209689 06/05/2012 a«, CITY OF CARMEL, INDIANA VENDOR: 00350368 Page 1 of 1
ONE CIVIC SQUARE TOTAL EXTERMINATING CHECK AMOUNT: $165.00
CARMEL, INDIANA 46032 P.O. BOX 39007
"ti �rcri c�:= INDIANAPOLIS IN 46239 CHECK NUMBER: 209689
CHECK DATE: 615/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350900 34663 165.00 OTHER CONT SERVICES
I 05/21/12 09:49 AM WORK DATE I V
TECHNICIAN
LAST SERVICE DATE 05/21/12
CUSTOMER P.O.# PLEASE DETACH TOP PORTION
AND RETURN WITH REMITTANCE
0
3-
GEN GENERAL PEST CONTROL $165.00
CLOVER CLOVER MITES $0.00
SUBTOTAL $165.00
TAX $0.00
TOTAL $165.00
AMT. PAID $0.00
BALANCE $165.00
s.
w
J
b.
s 'Charges outstanding over 30 days from date of service are subject to a 1 1 /2% FINANCE CHARGE PER MONTH, an annual percentage rate of 18
Customer agrees to pay accrued expenses in the event of collection.
tY
EXTERMINATING CO.
P.O. Box 39007 0 Indianapolis, IN 46239 0 (317) 357 -1300
VOUCHER NO. WARRANT NO.
ALLOWED 20
Total Exterminating
IN SUM OF
P.O. Box 39007
Indianapolis, IN. 46239
$165.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1115 I 34663 I 43- 509.00 I $165.00 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
Wednesday, May 30, 2012
Director
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))
05/21/12 34663 $165.00
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