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220599 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 359972 Page 1 of 1 ONE CIVIC SQUARE FIKES FRESH BRANDS, INC CARMEL, INDIANA 46032 9135 HARRISON PARK COURT CHECK AMOUNT: $33.00 INDIANAPOLIS IN 46216 CHECK NUMBER: 220599 CHECK DATE: 6/4/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350100 A2396599 33 . 00 BUILDING REPAIRS & MA REMIT TO: *OTHER SERVICES 9135 Harrison Park Court WE PROVIDE: Indianapolis, IN 46216 *Janitorial Supplies invoice Phone: (317)849-9013 *Pest Control Date Invoice# FRESH BRANDS,INC. Service Fax: (317)849-9018 *Drain Treatment 5/27/2013 A2396599 Your Odor Control Specialists 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 A finance charge of 2%per 12120 BROOKSHIRE PKWY ONE CIVIC SQUARE month(24%per annum)will be CARMEL, IN 46033 CARMEL, IN 46032 added to past due amounts. PO 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 Service Notes: KEN MILLER 1 A/F&SCREEN IN MAINTENANCE SHED PLEASE PAY FROM THIS INVOICE. THANK-ROUI Invoice Total $33.00 TECH DATE TIME CUSTOMER ft=y I 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)) 05/27/13 A2396599 Air Freshener $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. I ACCT#/TITLE AMOUNT Board Members 1207 I A2396599 I 43-501.00 I $33.00 I 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 Friday, May 31, 2013 Director, Brooks Ir Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund