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219275 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 00350787 Page 1 of 1 ONE CIVIC SQUARE CIRCLE CITY PEST CONTROL CO CARMEL INDIANA 46032 5747 N POST ROAD CHECK AMOUNT: $80.00 , 'aiyc INDPLS IN 46216 CHECK NUMBER: 219275 CHECK DATE: 4/24/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 202175 80 . 00 OTHER EXPENSES Circle City Pest Control 5747 N Post Road Indianapolis, In 46216 317--547--1808 * Fax 545-1098 Paula Williams BILLING Carmel Utilities ADDRESS 34.50 W 131st St. Westfield IN 46074 INVOICE NO_ 202175 ACCOUNT NO. 317-571-264-F.), Contact Jerry 716-3909/Ken 460--4717 LOCATION NO. 2 /�j S PROPERTY Dater Treatment Building SERVICE DATE ))) 7J ` f 1 ADDRESS 5484 E 126th St. TELEPHONE(S) ) / Carmel IN 46033 MAP LOCATION LAST SERVICE DATE 01/10/2013 SERVICETYPE: Pest Quarterly CUSTOMER PO NO. r-7 rodent and general pest control. ROUTE/DIVISION 3 / 0 DIRECTIONS & O BALANCE FORWARD 1.✓�,JC. SERVICE AMOUNT e0. 00 NOTES SALES TAX b 0.00 ( TOTAL DUE 80 0/1%.�^'•��/1 Target I st -to -control and service notes: - -------------------------- -- - --- ---- ------------------- ----------------------- ------ -- - --- --- --------------------- ------------------- ------ - - -- ---- ------------------------ TECHNICIAN'S SIGNATU CUSTOMER'S SIGNATURE: 03/29/20 M)SMMEMS OOP/Y VII, _ _ _ 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 350787 CIRCLE CITY PEST CONTROL CO Purchase Order No. 5747 N. Post Road Terms INDIANAPOLIS, IN 46216 Due Date 4/16/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/16/2013 202175 $80.00 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 Date Officer VOUCHER # 131390 WARRANT # ALLOWED 350787 IN SUM OF $ CIRCLE CITY PEST CONTROL CO 5747 N. Post Road INDIANAPOLIS, IN 46216 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 202175 01-6360-06 $80.00 Voucher Total $80.00 Cost distribution ledger classification if claim paid under vehicle highway fund