172379 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 361252 Page 1 of 1
ONE CIVIC SQUARE INDY CLEAN TEAM LLC CHECK AMOUNT: $397.50
CARMEL, INDIANA 46032 PO sox 4251
CARMEL IN 46082 CHECK NUMBER: 172379
CHECK DATE: 5/13/2009
DEPARTMENT ACCOUN PO NUMBER INV NUMBER AMOUN D ESCRI P TION
1207 4350600 397.50 CLEANING SERVICES
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I ndy Clcasi Tcatu, LLC
317-810-0
P.O. Box 4251
Carmel, IN 46082,
DATE ORDERED ORDER TAKEN BY
TO PHONE NO. CUSTOMER ORDER
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JOB PHONE STARTING DATE
ATTENTION TERMS
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DATE COMPLETED
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AUTHORIZED SIGNATURE GRAND TOTAL
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Inay clean Yearn, LLC
317- 810 -0771
P.O. Box 4251
Carmel, IN 46082
DATE ORDERED ORDER TAKEN BY
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A D D RY JOB LOCATION
JOB PHONE STARTING DATE
ATTENTION TERMS
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WORK ORDERED BY
TOTAL LABOR
DATE ORDERED
TOTAL MATERIALS
DATE COMPETED
TOTAL MISCELLANEOUS
SUBTOTAL
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AUTHORIZED SIGNATUR W GRAND TOTAL A0
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»ay CkAw Team, LLC
317- 810-0771
P.O. Box 4251 S
Carmel, IN 46082
DATE ORDERED ORDER TAKEN BY
TO j PHONE NO. CUSTOMER ORDER
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ADOMESS JOB LOCATION
JOB PHONE STARTING DATE
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TOTAL LABOR
DATE ORDERED
TOTAL MATERIALS
DATE COMPLETED
TOTAL MISCELLANEOUS
SUBTOTAL
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AUTHORIZED SIGNATUR GRAND TOTAL �3
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Prescribed by State Board of Accounts
"Iyl.' W I ON,
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.
Q l Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
i
Total 3975
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.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
o1,st bill(s) is (are) true and correct and that the
a6 materials or services itemized thereon for
06 which charge is made were ordered and
received except
20
J/9 667P
Si ture
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund