211251 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 00350787 Page 1 of 1
ONE CIVIC SQUARE CIRCLE CITY PEST CONTROL CO
CARMEL, INDIANA 46032 5747 N POST ROAD CHECK AMOUNT: $160.00
•,,,o� INDPLS IN 46216 CHECK NUMBER: 211251
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 196788 80 . 00 OTHER EXPENSES
601 5023990 196800 80 . 00 OTHER EXPENSES
Circle City Pest Control
5747 N Post Road
Indianapolis , In 4621.6 . 2S . )-L
317-547-1308 * Fax 545-1093
Paula Williams �
BILLING Carmel Utilities
ADDRESS 3450 W 131st St.
Westfield IN 46074 INVOICE No. 196800
ACCOUNT No 317-571-2640
Contact Jerry 716-3909/Ken 460-4717 LOCATION No. 2 -
PROPERTY Water Treatment Building SERVICE DATE 7
ADDRESS 5484 E 126th St. TELEPHONE(S)
Carmel IN 46033 MAP LOCATION
LAST SERVICE DATE 04/12/2012
Sr=RVICETYPE: Pest Quarterly CUSTOMER PO No.
dent and' general pest control. ROUTE/DIVISION 3 0
DIRECTIONS
& BALANCE FORWARD
SERVICE AMOUNT 80.00
NOTES SALES TAx 0.00
TOTAL DUE 80.00
Target Pest to control and service notes:
-------------------------- -- -- -- -- -- -------------------
'C notes:
control
----------------------
------------------------------------- ; ----- - --- ---
----- --- --- -- ------------------------
TECHNICIAN'S SIGNATUR CUSTOMER'S SIGNATURE:
06/29/2012 CUSTOMER'S COPY
Circle City Pest Control
5747 N Post Road
Indianapolis , In 46216
317-547-1308 * Fax 545-1098
Paula Williams
BILLING Carmel Utilities
ADDRESS 3450 W 131st St. '`\
Westfield IN 46074 J INVOICE NO 196788
ACCOUNT No. 317-571-264E
Carmel !Utilities LOCATION No. 1
PROPERTY 3450 W 131st St. SERVICE DATE �7/
DD
ARESS Westfield IN 46074 TELEPHONE(S) G/\1/
MAP LOCATION
LAST SERVICE DATE 04/12/2012
SERVICETYPE: Peso- Quarterly CUSTOMER PO NO.
ROUTE/DIVISION 0 / 0
DIRECTIONS
& BALANCE FORWARD p
SERVICE AMOUNT 80.00
NOTES
' SALES TAx 0.00
TOTAL DUE 80.0 0
Target Pest to control and service notes:
---------------------------------------- - -------------------
----------------------- ---- -- - -- ---------------------
-------------------- ----- -- - - --- ------------------------
I
TECHNICIAN'SSIGNATU CUSTOMER'S SIGNATUR .
06/29/2012 CUSTOMER'SC Y —
i
VOUCHER # 121625 WARRANT # ALLOWED
350787 IN SUM OF $
CIRCLE CITY PEST CONTROL CO t
5747 N. Post Road
INDIANAPOLIS, IN 46216
Carmel Water Utility
y
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
196788 01-6360-06 $80.00
t 4(P&Cb 01 1 �0 D3 g�
Voucher Total Lou UO SAO
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
350787
CIRCLE CITY PEST CONTROL CO Purchase Order No.
5747 N. Post Road Terms
INDIANAPOLIS, IN 46216 Due Date 7/25/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/25/2012 196788 $80.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IC5-11-1/01-11.6
J/L?
Date Officer