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236793 09/10/14 i (9, CITY OF CARMEL, INDIANA VENDOR: 358585 ONE CIVIC SQUARE CERTIFIED FIRE SYSTEMS CONSULTANT$IECK AMOUNT: S*******400.00* CARMEL, INDIANA 46032 358 W OLD SOUTH STREET CHECK NUMBER: 236793 BARGERSVILLE IN 46106 CHECK DATE: 09/10/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4351501 2431 400.00 EQUIPMENT MAINT CONTR Certified Fire System Consutants 358 West Old South street Invoice Bargersville, In. 46106 Number: 2431 317-422-0893 Office 317-422-0894 Fax Date: August 25, 2014 Bill To: Ship To: Jeff Barnes Carmel Civic Center 1 Civic Square Carmel, IN 46032 PO Number Terms verbal net 30 Date Description Quantity Price Amount 08/20/14 Annual Fire Sprinkler System Inspection w/Dry Pipe Valve Trip Test 1.00 400.00 400.00 Building Maintenance Account # �16 7� Department # Submitted 'T® SEP 0 8201 Clerk Treasourer Total $400.00 Email Address cfscinc@comcast.net 0-30 days 31 -60 days 61 -90 days >90 days Total $400.00 $0.00 $0.00 $0.00 $400.00 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)) 08/25/14 2431 $400.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Certified Fire System Consultants IN SUM OF $ 358 West Old South Street Bargersville, IN 46106 $400.00 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 I 2431 I 43-515.01 I $400.00 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 Monday, September 08, 2014 Director, Administration Title Cost distribution ledger classification if claim paid motor vehicle highway fund