225750 11/05/2013 i
CITY OF CARMEL, INDIANA VENDOR: 027060 Page 1 of 1
ONE CIVIC SQUARE BOLDEN'S CLEANING&RESTORATION
0
CARMEL, INDIANA 46032 112 PARK 32 WEST DRIVE CHECK AMOUNT: $613.62
NOBLESVILLE IN 46062 CHECK NUMBER: 225750
CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 82931 613 . 62 BUILDING REPAIRS & MA
Boldens Cleaning& Restoration Service Slip / Invoice
112 Park 32 West Drive INVOICE: 82931
Noblesville, IN 46062 DATE: 10/19/13
317-773-7683 ORDER: 82931
Bill-To: [119686] Work [119686] 317-571-2600
CARMEL FIRE DEPARTMENT#41 Location: CARMEL FIRE DEPTMENT#41
2 CIVIC SQ 2 CIVIC SQ
CARMEL, IN 46032-2584 CARMEL, IN 46032-2584
Work Date Time Technician Time In
10/19/13 -09:00 AM
Purchase Order Terms Last Service Map Code Time Out
NET 30 10/19/13
Quantity Item Description Price Total
228 CEN ENTRY $0.1200 $27.36
250 CRE RECEPTION AREA $0.1200 $30.00
228 COF operating chief $0.1200 $27.36
540 CCO CONFERENCE ROOM $0.1200 $64.80
229 CARPET RECORDS $0.1200 $27.48
400 CARPET UPSTAIRS/DOWNSTAIRS-ALL SOUTH SIDE-HALL-MAIN $0.1200 $48.00
172 COF BATTALION CHIEF $0.1200 $20.64
314 COF TRAINING OFFICE $0.1200 $37.68
232 COF QUARTER MASTER $0.1200 $27.84
154 COF EMS CHIEF $0.1200 $18.48
578 CARPET CHIEF'S SIDE $0.1200 $69.36
368 COF CHIEF'S OFFICE $0.1200 $44.16
286 COF DENISE OFFICE $0.1200 $34.32
725 COF FIRE MARSHALL $0.1200 $87.00
172 COF ADMIN CHIEF $0.1200 $20.64
130 CARPET SAFETY HOUSE-ALL $0.1500 $19.50
1 FUEL FUEL SURCHARGE $9.0000 $9.00
0 CTG TEFLON CARPET PROTECTION-APPLIED AFTER CLEANING $0.0000 $0.00
FOR REMINDER CALL OR QUESTIONS DURING DAY PRIOR TO CLEAN CONTACT DENISE AT 571-2616.'HAVE SUBTOTAL $613.62
GONE OVER SMALL ITEMS ON FLOOR NEED PICKED UP FROM ESTIMATE CONTACT WILL BE CAPTAIN JIM TAX $0.00
571-2609.CONFIRMED APPT. TOTAL $613.62
AMT.PAID $0.00
BALANCE $613.62
*Charges outstanding over 30 days from the date of service are subject to a 1'/z%FINANCE I hereby acknowledge the satisfactory completion of all services rendered,and agree to pay the
CHARGE PER MONTH or annual percentage rate of 18%.Customer agrees to pay accrued cost of services as specified above.
expenses in the event of collection.
X
CUSTOMER SIGNATURE
PLEASE PAY FROM THIS INVOICE
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))
82931 Clean Sta.41 Carpets $613.62
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.
ALLOWED 20
Bolden's Cleaning and Restoration
IN SUM OF $
112 Park 32 West Drive
Noblesville, IN 46062
$613.62
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE T AMOUNT Board Members
1120 I 82931 I 43-501.00 I $613.62 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
NOV 4 2M
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund