215173 12/04/2012 ".f CITY OF CARMEL, INDIANA VENDOR: 366746 Page 1 of 1
0 ONE CIVIC SQUARE SIMONIZE CORPORATE OFFICE CHECK AMOUNT: $395.00
CARMEL, INDIANA 46032 14 SUMMER STREET SUITE 302
yio.� MALDEN MA 02148 CHECK NUMBER: 215173
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351100 CAR WASHES 395 . 00 CAR CLEANING
VOUCHER NO. WARRANT NO.
ALLOWED 20
Simonize Corporate Office
IN SUM OF $
14 Summer Street, Suite 302
Malden, MA 02148
$395.00
1
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1192 89-0123749 43-511.00 $79.00
1 hereby certify that the attached invoice(s), or
'
bill(s) is (are)true and correct and that the
1192 89-0122741 43-511.00 $79.00
materials or services itemized thereon for
1192 89-0122388 43-511.00 $79.00 which charge is made were ordered and
1192 89-0123539 43-511.00 $79.00 received except
1192 89-0123229 43-511.00 $79.00
Frid November 30 012
Directod
Title
Cost distribution ledger classification if i
claim paid motor vehicle highway fund
Y
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
r
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))
11/30/12 89-0123749 Vehicle detailing $79.00
11/30/12 89-0122741 $79.00
11/30/12 89-0122388 $79.00
11/30/12 89-0123539 $79.00
11/30/12 89-0123229 $79.00
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
120
Clerk-Treasurer