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219315 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 359972 Page 1 of 1 ONE CIVIC SQUARE FIKES FRESH BRANDS,INC CHECK AMOUNT: $33.00 CARMEL, INDIANA 46032 10080E 121ST ST,#118 FISHERS IN 46037 CHECK NUMBER: 219315 CHECK DATE: 4/24/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350100 A2393299 33 . 00 BUILDING REPAIRS & MA 4' REMIT TO: *OTHER SERVICES 9135 Harrison Park Court WE PROVIDE: Indianapolis, IN 46216 *Janitorial Supplies Invoice FRESH BRANDS,ANC. Phone: (317)849-9013 *Pest Control Date Invoice# Fax:(317)849-9018 Service Your Odor Control Specialists *Drain Treatment 4/1/2013 A2393299 support @fikesfreshbrands.com Service PLEASE INCLUDE INVOICE www.fikesfreshbrands.com NUMBER WITH PAYMENT Service Address Billing Address TERMS: NET 10 DAYS BROOKSHIRE GOLF CLUB CITY OF CARMEL 12120 BROOKSHIRE PKWY ONE CIVIC SQUARE month 24%pgeonumper CARMEL, IN 46033 x- month(24%per annum)wll be CARMEL, IN 46032 added to past due amounts. P Auto Dispensers FREE With Hand Sanitizer Account# Route Terms Purchase! Limited Time Offer 09372 7 CHARGE Quantity Description Price Each Amount 3 Air Freshener Service 7.00 21.00 3 Wave Urinal Screen Service 4.00 12.00 (1)A/F&WAVE IN MAINTENANCE SHED @ BOTTOM OF HILL 7T.EDATE KEN MILLER 1 A/F& GREEN IN MAINTENANCE SHED ASE PAY FROM THIS INVOICE. TH` YOU! , Invoice Total $33.00 TIME CUSTOMER �� / Customer Total Balance $66.00 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 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)) 04/01/13 A2393299 Air Freshener Service $33.00 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 Fikes Accounts Receivable IN SUM OF $ 10080 E 121st St. Suite 118 Fishers, IN 46037 $33.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I A2393299 I 43-501.00 I $33.00 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 Tuesday, April 09, 2013 Director, Brook ire Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund