217563 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 027060 Page 1 of 1
ONE CIVIC SQUARE BOLDEN'S CLEANING&RESTORATION CHECK AMOUNT: $393.88
CARMEL, INDIANA 46032 112 PARK 32 WEST DRIVE
NOBLESVILLE IN 46062 CHECK NUMBER: 217563
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 79856 393 . 88 BUILDING REPAIRS & MA
Boldens Cleaning&Restoration Service Slip / Invoice
112 Park 32 West Drive INVOICE: 79856
Noblesville, IN 46062 DATE: 0/11/13
317-773-7683 ORDER: 79856
Bill-To: [119258] Work [119258] 317-571-2625
CARMEL FIRE DEPARTMENT Location: CARMEL FIRE DEPARTMENT#46
DENISE MR.JIM DAVIS
2 CIVIC SQUARE 540 W 136TH STREET
CARMEL, IN 46032-8806 CARMEL, IN 46032-8806
02111/13 08:30 AM 6JBII
NET 30 02/11/13
_ _...... _......__.... ....__....................................... _..........._ .._.. _,..... ........_.. . ...... _.._....... . ..._._. . ................ . ......... ........
175 COF OMMANDERS OFFICE-TLS $0.1000 $17.50
310 CRO FITNESS ROOM-TLS $0.1000 $31.00
88 CHA FITNESS HALL $0.1000 $8.80
700 CRO DAY ROOM $0.1000 $70.00
56 CHU HALL-UP $0.1000 $5.60
1105 CRO DORMITORY UP-TLS $0.1000 $110.50
400 CTV T.V.ROOM UP $0.1000 $40.00
150 CRO WOMENS LOCKER ROOM $0.1000 $15.00
280 CRO MENS LOCKER ROOM $0.1000 $28.00
3374 CTG TEFLON CARPET PROTECTION $0.0200 $67.48
0 TILE PANTRY-CLEAN&SEAL(NO CHARGE) $0.6000 $0.00
S/A TO.CALL J!M DAVIS IS NO ONE THERE AND CANT GET IN AT 590-3426...TEST CLEAN TILE PANTRY AND SUBTOTAL $393.88
`.SEAL WHILE THERE... TAX $0.00
TOTAL $393.88
AMT.PAID $0.00';
BALANCE $393.88.
_.. _. __. ..........................._. ............. ..... ......._... __............. ......_.
.._...... ._ ..
Charges outstanding over 30 days from the date of service are subject to a 1 Y/FINANCE I hereby acknowledge the satisfactory completion of all services rendered,and agree to pay the
CHARGE PER MONTH or annual percentage rate of 18%.Customer agrees to pay accrued cost of services as specified above.
expenses in the event of collection.
X
CUSTOMER SIGNATURE
PLEASE PAY FROM THIS INVOICE
'rescribed by State Board of Accounts City Form No.201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
kn invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
vhom, 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))
79856 Clean Sta. 46 Carpets $393.88
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
Bolden's Cleaning and Restoration
IN SUM OF $
112 Park 32 West Drive
Noblesville, IN 46062
$393.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
1120 I 79856 I 43-501.00 I $393.88 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
FER 215 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund