167696 01/07/2009 CITY OF CARMEL, INDIANA VENDOR: 00352673 Page 1 of 1
a 0 ONE CIVIC SQUARE SHRED —IT
CARMEL, INDIANA 46032 8104 WOODLAND DRIVE CHECK AMOUNT: $61.50
INDIANAPOLIS IN 46268 CHECK NUMBER: 167696
CHECK DATE: 117/2009
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBE AMOUNT DESCRIPTION
1701 4341999 033295601 61.50 OTHER PROFESSIONAL FE
V� I N VOICE
SHRED -IT INDIANA INVOICE Nq)332g56+�1
3104 i1VOODLAND DRIVE
c DATE: 11
I X11 -W I IDIANAPOLIS, IN 4 ?78 P/200
PHONE 317 -376 -3477 AUTOMATIC
A SECURIT COMPANY
TO: City Of Carmel Clerk Treasurer BILL TO:
1 Civic Square
3rd Flavor
Carmel, IN 46032
(303 fir'. �d IT a TAX ID
DESTRUCTION DECLARATION
ON THE DATE SHOWN, DESIGNATED CONFIDENTIAL DATA WAS SHREDDED AND DESTROYED
AS PER CUSTOMER'S INSTRUCTIONS.
TRUCK NO.: OR 3S TRUCK NO.: TOTAL TIME HRS. _MIN.
TIME IN: j'0 TIME IN: CLIENT lr
TIME OUT: 1 S 0 TI OUT. SIGNATUF
MOBILE CUSTOMER SERVICE REP.: I/ V:-r-IT NAME
ACCOUNT NO. TERMS PURCHASE ORDER NO.
0335978 NET 30 DAYS, 2 PER MONTH ON OVERDUE ACCOUNTS
ITEM RATE AMOUNT
Shredding /JI
G -5 GDnsves= 0.00
WE RECYCLE;,
THIS YEAR YOUR FIRM'S SHARE OF WOOD SAVED THROUGH Fuel Surcharge
SHRED -IT'S RECYCLING PROGRAM AMOUNTS TO 61 TREES.
TAX
j z
THANK YOU FOR YOUR BUSINESS TOTAL CHARGES
CUSTOMER INFORMATION SUMMARY
ZONE: Terr: Route: URBAN INVOICE NAB I
X s_ Ran eiine Carrnel Dr M REF 0335978
v J 3ti,ln Charge: �O.CO DATE: 1
SALES PERSON: HA z't 2009
COMPANY NAME: City Of Carmel Clerk- Treasurer
CONTACT: Diana Cordray Clerk- Tr(PH: 3 17- 571-2414
ALTERNATE: Anti Davis PH:
SERVICE REQUIRED:
CUST TYPE: Every 4th Friday
EST. HOURS ,16 MiNS START AT: OFFICE HOURS: 8_QQAM 4 3QpM ENTRANCE: Front
SITE DIRECTIONS: LOCATION OF CONSOLES:
465 E to US -'31 N toward Kokomo, turn R on Carmel Dr OAK Console /City Court 2nd Floor
turn L on S. Ra ngeline Rd. tum L on Civic Square Building GRY ✓Y Grev Consolei3Fd Fir Pavroii
VVI dock tourer BIN L fev Consoiei3rd Fir Comm Serv,
L.P. Grey Console /1st Fir C omm Sery
S.P.
SERVICE PROMISED:
SPECIAL INSTRUCTIONS: Of Consoles 5
Leave invoice on site
Minimum charge includes 5 consoles, addt'l G $15 each
Route /Stop IDs
OD: 11212009 033 -357- 20090102 15
"SECURING YOUR OFFICE AND THE ENVIRONMENT" 1 0 PRINTED ON RECYCLED PAPER
t
CERTIFICATE REFERS TO INVOICE NO.:
E RECYCLE
F I�.k`JC3pAtA �0325�1
8 1 31 OOl D�LA ND RI E DATE:
INDIANAPOLIS, IN 462` 8 r�
PHONE 31 7 -876 -3177 AUTOMATIC
SERVICE LOCATION. B3 LLEI) TO:
City Of Carmel Clerk- Treasurer
1 C is
,guar
3rd Floor
Carmel, IN 46
This is to certify that Shred -it destroyed confidential information
on -site for the above mentioned company by
:CPLUCK:NO. gY�YA MUCK NO. TOYA� .TtIu�E f fFtS.: MIN.:
}y CLIENT:
PRINT i'U5 �7NYER,,7
MCOB1F. CUSTOMER 5E.ROCE REP, f NA
This year your firm's share of wood
saved through Shred -it's recycling program
amounts to trees.
CERTIFICATE OF
DESTRUCTION
THANK YOU FOR
YOUR BUSINESS.
SECURING re ds =it
AND
A SECURIT COMPA
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.
n Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
0�
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
y1 materials or services itemized thereon for
which charge is made were ordered and
received except
Ck� y 2
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund