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232988 05/28/14
CITY OF CARMEL, INDIANA VENDOR: 359344 ONE CIVIC SQUARE AYERS BACKFLOW CHECK SERVICE CHECK AMOUNT: S"""•'360.00' ?� CARMEL, INDIANA 46032 20 BENNETT ROAD CHECK NUMBER: 232988 CARMEL IN 46032 CHECK DATE: 05/28/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4350100 376770 360.00 BUILDING REPAIRS & MA ;C ' 376770 EMAY 0 7 2014 ,Y_ - SOLD SHIPPED TO Ayers _�c T r VecSero C� �,� C G�� L I� � ` ADDRESS ADDRESS -20 "BUILLICLL /19,57 j9,fL A/Z_A-_ &Z , w, Carmel. IN 46 CITY,STATE,ZIP CITY,STATE,ZIP 575-0782 7— C!lTOA/l1 R 4,i3DER ND SOLD Y ; ;,, TERMS ... " F.4.B. DATE 2j7 p 5 - 3 a$ z '` s-©a 2Z $/7 9/0 z " 3�" oo 2 Zll 2-17973 3��o lv z6 00,6 w " 35 oo 2-168572-9 w2,69 00 y 2 W Z 6 ®a7 2 E� 3S L £27' 17-17173 00/4 o ao F 10.5-4350100 - &,ada=-W140 01_11 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. 359344 Ayers Backflow Check Ser Terms 20 Bennett Rd Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 5/7/14 376770 Backflow check&service 36671 $ 360.00 Total $ 360.00 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. 359344 Ayers Backflow Check Ser Allowed 20 20 Bennett Rd Carmel, IN 46032 In Sum of$ $ 360.00 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO#orBoard Members Dept# INVOICE NO. ACCT#/TITLE AMOUNT it 1093 376770 4350100 $ 360.00 1 hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and that the I materials or services itemized thereon for which charge is made were ordered and received except i I I 22-May 2014 I Signature $ 360.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund I i I