220340 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 357097 Page 1 of 1
` ONE CIVIC SQUARE SERVICE FIRST CLEANING, INC
CARMEL, INDIANA 46032 PAYMENT PROCESSING CENTER CHECK AMOUNT: $1,034.55
10632 GRAND RIVIERE DRIVE
o„ CHECK NUMBER: 220340
TAMPA FL 33647
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 153137 834 . 55 OTHER EXPENSES
1701 4350600 153138 200 . 00 CLEANING SERVICES
Service First Cleaning Invoice
Payment Processing Center Date Invoice#
10632 Grand Riviere Dr.
Tampa; FL 33647 5/3/2013 153137
Bill To
Carmel Water Department
3450 W. 131 st Street
Westfield,IN 46074
I
P.O. No. Terms Project
Net 30
Quantity Description Rate Amount
1 FOR THE MONTH OF MAY 834 55 834.55
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I
Thank you for your business.
Total $834.55
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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
357097
SERVICE FIRST CLEANING Purchase Order No.
10632 GRAND RIVIERE DR Terms
TAMPA, FL 33647 Due Date 5/6/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/6/2013 153137 $834.55
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 # 131538 WARRANT # ALLOWED
357097 IN SUM OF $
SERVICE FIRST CLEANING
10632 GRAND RIVIERE DR
TAMPA, FL 33647
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
I
i
Board members
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PO # INV# ACCT# AMOUNT Audit Trail Code
153137 01-6360-06 $834.55
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Voucher Total
$834.55
I
Cost distribution ledger classification if
claim paid under vehicle highway fund
1
Service First Cleaning Invoice
Payment Processing Center
Date Invoice#
10632 Grand Riviere Dr.
Tampa, FL 33647 5/3/2013 153138
Bill To
City of Carmel Treasurer's Dept
One Civic Square
Carmel,IN 46032
P.O. No. Terms Project
Net 30
Quantity Description Rate Amount
I FOR THE MONTH OF MAY 200.00 200.00
Thank you for your business.
Total $200.00
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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 Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or not7 attached invoice(s) or bill(s))
Total
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.
ALLOWED 20
IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
��� �r✓ 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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund