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SERVICE FIRST CLEANING- 003390- 12/20/2012 CARMEL REDEVELOPMENT COMMISSION 003390 Service First Cleaning Check: 3390 Pmt Process Center-Service Fir Date: 12/20/2012 10632 Grand Riviere Drive Vendor: SERVICE1 Tampa, FL 33647 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 153113 -38.87 -38.87 0.00 0.00 -38.87 missed cleaning on 8/8/2012 153139 311.00 311.00 0.00 0.00 311.00 • dec 2012 cleaning 272.13 272.13 0.00 0.00 272.13 KENSA-CI'_VA ". li?THE Y.TO DOCUMENSECURITV 0 TyVATEDAHUMB PRINT•ADDRIONAL SECURIT.Y;FEATURES,INCLUDED,yiSEE BACK FOR DETAILS 116"sic Carmel Redevelopment Commission 003390 wit 30 West Main Street REGIONS 20.1421n40 Suite 220 t RM Carmel, IN 46032 If 3390 DATE AMOUNT 12/20/2012 **********272.13 PAY THE SUM OF TWO HUNDRED SEVENTY TWO DOLLARS AND 13 CENTS ******************************* TO THE ORDER OF Service First Cleaning Pmt Process Center-Service Fir 10632 Grand Riviere Drive Tampa, FL 33647 111 0 0 3 3 9 011' [7.0740142 / 31: 0087504 i L Lii' CARMEL REDEVELOPMENT COMMISSION 003390 Service First Cleaning Check: 3390 Pmt Process Center-Service Fir Date: 12/20/2012 10632 Grand Riviere Drive Vendor: SERVICE1 Tampa, FL 33647 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 153113 -38.87 -38.87 0.00 0.00 -38.87 missed cleaning on 8/8/2012 153139 311.00 311.00 0.00 0.00 311.00 dec 2012 cleaning 272.13 272.13 0.00 0.00 272.13 • • / %-11.52 COMPUTEREASE FORMS DIVISION(8771577-5791 T-71771 • l�2 Service First Cleaning Invoice Payment Processing Center Date • Invoice# f 0632 Grand Riviere Dr. Tampa, FL 33647 1211/2012 153139 • Bill To Cannel Redevelopment Center 30 W. Main Street Suite 220 CARMEL. IN 46032 P.O. No. Terms Project Net 30 Quantity Description Rate Amount 1 FOR TNL MON1.1 OF DECEMBER 311.00 311.00 (Pfr Thank you lbr your bu3iness. Total 5311.90 Service First Cleaning Credit Memo Payment Processing Center 10632 Grand Riviere Dr. Date Credit No. Tampa, EL 33647 811312012 153113 Customer City of Carmel Redevelopment Commission 30 W.Main Street Suite 220 Cannel, IN 46032 P.O. No. Project Description Qty Rate Amount Adjustment for Missed Clean on 8.18 38.87 -38.87 Thank you for your business. Total $_38 87 Invoices saoo Balance Credit $-38.87 Phone# Fax# E-mail 3175728042 customersupponn.servic lvstcleaning.... Prescribed by State Board ol 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 5c04 ft C/py,,,:r fr Purchase Order No. 106 3 2 & V/0r - ger, Terms /L4 336%7 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 8//3//2 /S3/3 ' ov 775sue /tor* <1 3c ?72 !).111/2 / 53 /39 nn. c/p,,,, 3 //.0o Total 'e:;' ,C-P4 272./3 I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audi ame in accor- dance with IC 5-11-10-1.6. )z , 20 IZ easurer