HomeMy WebLinkAbout169961 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 361252 Page 1 of 1
ONE CIVIC SQUARE INDY CLEAN TEAM LLC
CHECK AMOUNT: $140.25
CARMEL, INDIANA 46032 PO BOX 4251
CARMEL IN 46082 CHECK NUMBER: 169961
CHECK DATE: 3/18/2009
DEPARTMENT ACCOUNT PO NUMBER IN VOICE N UMBER A MOUNT DESCRIPTION
1207 4350100 140.25 BUILDING REPAIRS MA
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SOB NV®ICE
Iudy Clean Team, LLC
317 810 -0771
P.O. Box 4251
Carmel, IN 46082
DATE PRD RED ORDER TAKEN BY
TQ PHONE NO. CUSTOMER ORDER
ADDRESS JOB LOCATION
JOB PHONE STARTING DATE
ATTENTION TERMS
MM No l:' 9 WPM
Cox` �o
77
WORK ORDERED BY
TOTAL LABOR
DATE ORDERED
TOTAL MATERIALS
DATE COMPLETED
TOTAL MISCELLANEOUS
SUBTOTAL
CUSTOMER APPROVAL
SIGNATURE TAX
`AUTHORIZED SIGNATU GRAND TOTAL
ms Nc2817 JOB INVOICE
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (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.
Payees!
emu �1�64t� Y� LLL Purchase Order No.
R �0 7 S/ Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
A7 S7
Total Q, _25'
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.
i 20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
QQL/ l ice► LLC IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
t2 E
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
poi -�v /x, 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
20
Sicatu e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund