222449 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 358552 Page 1 of 1
ONE CIVIC SQUARE INTELLIGENT CLEANING SYSTEMS INC
CARMEL, INDIANA 46032 17406 TILLER COURT SUITE 3001400 CHECK AMOUNT: $571.83
WESTFIELDIN 46074
CHECK NUMBER: 222449
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 19876 571 . 83 OTHER MAINT SUPPLIES
/20
intelligent Cleaning Systems, Inc.
Invoice
17406 Tiller Ct.
Suite 300/400 Date Invoice#
Westfield, IN 46074 7/11/2013 19876
Bill To Ship To
Citv ofCarmel Cite ol,Carmcl
One Civic Square Onc Civic Square
Carmel, IN 46032 Carmel. IN 46032
Attention:Accounts Payable
P.O. Number Terms Rep Ship Via F.O.B. Project
Jell I% 10 Net 30 WDF 7/11/2013 ICS Truck
Quantity Item Code Description U/M Price Each Amount
80 DPR 10 DoorPod Santa Barbara Sea Breeze Refill, Each 6.61 528.80
1 37807 Blockade Dust Mop Frame 5X24 4.80 4.80
1 37378EA Quick Change Dust MOP Handle 9.05 9.05
wood: I"X60":each
2 19061-EA SSS 24" Blue Looped Microlibcr Dust ti101). Each 14.59 29.18
D Q a
JUL 2 9 2013
51
By
Total $571.83
Phone# Fax# E-mail
3178675424 3178675416 b.lisher ii�intelligcntcicanings ystems.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Intelligent Cleaning Systems, Inc
IN SUM OF $
17406 Tiller Ct., Suite 300/400
Westfield, IN 46074
$571.83
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 I 19876 I 42-389.00 I $571.83 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
Monday, July 29, 2013
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
07/11/13 19876 $571.83
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