HomeMy WebLinkAbout216616 01/29/2013 a CITY OF CARMEL, INDIANA VENDOR: 362886 Page 1 of 1
0 ` ONE CIVIC SQUARE ALLIED CLEANING SOLUTIONS
CARMEL, INDIANA 46032 11600 COMMONWEALTH DRIVE CHECK AMOUNT: $4,362.50
LOUISVILLE KY 40299 CHECK NUMBER: 216616
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4238900 3362 4, 362 . 50 OTHER MAINT SUPPLIES
******************* REMIT AND MAKE CHECK PAYABLE TO *******************
* CUSTOMER NUMBER * ALLIED CLEANING SOLUTIONS * INVOICE NUMBER
* 500940 * 11600 COMMONWEALTH DRIVE * 123882-00
******************* *******************
LOUISVILLE , KY 40299
SOLD TO: CARMEL CLAY PARKS & REC SHIP TO: MONON CENTER
1411 E 116TH STREET 1235 CENTRAL PARK DRIVE ��C-1:w-,TN,7 D
CARMEL, IN 46032 PH#317/573-4026
317/573-4023 SERRALGARSKE6032 JAN 10 2013
SALESMAN DATE CUSTOMER
NUMBER NAME INVOICED ORDER NUMBER TERMS SHIP VIA F.O.B. BY:
50 BROADSTREET 01/09/13 29320 NET 30 DAYS OUR TRUCK CUSTOMER
SPECIAL BILLING INSTRUCTIONS: FAX
QUANTITY QUANTITY QUANTITY ITEM NUMBER/ QUANTITY UNIT EXTENDED T
ORDERED SHIPPED BACKORDERED UM DESCRIPTION BILLED UM PRICE PRICE X
40 40 0 EA PG-LOWTIDE 40 EA 109.00 4360.00 N 1
24201 2X TIDE DETER 2.5 GALLON
-------------
III N N V V 000 III CCCC EEEEE SUB-TOTAL 4360.00
I NN N V V O O I C E
I N N N V V O O I C EEE FUEL SURCHARGE 2.50
I N NN V V O O I C E
III N N V 000 III CCCC EEEEE
TOTAL 4362.50
Purchase
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P.O.# a'j9.3�0 P o
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Budget
Line Descr
* * * END OF INVOICE * * * Purchaser Date
Approval Date
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.
362886 Allied Cleaning Solutions Terms
11600 Commonwealth Drive
Louisville, KY 40299
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
119113 12388200 Laundry supplies 29320 $ 4,362.50
Total $ 4,362.50
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.
362886 Allied Cleaning Solutions Allowed 20
11600 Commonwealth Drive
Louisville, KY 40299
In Sum of$
$ 4,362.50
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-21 12388200 4238900 $ 4,362.50 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
24-Jan 2013
Signature
$ 4,362.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I