225553 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 357097 Page 1 of 1
ONE CIVIC SQUARE SERVICE FIRST CLEANING, INC CHECK AMOUNT: $556.38
l' CARMEL, INDIANA 46032 PAYMENT PROCESSING CENTER
32145 BROOKSTONE DRIVE CHECK NUMBER: 225553
WESLEY CHAPEL FL 33545-1656
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 153290 556 . 38 OTHER EXPENSES
Professionally Unique Services d/b/a
Service First Cleaning
FOR YOUR IMAGE FOR YOUR HEALTH 'Invoice
.. " Payment Processing Center Order No: 153290
�. E R`V r, -" S- 32145 Brookstone Drive Ref No:
_C L E A N I N G,.. Wesley Chapel, FL 33545 Start Time:
888-896-9341
Visit us at www.servicefirstcleaning.com End Time:
Customer Info. Service Location Job Info.
Name: Carmel Water Departmet 3450 W. 131st Street Order Group: Commercial
Phone: order SubGroup: Janitorial Cleaning
>`.Alt 1 Furniture:
Westfield,IN 46074
Ait 2. (317)733-2870 Cross Street
QTY Description .. PRICE AMOUNT .
6 Janitorial-For the month of October 92.73 556.38
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Notes:
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SUBTOTAL $556.38
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TAX
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SERVICE FIRT CLEANING WILL NOT BE LIABLE FOR CONDITIONS BEYOND OUR CONTROL. TOTAL $556.38
INCLUDING THOSE CONDITIONS THAT EXIST PRIOR TO CLEANING.Customers should be careful in
the event the cleaning service specifications include floor care,carpet care services,as floors may be ADDITIONAL
slippery due to damp conditions.
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PAYMENT AMT
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Work Performed By Date: PAYMENT TYPE
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REF.NO.
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Authorization Signature Date: BALANCE DUE s
Date: 10/7/2013 Thank you for your business
VOUCHER # 133056 WARRANT# ALLOWED
357097 IN SUM OF $
SERVICE FIRST CLEANING
32145 BROOKSTONE DR
WESLEY CHAPEL, FL 33545
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
153290 01-6360-06 $556.38 I
I
Voucher Total $556.38
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
357097
SERVICE FIRST CLEANING Purchase Order No.
32145 BROOKSTONE DR Terms
WESLEY CHAPEL, FL 33545 Due Date 10/14/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/14/201: 153290 $556.38
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