O I C EEE I N NN V V O O I C E FREIGHT CHARGE 106.65 III N N V 000 III CCCC EEEEE TOTAL 219.03 Purchase G.f- 'Wiption L c l,1rlC�X(�� SU 1Q I y� P.O. �g�_. ��r= PP r F G.Lj 3_y 3c� JAN 0 3 2012 Oud Line Descr G e-u 1 3 P urchaser Date BY Approval Date END OF INVOICE REMIT AND MAKE CHECK PAYABLE TO CUSTOMER NUMBER ALLIED CLEANING SOLUTIONS INVOICE NUMBER 500940 11600 COMMONWEALTH DRIVE 111868 -00 LOUISVILLE KY 40299 DUPLICATE SOLD TO: CARMEL CLAY PARKS REC SHIP TO: MONON CENTER 1411 E 116TH STREET 1235 CENTRAL PARK DRIVE CARMEL, IN 46032 PH #317/573 -4026 CARMEL, IN 46032 317/573 -4023 SERRA GARSKE SALESMAN DATE CUSTOMER NUMBER NAME INVOICED ORDER NUMBER TERMS SHIP VIA F.O.B. 50 BROADSTREET 01/04/12 29018 NET 30 DAYS OUR TRUCK CUSTOMER SPECIAL BILLING INSTRUCTIONS: FAX QUANTITY QUANTITY QUANTITY ITEM NUMBER/ QUANTITY UNIT EXTENDED T ORDERED SHIPPED BACKORDERED UM DESCRIPTION BILLED UM PRICE PRICE X 2 2 0 EA PG- LOWTIDE 2 EA 112.38 224.76 N 1 24201 2X TIDE DETER 2.5 GALLON III N N V V 000 III CCCC EEEEE SUB -TOTAL 224.76 I NN N V V O O I C E I N N N V V O O I C EEE I N NN V V O O I C E III N N V 000 III CCCC EEEEE TOTAL 224.76 Purchase \"J Ccsc-iPtion P.O.# o24L1 FS /�r rF JAN 0 4 2012 G.L. i (J3 -y f 2 a 5 90O Fu ]BY: Line Descr Ct Purchaser Date END OF INVOICE REMIT AND MAKE CHECK PAYABLE TO CUSTOMER NUMBER ALLIED CLEANING SOLUTIONS INVOICE NUMBER 500940 11600 COMMONWEALTH DRIVE 111866 -00 LOUISVILLE KY 40299 DUPLICATE SOLD TO: CARMEL CLAY PARKS REC SHIP TO: MONON CENTER 1411 E 116TH STREET 1235 CENTRAL PARK DRIVE CARMEL, IN 46032 PH #317/573 -4026 CARMEL, IN 46032 317/573 -4023 SERRA GARSKE SALESMAN DATE CUSTOMER NUMBER NAME INVOICED ORDER NUMBER TERMS SHIP VIA F.O.B. 50 BROADSTREET 01/04/12 MC002416 NET 30 DAYS OUR TRUCK CUSTOMER SPECIAL BILLING INSTRUCTIONS: FAX QUANTITY QUANTITY QUANTITY ITEM NUMBER/ QUANTITY UNIT EXTENDED T ORDERED SHIPPED BACKORDERED UM DESCRIPTION BILLED UM PRICE PRICE X 1 1 0 EA PG— LOWTIDE 1 EA 112.38 112.38 N 1 24201 2X TIDE DETER 2.5 GALLON III N N V V 000 III CCCC EEEEE SUB —TOTAL 112.38 I NN N V V O 0 I C E I N N N V V O O I C EEE I N NN V V O O I C E III N N V 000 III CCCC EEEEE TOTAL 112.38 Purchase Description P.O.# MC PorF J�� Q 4 G.L. 0� 3- �/a -3 YF06 Budget Li Descr Purchaser Date Approval Date 9 (1 END OF INVOICE ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 362886 Allied Cleaning Solutions Terms 11600 Commonwealth Drive Louisville, KY 40299 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 12/30/11 11193100 Laundry supplies 219.03 1/4/12 11186800 Laundry supplies 224.76 1/4/12 11186600 Laundry supplies 112.38 Total 556.17 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 Voucher No. Warrant No. 362886 Allied Cleaning Solutions Allowed 20 11600 Commonwealth Drive Louisville, KY 40299 In Sum of r 556.17 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members Dept 1096 -21 11193100 4238900 219.03 1 hereby certify that the attached invoice(s), or 1096 -21 11186800 4238900 224.76 bill(s) is (are) true and correct and that the 1096 -21 11186600 4238900 112.38 materials or services itemized thereon for which charge is made were ordered and received except 26 -Jan 2012 Signature 556.17 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund