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231843 4 /23/2014 (9, CITY OF CARMEL, INDIANA VENDOR: 364573 ONE CIVIC SQUARE PLYMATE CHECK AMOUNT: S**"*****33.74* CARMEL, INDIANA 46032 819 ELSTON DRIVE CHECK NUMBER: 231843 SHELBYVILLE IN 46176 CHECK DATE: 04123114 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4353099 2418310 33.74 OTHER RENTAL & LEASES CITY OF CARMEL POLICE DEPT Invoice# 2418310 Plymate's MatMan 3 CIVIC SQUARE Date 04/15/2014 (800)553-2661 CARMEL, IN 46032 rrL:y www.plymate.com Cust# 7099 819 ELSTON DR Stop 220 pays13 at ASHELBYVILLE, IN 46176 PO# 27019 ROBERT ROBINSON r�kr,1 n rkplaceApFa;el&r��n�,�iat F;rgrartis RT 30 Line .Ifem#. Name/Description Invr Qty.' Rental: . Repl. ° 1 2 3. 4 ''5. `6 1 1050 3X4 PACIFIC BLUE MAT 1 $2.81 2 1075 4X6 PACIFIC BLUE MAT 3 S16.87 3 1478 3X5 COMFORT FLOW MAT 1 $4.11 Service Charge $9.95 Subtotal $33.74 r�eea2e;hucy ��caass tCiuL GvtvaiCe Tax Total 33.74 Thanks for your business. YourMatMan-RelaTd5(e&waa III i Past Due Amounts 30 Days 60 Days 90 Days Customer Signature $ 0.00 $ 0.00 $ 0.00 RT 30 1 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)) 04/15/14 2418310 rug rental $33.74 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 r - 1 VOUCHER NO. WARRANT NO. ALLOWED 20 Plymate's MatMan IN SUM OF $ 4 819 Elston Drive Shelbyville, IN 46176 $33.74 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members ! 1110 I 2418310 I 43-530.99 I $33.74 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 Thursday, April 17, 2014 �Z Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund ■