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235357 07/30/14 (9, CITY OF CARMEL, INDIANA VENDOR: 360714 ONE CIVIC SQUARE BUD'S ENGRAVING CHECKAMOUNT: $*******768.00* CARMEL, INDIANA 46032 13482 GYPSUM WAY CHECK NUMBER: 235357 FISHERS IN 46038 CHECK DATE: 07/30/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 609 5023990 141097 768.00 OTHER EXPENSES Bud's Engraving Invoice 13482 Gypsum Way Date Invoice# Fishers,IN 46038 Federal 1D# 26-1668271 7/7/2014 141097 Phone: (888)736-7687 Fax: (888)381-0710 Bill To Ship To Carmel Water Utilities Csrmel Water Utilities Plant#1 Attn: Accts.Payable 4915 E.106th St 3450 W.131 st Street Attn: Ken Rhodes/P4 Carmel,IN 46074 Carmel,IN 46033 P.O.Number Terms Rep Ship Via F.O.B. Project KR63014 Net 30 w 7/7/2014 Delivered Quantity Item Code Description Price Each Amount 1 One Lot Engraved plates 768.00 768.00T Sales Tax 0.000/0 0.00 Rece1Ved. ®ate: Pp ACCT#: o Use: - �`Y�/�.n.� Please Note: Our address has changed. The new address is: Buds Engraving 13482 Gypsum Way Fishers,IN 46038 Remember,you can email us Bud@BudsEngraving.com Total $768.00 VOUCHER # 141162 WARRANT # ALLOWED 004400 IN SUM OF $ BUD'S ENGRAVING r 13482 GYPSUM WAY FISHERS, IN 46038 i Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR it Board members PO# INV# ACCT# AMOUNT Audit Trail Code i 141097 07-1052-15 $768.00 Voucher Total $768.00 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 004400 BUD'S ENGRAVING Purchase Order No. 13482 GYPSUM WAY Terms FISHERS, IN 46038 Due Date 7/21/2014 Invoice Invoice Description Date Number (or note attached;invoice(s) or bill(s)) Amount 7/21/2014 141097 $768.00 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. Date f4icer