213066 09/25/2012 *� CITY OF CARMEL, INDIANA VENDOR: 358552 Page 1 of 1
0 ' ONE CIVIC SQUARE INTELLIGENT CLEANING SYSTEMS INC
CARMEL, INDIANA 46032 17406 TILLER COURT SUITE 300/400
CHECK AMOUNT: $409.43
;. WESTFIELD IN 46074 CHECK NUMBER: 213066
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 17536 409 .43 OTHER MAINT SUPPLIES
� Z05
Intelligent Cleaning Systems, Inc. Invoice
17406 Tiller Ct. TC Is
Suite 300/400 Intelligent Cleaning Systems Date Invoice#
Westfield, IN 46074 9/19/2012 17536
Bill To Ship To
City of Carmel City of Carmel
One Civic Square One Civic Square
Carmel,IN 46032 Carmel.IN 46032
Attention:Jeff Barnes
P.O. Number Terms Rep Ship Via F.O.B. Project
Jeff Barnes 1% 10 Net 30 WDF 9/19/2012
Quantity Item Code Description U/M Price Each Amount
10 DP 10 Door Mounted Air Freshener/DoorPod.Each 3.50 35.00
30 DPR 10 DoorPod Santa Barbara Sea Breeze Refill,Each 6.61 198.30
5 19021 SSS PK 18"Blue Microfiber Mop Pad,Each 8.47 42.35
2 19020 SSS PK 16"x5"Microfiber Frame,Each 25.76 51.52
1 19015 SSS 40"02"Microfiber Telescopic Handle,Each 9.97 9.97
1 19090 SSS 16X16 Blue Microfiber Cloth,24 Pack 29.27 29.27
2 19063-EA SSS 48"Blue Looped Microfiber Dust Mop,Each 21.51 43.02
D Q �
SEP 2 4 2012 1
By
Total $409.43
Phone# Fax# E-mail
3178675424 3178675416 b.fisher @intelligentcleaningsystems.com
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))
09/19/12 17536 $409.43
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
Intelligent Cleaning Systems, Inc
IN SUM OF $
17406 Tiller Ct., Suite 300/400
Westfield, IN 46074
$409.43
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 17536 42-389.00 $409.43
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
Monday, S,qptember 24, 2012
i
Director, Ad Inistration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund