169020 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 358552 Page 1 of 1
ONE CIVIC SQUARE INTELLIGENT CLEANING SYSTEMS
i CHECK AMOUNT: $500.00
CARMEL, INDIANA 46032 17338 WESTFIELD PARK RD STE 3
WESTFIELD IN 46074 CHECK NUMBER: 169020
CHECK DATE: 2/17/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4236500 3946 250.00 SALT CALCIUM
1205 4236500 4027 250.00 SALT CALCIUM
Intelligent Cleaning Systems, Inc. Invoice
Tao-0— 17338 Westfield Park Road Date Invoice
Suite 3
Westfield, IN 46074 1/14/2009 4027
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
Jeffd 1% 10 Net 30 NV 1/14/2009 ICS Truck
Quantity Item Code Description Price Each Amount
20 ICE -1000 Roadrunner Ice Melt, 50 Lbs. Bags 12.50 250.00
Effective 2/1/08; a $30.00 fee will be assessed on each overdue invoice
Total $250.00
Intelligent Cleaning Systems, Inc. Invoice
17338 Westfield Park Road Date Invoice
Suite 3
Westfield, IN 46074 1/7/2009 3946
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 1% 10 Net 30 NV 1/7/2009 ICS Truck
Quantity Item Code Description Price Each Amount
20 ICE -1000 Roadrunner Ice Melt, 50 Lbs. Bags 12.50 250.00
Effective 2/1/08; a $30.00 fee will be assessed on each overdue invoice
Total $250.00
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
y 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))
01114109 4027 Roadr nne, Ice Melt (20
01/0 bags) $250.00
Total
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.
016109
ALLOWED 20
Intelligent Cleani Systems, Inc
IN SUM OF
'17338 Westfield Park Road, Suite 3
Westfield, 6074
$500.00
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT I hereby nvoices or
DEPT. Y certif Y that the attached
bill(s) is (are) true and correct and that the
1205 4027 IB5 .00 materials or services itemized thereon for
which charge is made were ordered and
1205 3946 365 $250.00received except
20
.49igpa ure
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund