213169 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 357097 Page 1 of 1
ONE CIVIC SQUARE SERVICE FIRST CLEANING, INC
PAYMENT PROCESSING CENTER CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032
10632 GRAND RIVIERE DRIVE CHECK NUMBER: 213169
° TAMPA FL 33647
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350900 153116 100 . 00 OTHER CONT SERVICES
Service First Cleaning Invoice
Payment Processing Center Date Invoice#
10632 Grand Riviere Dr.
Tampa,FL 33647 8/17/2012 153116
Bill To
Carmel Communications Department
31 1 ST Ave N.W.
CARMEL,IN 46032
P.O.No. Terms Project
Net 30
Quantity Description Rate Amount
Strip and Seal VCT Flooring 100.00 100.00
Thank you for your business.
Total $100.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Service First Cleaning
Payment Processing Center IN SUM OF $
10632 Grand Riviere Drive
Tampa, FL 33647
$100.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1115 I 153116 I 43-509.00 I $100.00 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
Tuesday, September 18, 2012
Director
Title
Cost distribution ledger classification if
claim paid motor 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 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))
08/17/12 153116 $100.00
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