215031 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 362896 Page 1 of 1
ONE CIVIC SQUARE GREAT LAKES COMMERCIAL SALES INEHECK AMOUNT: $89.95
'�e? CARMEL, INDIANA 46032 12705 ROBIN LANE
BROOKFIELD WI 53005 CHECK NUMBER: 215031
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350000 149149IN 89 . 95 EQUIPMENT REPAIRS & M
GREAT LAKES INVOICE Page: 1
LAUNDRY
COMMERCIAL SALES, INC. INVOICE NUMBER: 0149149-IN
INVOICE DATE: 11/13/2012
12705 Robin Lane
Brookfield,WI 53005
(262)790-5885 (262)790-5886 Fax
INVOICE ADDRESS: - SERVICE ADDRESS:
Carmel Clay Parks & Recreation Monon Center
1427 E 116th Street
Carmel, IN 46032 1195 Central Park Dr.West
Carmel, IN 46032
CONFIRM TO:
0006185 Rick
CUSTOMER NO: -0-137-762
CUSTOMER P.O. SHIP VIA SHIP DATE SALESPERSON TERMS
MC003482A 10/24/2012 0726 DUE ON RECEIPT
ITEM NO. QUANTITY PRICE DISCOUNT AMOUNT
Dryer tune up. Per Rick
11/5-DRYER TUNE-UP SPECIAL. COMPLETED.
/SMSH Service-Mike H(IN) 89.95
1 TX 7 D
LNOV 6 2012
Purchase 0(ZYt✓,R otJ' CLEAY��nLn �,
Description_4 A-QSu2'TVyN rF i
P.O.# .. C,003482A PorF
G.L.# (093 • 4150000
Bud get
Line Descr
Purchaser Date_
Approval Date
Please Remit To: Net Invoice: 89.95
Less Discount: 0.00
12705 Robin Lane
Freight: 0.00
Brookfield,W153005
Sales Tax: 0.00
Invoice Total: 89.95
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.
362896 Great Lakes Laundry Terms
12705 Robin Lane
Brookfield, WI 53005
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
11/13/12 149149IN Dryer lint cleaning &adjustment $ 89.95
Total $ 89.95
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.
362896 Great Lakes Laundry Allowed 20
12705 Robin Lane
Brookfield, WI 53005
In Sum of$
i
I
$ 89.95 j
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 149149IN 4350000 $ 89.95 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
29-Nov 2012
Signature
$ 89.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund