173388 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 358552 Page 1 of 1
ONE CIVIC SQUARE INTELLIGENT CLEANING SYSTEMS INC
CARMEL, INDIANA 46032 17406 TILLER COURT SUITE 300/400 CHECK AMOUNT: $41.20
WESTFIELD IN 46074 CHECK NUMBER: 173388
CHECK DATE: 6/10/2009
D EPARTMENT ACCOUNT P O NUMBER INVOICE NU MBER AMO D ESCRIPTION
1205 4238900 5421 41.20 OTHER MAINT SUPPLIES
Intelligent Cleaning Systems, Inc. Inv ®ice
CS 17406 Tiller Ct.
ImcQigem CkmingSn¢ett
Date Invoice
Suite 300/400
Westfield, IN 46074 5/21/2009 5421
Bill To Ship To
City of Carmel City of Carmel
One Civic Square One Civic Square
Carmel, IN 46032 Carmel, IN 46032
Attention: Accounts Payable
P.O. Number Terms Rep Ship Via F.O.B. Project
JEFF bARNES 1% 10 Net 30 NV 5/21/2009 ICS Truck
Quantity Item Code Description U/M Price Each Amount
1 ES64 -CS2 G.P. Neutral Disinfectant, 2x.053 Gal. 41.20 41.20
Effective 211/08; a $30.00 fee will be assessed on each overdue invoice Total ®$al $41.20
Phone Fax E -mail
3178675424 3178675416 w.fisher@intelIigentcleaningsystems.com intelligentcleaningsystems.com
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
Intelligent Cleaning Systems, Inc Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
0512110 5421 G.P. Neutra' Disinfectant .L
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.
607087G9
ALLOWED 20
Intelligent Cleaning Systems, I c
j IN SUM OF
3
Westf IN 4b'0
$41.20
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
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
120 5421 389 $41.20naterials or services itemized thereon for
which charge is made were ordered and
received except
20
!�ignat re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund