213361 10/09/2012 \�f CITY OF CARMEL, INDIANA VENDOR: 358491 Page 1 of 1
ONE CIVIC SQUARE ARAB TERMITE&PEST CONTROL CHECK AMOUNT: $80.00
CARMEL, INDIANA 46032 4035 MILLERSVILLE ROAD
�..oii cod INDIANAPOLIS IN 46205 CHECK NUMBER: 213361
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350100 87199 80 . 00 BUILDING REPAIRS & MA
^ SEE A BUG
, , ARAB TERMITE & PEST CONTROL, INC.
:..CALL : INDIANAPOLIS 317 . 545-1275 GREENWOOD 317 888-1999
4035 MILLERSVILLE ROAD ANDERSON (765) 642-4208
INDIANAPOLIS, IN 46205 MARION (765) 664-6812
American Owned and Operated Since 1929 www.seeabug.net MUNCIE (765) 282-7600
Service Location:
BROOKSHIRE GOLF CLUB INVOICE / SERVICE TICKET P.O. No:
12120 BROOKSHIRE PKWY SERVICE DESCRIPTION CHARGES
Previous Balance —80.00— /
CARMEL IN 46033
' 201-PEST CONTROL 80.00
Phone No: 846-7431
Customer No:.
2001409 Sales Tax 0.00
Invoice No: 87199 —160.00 0
Total Due
Date: 09/24/2012
SPECIAL INSTRUCTIONS
Friend$25 Refer a SEE KEN MILLER- LOG BOOK,
t CLUB HOUSE;PRO-SHOP
Name MARCH-NOVEMBER
Phone No. ;
Street Address ;
City/State/Zip
My.Name/Account No.
t t
r
Material / rodu ,t EPA# Qty % COMMENTS AND RECOMMENDATIONS
Invoice: 87199 Invoice: 87199 Invoice: 87199
Route No. 01 Technician's Name Dwight Hamilton Technician's License Number
X/-T--:>
I 09/24/2012
Time In -0 Ti e Out ! a Date �. Services Completed Satisfactorily (sign below)
Technician's Signature 4j��AA � Customer's Signature X
:::::::::......::::::::::::::::.::::.-::::::.::::::::::::::::::::::::::::::::::::::::: :: ::.__...._...._......-..-
Service Location: Please tear off and send all payments to:
BROOKSHIRE GOLF CLUB ARAB Termite and Pest Control Inc. Payment Collected Date
12120 BROOKSHIRE PKWY 4035 Millersville Road
CARMEL IN 46033 Indianapolis, IN 46205 Pd ❑ Cash ❑ Check#
Tech Signature
Gi stomer,No: 2001409
N
87199 Total This Invoice:
Invoice No: s,°..o0-
Date:
09/24/2012 Past Due Balance: O
-7431 PAUL BLOC qbtal D ��0°' p
1 :Billing Phone No: 846 ue: D 0 -
BROOKSHIRE GOLF CLUB This bill is due and payable upon receipt.
A service charge of 11/2% per month will be
12120
BROOKSHIRE PKWY charged on accounts past 30 days.
i
CARMEL - .- - 1N 46033 - RETURNED CHECKS WILL-INCUR A FEE.
09/19/2012
- ATPC-05-0412
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))
09/24/12 87199 Pest Control $80.00
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.
ALLOWED 20
Arab Termite and Pest Control Inc.
IN SUM OF S
4035 Millersville Road
Indianapolis, IN 46205
$80.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 87199 I 43-501.00 I $80.00 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 25, 2012
w2s=:�� 'd (L"
Director, Brooks re Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund