210246 07/05/2012 \,f CITY OF CARMEL, INDIANA VENDOR: 362886 Page 1 of 1
ONE CIVIC SQUARE ALLIED CLEANING SOLUTIONS
CARMEL, INDIANA 46032 11600 COMMONWEALTH DRIVE CHECK AMOUNT: $445.39
<rori Via LOUISVILLE KY 40299 CHECK NUMBER: 210246
CHECK DATE: 7/512012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4238900 11729600 445.39 OTHER MAINT SUPPLIES
REMIT AND MAKE CHECK PAYABLE TO
CUSTOMER NUMBER ALLIED CLEANING SOLUTIONS INVOICE NUMBER
500940 11600 COMMONWEALTH DRIVE 117296 -00
LOUISVILLE KY 40299
SOLD TO: CARMEL CLAY PARKS REC SHIP TO: MONON CENTER
1411 E 116TH STREET 1235 CENTRAL PARK DRIVE
CARMEL, IN 46032 PH #317/573 -4026
CARMEL, IN 46032
317/573 -4023 SERRA GARSKE
SALESMAN DATE CUSTOMER
NUMBER NAME INVOICED ORDER NUMBER TERMS SHIP VIA F.O.B.
50 BROADSTREET 06/12/12 30924 NET 30 DAYS OUR TRUCK CUSTOMER
SPECIAL BILLING INSTRUCTIONS: FAX
QUANTITY QUANTITY QUANTITY ITEM NUMBER/ QUANTITY UNIT EXTENDED T
ORDERED SHIPPED BACKORDERED UM DESCRIPTION BILLED UM PRICE PRICE X
3 3 0 EA PG- OPDOWN5 3 EA 100.98 302.94 N 1
48142 PROLINE DOWNY 5 GAL
3 3 0 EA PG- OPCLOR5 3 EA 46.65 139.95 N 2
41676 PROLINE CLOROX BLEACH 5G
III N N V V 000 III CCCC EEEEE SUB -TOTAL 442.89
I NN N V V O 0 I C E
I N N N V V O O I C EEE FUEL SURCHARGE 2.50
I N NN V V O O I C E
III N N V 000 III CCCC EEEEE
TOTAL 445.39
Purchase
Description
P.O. 3 a P F
G.L.
Une t b n i 1
Line`besc�!
Purchaser Date Approval Date d A A T Ei D
JUN 14 2012
END OF INVOICE
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.
362886 Allied Cleaning Solutions Terms
11600 Commonwealth Drive
Louisville, KY 40299
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6/12/12 11729600 Laundry detergent 30924 445.39
Total 445.39
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
w..
Voucher No. Warrant No.
362886 Allied Cleaning Solutions Allowed 20 f
11600 Commonwealth Drive
Louisville, KY 40299
In Sum of
445.39
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -21 11729600 4238900 445.39 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
28 -Jun 2012
Signature
445.39 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund