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212968 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 365074 Page 1 of 1 ONE CIVIC SQUARE CORVUS JANITORIAL OF INDIANAPOLI&ECK AMOUNT: $6,786.00 CARMEL, INDIANA 46032 PO BOX 636338 CINCINNATI OH 45263$338 CHECK NUMBER: 212968 CHECK DATE: 9/25/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4350600 6, 786 . 00 208084025XW22 CORVUS JANITORIAL OF INDIANAPO LUIS Invoice 5619 W. 74th Street SEP 0 7 2012 PRINT DATE Indianapolis, IN 46278 09/04/2012 (317)202-9570 ' -- ---- - BILLING TO: CUSTOMER NAME: CARMEL CLAY PARKS AND REC.... MONON COMMUNITY CENTER 1411 E. 1 16TH STREET 1 195 CENTRAL PARK DRIVE WEST CARMEL, IN 46032 CARMEL, IN 46032 CUST. ID FRANCHISE OWNER 084025 SIERRA, FARID (IND084) INVOICE#/PO# DATE DESCRIPTION CONTRACT TERMS EXTENDED PRICE 208084025-XW22 09/04/2012 Water Park Dayporters 8/1/12-8/31/12 0.00 UPON 6,786.00 RECEIPT PO#30552 Purchase \NA a1pu C1kQ1-L L-n Danription �a P.O # 30552 y P or F G.L # tog 3 - 4 350(b 00 Buc aet Line gbesc Pur haser Date Ap roval Date REMIT TO: AMOUNT DUE: 6,786.00 CORVUS JANITORIAL SYSTEMS - INDIANAPOLIS P.O. Box 636338 Thank you for your business! Cincinnati, OH 45263-6338 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. 365074 Corvus Janitorial of Indianapolis Terms P.O. Box 636338 Cincinnati, OH 45263-6338 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 9/4/12 208084025XW22 Water park cleaning Aug'12 30552 $ 6,786.00 Total $ 6,786.00 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. 365074 Corvus Janitorial of Indianapolis Allowed 20 P.O. Box 636338 Cincinnati, OH 45263-6338 In Sum of$ $ 6,786.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1093 208084025XW22 4350600 $ 6,786.00 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 20-Sep 2012 L'jC1Z&M nuA J Signature $ 6,786.00 Accounts Payable Coordinator Cost distribution ledger classification if Title M claim paid motor vehicle highway fund