SIMPLY CLEAN, INC. -002313 -9/22/2011 CARMEL REDEVELOPMENT COMMISSION
002313
Simply Clean, Inc. Check: 2313
17009 lakeville Crossing Date: 9/22/2011
Westfield, IN 46074 Vendor: SIMPLYC1
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
5074 85.00 85.00 0.00 0.00 85.00
Carpet cleaning
85.00 85.00 0.00 0.00 85.00
•
' Simply Clean, Inc.
17009 Lakeville Crossing Work Order
o Order No. Date
s rirv ,� Westfield, IN 46074
� 5074 9/6/2011
Orc earl (317) 896-6161 Start End
getsimplyclean.com 3:00 PM 4:00 PM \
Customer Info. Service Location Job Info.
Name: The World's Smallest Childeren's Art Galle 40 West Main St. Technician: Tony Hollcraft;Jay Spears
Phone:(317)496-9116 Sales Rep:
Alt 1: (317)571-2787 Carmel,IN 46032 Order Group:
Alt 2: Cross Street: Order SubGroup:
QTY Description - Price ' Amount
1 Carpet Cleaning 100.00 100.00
Notes: DISCOUNT $15.00
SUBTOTAL $85.00
TAX
– — TOTAL $85.00
ADDITIONAL
GRAND TOTAL
PAYMENT AMT.
PAYMENT TYPE
REF. NO.
Signature Date: BALANCE DUE
Thank you for your business
Date Printed: 9/6/2011
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
S77,/p C/(04. /fr7C Purchase Order No.
/ 700 2 2e?4,,, /A, Terms
ay,,g47(;fe,70/, 1716 079 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
- L C7, /11,
9/W/7
:7.'5 art
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true an correct and dited same in accordance
with IC 5-11-10-1.6.
, 20
Clerk-Treasurer 4T:
.,„
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
-2o 6- 9 Lao rte;-//-rtis S,:-3
/
$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
a/42 c 3So co 6'900 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
9--/3 20 //
I n ture
Executive Director
Title
Cost distribution ledger classification if
Carmel Redevelopment Commission
claim paid motor vehicle highway fund