207214 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 357097 Page 1 of 1
ONE CIVIC SQUARE SERVICE FIRST CLEANING, INC CHECK AMOUNT: $3,272.50
CARMEL, INDIANA 46032 PAYMENT PROCESSING CENTER
10632 GRAND RIVIERE DRIVE CHECK NUMBER: 207214
TAMPA FL 33647
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4350600 25952 153047 162.50 CLEAN POLICE DEPARTME
1115 R4350900 153058 585.00 OTHER CONTRACTED SERV
1202 4350600 153059 300.00 CLEANING SERVICES
1110 4350600 153061 2,225.00 CLEANING SERVICES
Service First Cleaning Invoice
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Payment Processing Center
Order No: 153061
S ERVI C E F" I R ST Noblesville, IN 46061 Ref No:
C L EAN I NG. (317) 572 -8042 Start Time:
FOR YOUR IMAGE. FOR YOUR REAITR www.servicefirstcleaning.com End Time:
Customer Info. Service Location Job Info.
Name. City of Carmel Police Department 3 Civic Square Order croup: Commercial
Phone: Order SubGroup:
(317) 571 -2500 Janitorial Cleaning
Alt f CARMEL, IN 46032 Furniture:
Alt 2: Cross Street:
t QTY 6 V y Description T F„ PRICE AMOUNT
1 Janitorial For the month of March 2,225.00 2,225.00
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Notes:
SUBTOTAL $2,225.00
TAX
SERVICE FIRT CLEANING WILL NOT BE LIABLE FOR CONDITIONS BEYOND OUR CONTROL. TOTAL $2,225.00
INCLUDING THOSE CONDITIONS THAT EXIST PRIOR TO CLEANING.Customers should be careful in
the event the cleaning service specifications include floor care, carpet care services, as floors may be ADDITIONAL
slippery due to damp conditions.
GRAND TOTAL
PAYMENT AMT
Work Performed By Date:
PAYMENT TYPE
REF. NO.
Authorization Signature Date BALANCE DUE
Thank you for your business
Date: 3/10/2012
Service First Cleaning Invoice
Payment Processing Center
Order No: 153047
SERVICE FIR 5T Noblesville, IN 46061 Ref No:
(317) 572 -8042 Start Time:
FoR y uR I— oq Y www.servicefirstcleaning.com End Time:
Customer Info. Service Location Job Info.
Name. City of Carmel Police Department 3 Civic Square Order Group: Commercial
Phone: (317) 571 -2500 OrderSubcroup: Janitorial Cleaning
Alt 1 CARMEL, IN 46032 Furniture:
Alt 2: Cross Street:
QTY Description PRICE AMOUNT
6.5 Janitorial Post Construction Impact Clean 25.00 162.50
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Notes: DUSTING
Complete high and low dusting, including blinds, air vents and returns, all horizontal and vertical
surfaces, windowsills, and all manner of furnishings.
SUBTOT $162 .50
A L
Dust and damp wipe baseboards. TAX
SERVICE FIRT CLEANING WILL NOT BE LIABLE FOR CONDITIONS BEYOND OUR CONTROL. TOTAL $162.50
INCLUDING THOSE CONDITIONS THAT EXIST PRIOR TO CLEANING.Customers should be careful in
the event the cleaning service specifications include floor care, carpet care services, as floors may be ADDITIONAL
slippery due to damp conditions.
GRAND TOTAL
PAYMENT AMT
Work Performed By Date:
PAYMENT TYPE
REF. NO.
Authorization Signature Date: BALANCE DUE
Thank you for your business
Date: 3/10/2012
INDIANA RETAIL TAX EXEMPT PAGE
C of C CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
y FEDERAL EXCISE TAX EXEMPT 2M
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
926�1�99
Gorvico First Clowing Cool Polito Dopairtmont
VENDOR SHIP 3 Civic Squm
=2 Gad Muloro Drlvo TO Carmal, IN
T@mp.a, FL MY (W) 671 -2M
CONFIRMATION I BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-M.00
9 Each Building Cleaning $162.50 $162.50
Sub Total: $102.50
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Send Invoice To:
C21ol Pollco Dopartmont
Attn: Torras@ Al dargon
3 Civic squ@ro
Cwmol, IN 2- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. C`3 PAYMENT M62'50
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFIC ENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /j a
SHIPPING LABELS. �aa. -�Jn Panto
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 'b� II If
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO 2 5 9 5 2 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO— WARRANT NO..__
ALLOWED 20
IN THE 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
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
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
03/12/12 153061 monthly payment $2,225.00
03/12/12 153047 post construction cleaning $162.50
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
Service First Cleaning
IN SUM OF
10632 Grand Riviere Drive
Tampa, FL 33647
$2,387.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 153061 43- 506.00 $2,225.00 I hereby certify that the attached invoice(s), or
Encumbered bill(s) is (are) true and correct and that the
25952 153047 43- 506.00 $162.50
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, March 12, 2012
SST Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
0q
Service First Cleaning Invoice
Payment Processing Center Order No: 153059
SERVICE FIRST Noblesville, IN 46061 Ref No:
—CLEAN ING (317) 572-8042 Start Time:
www.servicefirstcleaning.com End Time:
..,-Se ry ice. 1-6cation
c -.,Cus�t6mer vi,
A-
order Group:
Name: commercial
Carmel IS Department 3 Civic Square
'Order SubGroup:
1— ph one: 111 Janitorial Cleaning
Furniture:
JAR 1 Carmel, IN 46033
Alt 2: Cross Street
(317) 571-2519
ICE
be ri 13111
"S
SC
Pti! AMOUNT
1 Janitorial For the month of March 300.00
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Notes:
SUBTOTAL $300.00
TAX
9 I
SERVICE FIRT CLEANING WILL NOT BE LIABLE FOR CONDITIONS BEYOND OUR CONTROL. TOTAL $300.00
INCLUDING THOSE CONDITIONS THAT EXIST PRIOR TO CLEAN I NG.Customers should be careful in
the event the cleaning service specifications include floor care, carpet care services, as floors may be ADDITIONAL
slippery due to damp conditions.
GRAND TOTAL
9
PAYMENT AMT
--9---9
Work Performed By Date: PAYMENT TYPE
REF. NO.
I I
Authorization Signature Date: BALANCE DUE
Thank you for your business
Date: 3/10/2012
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))
03/10/12 153059 $300.00
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.
ALLOWED 20
Service First Cleaning
Payment Processing Center IN SUM OF
10632 Grand Riviere Dr.
Tampa, FL 33647
$300.00
ON ACCOUNT OF APPROPRIATION FOR
1S Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1202 153059 43- 506.00 $300.00 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
Monda March 12, 2012
Director IS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Service First Cleaning I nvoice
Payment Processing Center Order No: 153058
SERVICE FIRST Noblesville, IN 46061 Ref No:
C L E A N I N G v G (317) 572 -8042 Start Time:
FOR YOUR IMAGE. FOR YOUR HEALTH.' ww End Time:
Customer Info. Service Location Job Info.
Name: Carmel Communications Department 31 1ST Ave N.W. Order croup: Commercial
Phone: Order SubGroup:
Janitorial Cleaning
Alt I CARMEL, IN 46032 Furniture:
Alt 2: (317) 571 -2586 Cross Street:
QTY Description PRICE AMOUNT
1 Janitorial For the month of March 585.00 585.00
F-
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Notes:
SUBTOTAL $585.00
TAX
SERVICE FIRT CLEANING WILL NOT BE LIABLE FOR CONDITIONS BEYOND OUR CONTROL. TOTAL $585.00
INCLUDING THOSE CONDITIONS THAT EXIST PRIOR TO CLEAN I NG.Customers should be careful in
the event the cleaning service specifications include floor care, carpet care services, as floors may be ADDITIONAL
slippery due to damp conditions.
GRAND TOTAL
PAYMENT AMT
Work Performed By Date:
PAYMENT TYPE
REF. NO.
Authorization Signature Date: BALANCE DUE
Thank you for your business
Date: 3/10/2012
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))
03/01/12 153058 $585.00
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. WAR NO.
ALLOWED 20
Service First Cleaning
Payment Processing Center IN SUM OF
10632 Grand Riviere Drive
Tampa, FL 33647
$585.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# /Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Encumbere 1 hereby certify that the attached invoice(s), or
27696 I d 153058 I 43- 509.00 I $585.00
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
Monday, March 12, 2012
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund