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Home My WebLink About208460 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 357097 Page 1 of 1 C ARE E ON CIVIC SQUARE SERVICE FIRST LEANING, INC 1 0� CHECK AMOUNT: $3,225.00 CARMEL, INDIANA 46032 PAYMENT PROCESSING CENTER 10632 GRAND RIVIERE DRIVE CHECK NUMBER: 208460 TAMPA FL 33647 CHECK DATE: 4/2512012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 R4350600 25953 153045 700.00 SEAL COAT RANGE FLOOR 1110 4350600 153047 2,225.00 CLEANING SERVICES 1202 4350600 153070 300.00 CLEANING SERVICES Service First Cleaning Invoice Payment Processing Center Date Invoice 10632 Grand Riviere Dr. Tampa, FL 33647 4/2/2012 153070 Bill To City of Carmel IS Department 3 Civic Square Carmel, IN 46032 P.O. No. Terms Project Net 30 Quantity Description Rate Amount 1 FOR THE MONTH OF APRIL 300.00 300.00 Thank you for your business. Total $300.00 Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER IN SUM OF 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 Board Members Date Number (or note attached invoice(s) or bill(s)) I hereby certify that the attached invoice(s), or 04/02/12 153070 $300.00 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 4 Mo day, April 23, 201 Directo I S Title 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 s Clerk- Treasurer VOUCHER N WARRANT N Service First Cleaning Payment Processing Center 10632 Grand Riviere Dr. Tampa, FL 33647 $300.00 ON ACCOUNT OF APPROPRIATION FOR IS Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT 1202 153070 43- 506.00 $300.00 Cost distribution ledger classification if claim paid motor vehicle highway fund u a f t' k Service First Cleaning Invoice Payment Processing Center Date Invoice 10632 Grand Riviere Dr. Tampa, FL 33647 4/2/2012 153047 Bill To City of Carmel Police Department 3 Civic Square Carmel, IN 46032 P.O. No. Terms Project Net 30 Quantity Description Rate Amount 1 FOR THE MONTH OF APRIL 2,225.00 2,225.00 Thank you for your business. Total $2,225.00 Service First Cleaning Invoice Payment Processing Center Date Invoice 10632 Grand Riviere Dr. Tampa, FL 33647 3/29/2012 153045 Bill To Cityof'Carmel Police Department 3 Civic Square Carmel, IN 46032 P.O. No. Terms Project Net 30 Quantity Description Rate Amount 1 Seal Coating (2 -3) 700.00 700.00 Sales Tax Payable 0.00 All work is complete! Total X700.00 Ci of C INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 2 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 IMI MII Service FIM Cleaning C@rnel Police Dep.lAmwrrt VENDOR SHIP 3 Civic Squ @re 10M Gr2nd Riviera Drive TO Camel, IN 4 Tmp@, FL MUD` (397) 571 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT A ccount UNIT' OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43 6M .00 1 Each seal coat Range fl oor $700.00 $700.00 Sub Totd: $700.00 0 Quote 153045 Send Invoice To: Camel Police Dep2rtmunt Attn: Tms Anderson 3 Civic square Camel, IN 4 2a PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Ca"I Police Dept. ,=�C.� PAYMENT $700.00 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 THIS APPROPRIATION SUFI IE(� SHIP REPAID. T TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. C I( o Pollen THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE hj AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO-25 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)) 03/29/12 153045 seal coating range floor $700.00 04/02/12 153047 monthly payment $2,225.00 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 IN SUM OF 10632 Grand Riviere Drive Tampa, FL 33647 $2,925.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members Encumbered I hereby certify that the attached invoice(s), or 25953 153045 43- 506.00 $700.00 bill(s) is (are) true and correct and that the 1110 153047 43- 506.00 $2,225.00 materials or services itemized thereon for which charge is made were ordered and received except Wednesday, April 18, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund