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177385 09/15/2009 VENDOR: 277500 CITY OF CARMEL, INDIANA Page 1 of 1 ONE CIVIC SQUARE SCAT PEST CONTROL INC. INDIANA 46032 Po Box 14z CHECK AMOUNT: $125.00 CARMEL WESTFIELD IN 46074 CHECK NUMBER: 177385 CHECK DATE: 9/15/2009 DEPARTME ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350200 139883 125.00 STREET REPAVING r Pest Control 4 M 13 9. 8 ,3 b P.O. Bog 142 Westfield, Indiana 46074 (317) 896 -9200 CUSTOMER'S ORDER NO. DEPT. DAT§ a NAME C A /v`^i Sir 4 LT, ADD 3L- 00 �v 13 s� S+ I•J�S��t (00� 0 BY CASH C.O.D. CHARGE ON T. MDSE. RETO. PAID OUT DIESCRIPTON joIIIIIIIIIIIIIIII 1 Gener Insect Control 1 2 Termite 3 Rodent Control f 4 Special Service 0 5' 4 0 6 7 8 9 10 11 12 Pesticides Used 13 14 15 16 17 r 18 RECD BY Invoices unpaid beyond 30 days will be assessed at 1 per month Finance Charge which is an annual percentage rate of 18 Purchaser agrees to pay reasonable attorney fees, court costs, late charges and other collection costs. Acceptance of,goods and /or services establishes purchases acceptance of these terms. �Z{ F RETURN PINK COPY WITH PAYMENT 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)) 08/25/09 139883 $125.00 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. WARRANT NO. ALLOWED 20 Scat Pest Control IN SUM OF P. O. Box 142 Westfield, IN 46074 $125.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 139883 43- 502.00 $125.00 1 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 Thursday, �S�pterTPOir 10, 2009 Street Commissi#'� StMot tT -siener Cost distribution ledger classification if claim paid motor vehicle highway fund