209930 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 366309 Page 1 of 1
i ONE CIVIC SQUARE BIOSOLUTIONS, INC
CARMEL, INDIANA 46032 1350 W SOUTHPORT ROAD SUITE C 291 CHECK AMOUNT: $115.00
INDIANAPOLIS IN 46217
CHECK NUMBER: 209930
CHECK DATE: 6/20/2012
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4232100 60412 115.00 GARAGE MOTOR SUPPIE
In V-0- 7 Ce
Date: June 4, 2012
Invoice 60412
Payment Terms: Net 30
To: Carmel Street Dept.
Attn: Bonnie Callahan FOB Origin
3400 West 131st Street
Carmel, IN 46074
Purchase Order: 60412 -2
Ordered by: Jeff Stewart
1 !8008 -005 BioRem -2000 Surface Cleaner (5 gallon) 115.00 115.00
To'rai:_ 115.60
,AWARDED
CONTRACTS
Contract 031212 -BSI
Thank you for your business!
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))
06/04/12 60412
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
BioSolutions
IN SUM OF
1350 W. Southport Road Suite C #291
Indianapolis, IN 46217
A i
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. I ACCT /TITLE AMOUNT
Board Members
2201 I 60412 I 42 321.00 I (5 t! 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
F ijay, #pe 15, 2
Street Commissioney
LICCL ULA I it I 1 al I t
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund