223825 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 362886 Page 1 of 1
ONE CIVIC SQUARE ALLIED CLEANING SOLUTIONS
CARMEL, INDIANA 46032 11600 COMMONWEALTH DRIVE CHECK AMOUNT: $5,839.80
4,,a io LOUISVILLE KY 40299 CHECK NUMBER: 223825
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4238900 13099000 5, 839 . 80 OTHER MAINT SUPPLIES
******************* REMIT AND MAKE CHECK PAYABLE TO *******************
* CUSTOMER NUMBER * ALLIED CLEANING SOLUTIONS * INVOICE NUMBER
* 500940 * 11600 COMMONWEALTH DRIVE * 130990-00
******************* *******************
LOUISVILLE , KY 40299
SOLD TO: CARMEL CLAY PARKS & REC SHIP TO: MONON CENTER
1411 E 116TH STREET 1235 CENTRAL PARK DRIVE
CARMEL, IN 46032 PH#317/573-4026
CARMEL, IN 46032
317/573-4023 SERRA GARSKE
SALESMAN DATE CUSTOMER
NUMBER NAME INVOICED ORDER NUMBER TERMS SHIP VIA F.O.B.
50 BROADSTREET 08/21/13 36075 NET 30 DAYS OUR TRUCK CUSTOMER
SPECIAL BILLING INSTRUCTIONS: FAX
QUANTITY QUANTITY QUANTITY ITEM NUMBER/ QUANTITY UNIT EXTENDED T
ORDERED SHIPPED BACKORDERED UM DESCRIPTION BILLED UM PRICE PRICE X
---------- ----------------------------- -----------
40 40 0 EA PG-LOWTIDE 40 EA 109.00 4360.00 N 1
FT 24201 2X TIDE DETER 2.5 GAL
10 10 0 EA PG-OPCLOR5 10 EA 46.65 466.50 N 2
FT 41676 PROLINE CLOROX BLEACH
10 10 0 EA PG-OPDOWNS 10 EA 100.98 1009.80 N 3
FT 48142 PROLINE DOWNY 5 GAL
III N N V V 000 III CCCC EEEEE SUB-TOTAL 5836.30
I NN N V V O O I C E
I N N N V V O O I C EEE FUEL SURCHARGE 3.50
I N NN V V O O I C E
III N N V 000 III CCCC EEEEE
-------------
TOTAL 5839.80
LauLmc)w SUPPU ES
3075 F
ro96 •�1. 4�2389 00
* * * END OF INVOICE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
362886 Allied Cleaning Solutions Terms
11600 Commonwealth Drive
Louisville, KY 40299
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
8/21/13 13099000 Laundry supplies 36075 $ 5,839.80
Total $ 5,839.80
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.
362886 Allied Cleaning Solutions Allowed 20
11600 Commonwealth Drive
Louisville, KY 40299
In Sum of$
$ 5,839.80
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-21 13099000 4238900 $ 5,839.80 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
5-Sep 2013
Signature
$ 5,839.80 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund