214230 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 358491 Page 1 of 1
0 ONE CIVIC SQUARE ARAB TERMITE&PEST CONTROL CHECK AMOUNT: $80.00
CARMEL, INDIANA 46032 4035 MILLERSVILLE ROAD
INDIANAPOLIS IN 46205 CHECK NUMBER: 214230
CHECK DATE: 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350100 93650 80 . 00 BUILDING REPAIRS & MA
a ^^ SEE ABUG ., , ARAB TERMITE & PEBT 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 1949 www.seeabug.net MUNCIE (765) 282-7600
Service Location:
BROOKSHIRE GOLF CLUB INVOICE / SERVICE TICKET P.O. No:
SERVICE DESCRIPTION CHARGES
12120 BROOKSHIRE PKWY
CARMEL IN 46033 Previous Balance 80.00
201-PEST CONTROL 80.00
Phone No: 846-7431
Sales Tax 0.00
}; ..-Customer No: 2001409
Invoice No: 93650 Total Due 160.00
Date: 10/22/2012
SPECIAL INSTRUCTIONS
SEE KEN MILLER LOG BOOK,
' CLUB HOUSE, PRO-SHOP
Name MARCH-NOVEMBER r r *!
Phone No. '
Street Address ;
City/State/Zip
My Name/Account No.
1 ,
r
Material / Produ5 J EPA#Q Qty % COMMENTS AND RECOMMENDATIONS
Lr
Invoice: 93650 Invoice: 93650 Invoice: 936/5`0
Route No. 01 Technician's Name Dwight Hamilton Technician's License Number
6, r /22/2012
Time In Time,Out ! of C B� 10
� j /7 s Services Completed Satis actoril sign below)
_7&1echnician's Signature ustomer's Signature X
iervice L ocation: 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#
I .
Tech Signature
astomer No: 2001409
101 93650
ce No:
Total This Invoice:
te:
10/22/2012 Past Due Balance: 80.00
irig Phone No: .
846-7431 PAUL BLOC al Due: 1 °
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.
IN 46033 -_ RETURNED C�1�cxsw�Lt�rvc�F� A FEE-
ATPC-05-0412
Z} 4
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))
10/22/12 I 93650 I Pest Control I $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 $
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 93650 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
Wednesday, October 24, 2012
Z-2;;' A Ak
Director, Brook sh e Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund