206587 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 362886 Page 1 of 1
ONE CIVIC SQUARE ALLIED CLEANING SOLUTIONS
CARMEL, INDIANA 46032 11600 COMMONWEALTH DRIVE CHECK AMOUNT: $4,809.52
LOUISVILLE KY 40299 CHECK NUMBER: 206587
CHECK DATE: 2/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4238900 11312700 449.52 OTHER MAINT SUPPLIES
1096 4238900 11333400 4,360.00 OTHER MAINT SUPPLIES
REMIT AND MAKE CHECK PAYABLE TO
CUSTOMER NUMBER ALLIED CLEANING SOLUTIONS INVOICE NUMBER
500940 11600 COMMONWEALTH DRIVE 113127 -00
LOUISVILLE KY 40299
SOLD TO: CARMEL CLAY PARKS REC SHIP TO: MONON CENTER
1411 E 116TH STREET 1235 CENTRAL PARK DRIVE
CARMEL, IN 46032 PH #317/573 -4026
CARMEL, IN 46032
317/573 -4023 SERRA GARSKE
SALESMAN DATE CUSTOMER
NUMBER NAME INVOICED ORDER NUMBER TERMS SHIP VIA F.O.B.
50 BROADSTREET 02/08/12 29018 NET 30 DAYS OUR TRUCK CUSTOMER
SPECIAL BILLING INSTRUCTIONS: FAX
QUANTITY QUANTITY QUANTITY ITEM NUMBER/ QUANTITY UNIT EXTENDED T
ORDERED SHIPPED BACKORDERED UM DESCRIPTION BILLED UM PRICE PRICE X
4 4 0 EA PG— LOWTIDE 4 EA 112.38 449.52 N 1
24201 2X TIDE DETER 2.5 GALLON
III N N V V 000 III CCCC EEEEE SUB —TOTAL 449.52
I NN N V V O O I C E
I N N N V V O O I C EEE
I N NN V V O O I C E
III N N V 000 III CCCC EEEEE
TOTAL 449.52
Purchase
Description Ls.•u�' t�.�J tx r
G.L. 2012
Budget FEB 0
Line Desc
Purchaser Date
Approval
END OF INVOICE
REMIT AND MAKE CHECK PAYABLE TO
CUSTOMER NUMBER ALLIED CLEANING SOLUTIONS INVOICE NUMBER
500940 11600 COMMONWEALTH DRIVE 113334 -00
LOUISVILLE KY 40299
SOLD TO: CARMEL CLAY PARKS REC SHIP TO: MONON CENTER
1411 E 116TH STREET 1235 CENTRAL PARK DRIVE
CARMEL, IN 46032 PH #317/573 -4026
CARMEL, IN 46032
317/573 -4023 SERRA GARSKE
SALESMAN DATE CUSTOMER
NUMBER NAME INVOICED ORDER NUMBER TERMS SHIP VIA F.O.B.
50 BROADSTREET 02/15/12 30451 NET 30 DAYS OUR TRUCK CUSTOMER
SPECIAL BILLING INSTRUCTIONS: FAX
QUANTITY QUANTITY QUANTITY ITEM NUMBER/ QUANTITY UNIT EXTENDED T
ORDERED SHIPPED BACKORDERED UM DESCRIPTION BILLED UM PRICE PRICE X
40 40 0 EA PG- LOWTIDE 40 EA 109.00 4360.00 N 1
24201 2X TIDE DETER 2.5 GALLON
III N N V V 000 III CCCC EEEEE SUB -TOTAL 4360.00
I NN N V V O O I C E
I N N N V V O O I C EEE
I N NN V V O O I C E
III N N V 000 III CCCC EEEEE
TOTAL 4360.00
Purchase
Ccsc?'ip +ion mod_ to d R�kTC�
P.O. L 4_ I P0(
Buck -t
Line'Lrscr C
Purchaser
Approval
C�a:a
FEB 16 2012
END OF INVOICE
r
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
362886 Allied Cleaning Solutions Terms
11600 Commonwealth Drive
Louisville, KY 40299
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2/8/12 11312700 Laundry detergent 29018 449.52
2/15/12 11333400 Laundry detergent 30451 4,360.00
Total 4,809.52
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.
362886 Allied Cleaning Solutions Allowed 20
11600 Commonwealth Drive
Louisville, KY 40299
In Sum of
4,809.52
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #fTITLE AMOUNT Board Members
Dept
1096 -21 11312700 4238900 449.52_ 1 hereby certify that the attached invoice(s), or
1096 -21 11333400 4238900 4,360.00_ 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
23 -Feb 2012
Signature
4,809 Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund