209740 06/18/2012 CITY OF CARMEL, INDIANA VENDOR: 358491 Page 1 of 1
ONE CIVIC SQUARE ARAB TERMITE PEST CONTROL
CARMEL, INDIANA 46032 4035 MILLERSVILLE ROAD CHECK AMOUNT: $50.00
INDIANAPOLIS IN 46205
CHECK NUMBER: 209740
CHECK DATE: 6/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350100 68586 50.00 BUILDING REPAIRS MA
SEE C L jU
IT E PEST CONTROL, INC.
17 4 -127 GREENWOOD 17 -1
INDIANAPOLIS 5 5 G 00 (3 888 999
L OAD ANDERSON (765) 642 -4208
46205 MARION (765) 664 -6812
Pi=
American Owned and Operated Since 1929 MUNCIE (765) 282 -7600
Service Location:
CARMEL CLAY PARK RECREATION tNVOICE SERVICE TICKET P.O. No:
1411 E 116TH ST SERVICE DESCRIPTION CHARGES
Previous Balance( I r� 50.00
CARMEL IN 46032 I
201 -PEST CONTROL 50.00
Phone No: 317- 571 -4142 JUN 0 4 2012
Customer No: 4202759 Sales Tax 0.00
Y�Q 7.
Invoice No: 8 86
Total Due 100.00
Date: 06/04/20
SPECIAL INSTRUCTIONS
$25 Refer a Friend GENERAL PEST, CONTROL IN &u&Rfth1ND MAIN
Name BUILDING AND ATTACHED GAkAOEon Pf-'GT
P.O. P or F
Phone No. G.L. I Z -4 -02- 435DI o0
;Street Address Bud
City/State/Zip Line Descr P` 9' P )eP r S Ma-'
My Name /Account No. Purchaser Date
Approval Date
Material Product EPA# Qty COMMENTS AND RECOMMENDATIONS
-I a 7_ X R
Invoice: 68586 Invoice: 68586 Invoice: 68586
Route No. 06 Technician's Name Greg Dalton Technician's License Number
Time In Time Out Date 0 6 04 2012 Services Completed Satisfactorily (sign below)
Technician's Signature -ec� i Customer's Signature X
Service, Location:
r Please tear off and send all parents to:
CARMEL CLAY PARK RECREATION ARAB Termite and Pest Control Inc. Payment Collected Date
1411.E 116TH ST 4035 Millersville Road
CARMEL IN 46032 Indianapolis, IN 46205 Pd ❑Cash ❑Check
"T
Tech Signature
Customer No: 4202759
Invoice No:
68586 Total This Invoice: 50.00
Date: 06/04/2012 Past Due Balance: 50.00
Billing Phone No: 317 -571 -4142 Total Due: 100.00
CARMEL CLAY PARK RECREATION
This bill is due and payable upon receipt.
A service charge of 1 per month will be
1411 E 116TH ST charged on accounts past 30 days.
CARMEL IN 46032 RETURNED CHECKS WILL INCUR A FEE.
ATPC -05 -0412
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
358491 Arab Termite Pest Control, Inc. Date Due
4035 Millersville Rd.
Indianapolis, IN 46205
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6/4/12 68586 Pest Control AO 50.00
Total 50.00
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
358491 Arab Termite Pest Control, Inc.
4035 Millersville Rd.
Indianapolis, IN 46205 In Sum of
50.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 68586 4350100 50.00 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
14 -Jun 2012
P&MWWA"l
Signature
50.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund