HomeMy WebLinkAbout174376 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 361252 Page 1 of 1
ONE CIVIC SQUARE INDY CLEAN TEAM LLC
CARMEL, INDIANA 46032 PO BOX 4251 CHECK AMOUNT: $375.00
CARMEL IN 46082
CHECK NUMBER: 174376
CHECK DATE: 7/8/2009
DEPA RTMENT ACCOUNT PO NUMBER INVOICE NUM AMOUNT DESCRIPTION
1207 T 4350100 375.00 BUILDING REPAIRS MA
i;
Nancy Mellinger 765 386 -2747 p.2
979507/NC2817 CVT 8198. t
T
NC2817
Indy Clean Team, LLC
317- 810 -0771
P.O. Box 4251
Carmel, IN 46082
DATE ORDERED ORDER TAKEN BY
TO I PHONE NO. CUSTOMER ORDER
ADDRES JOB LOCATION
JOB PHONE STARTING DATE
I
ATTENTION TERMS
1
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WORK ORDERED BY
TOTAL LABOR
DATE ORDERED
I
TOTAL MATERIALS
DATE COMPLETED
UOT^;L MISCELLANEOUS
SUBTOTAL
CUSTOMER APPROVAL
SIGNATURE— TAX
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AUTHORIZED SIGNATURE
GRAND TOTAL
&.d- NC2817 f�r
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))
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.
r ALLOWED 20
V
IN SUM OF
o,
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I 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
20
r
S A ature,
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund