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239003 11/11/2014
,y CITY OF CARMEL, INDIANA VENDOR: 051000 CHECK AMOUNT: $********21.56* ONE CIVIC SQUARE CARMEL WELDING &SUPP INC ?� CARMEL, INDIANA 46032 550 S.RANGELINE RD CHECK NUMBER: 239003 9;ETON , CARMEL IN 46032 CHECK DATE: 11/11/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 3017 21.56 REPAIR PARTS , — \] /04/14 . 365618 CARMEL WELDING AND SUPPLY10 550 South Rangeline Road Ca£m&$, Indiana 46032 �. . . ._. 004` )04 z 317-846-3493 �.CarmelWelding.com L-S . .:� . . . . :� ] . l of 1 Terminal 12 _ \} 77777 « . . « � 733-2001 -~© © : . . . .\ . . .v. . m CARMEL STREET DEPARTMENT ` a » CARMEL^STREET DEPARTMENT 3400 WEST 131ST STREET 3400 WEST 181ST STREET CaRM££, INDIANA 46074 CARM£t, INDIANA 46074 Ta Exemption «: 0031201550OZ ` ^ _ =^WWW.cARMstw z ING.Com-----2iese keep receipt for parts returns within 30 days. 20% restocking SHIPPED VIA: CUSTO 2 PICKUP charge, No return on electrical or special orders � . . . . . . . .. �. . . . � ,-.a.z,�a.. . .. . . . ... . . . . . . . . . .. . , . . . � . OED««§ I#SBS PIU' &# kR ; /D_kd ITT 2 I&T« «E d = pg T y> g ! 1 &ax 22042 SHIELD FLEX D}}cHAR 1 ^ j 21 .56 21 .56 � ob, � � } } } ! � ! | { { { - ! ( | | ) . . . . . , . . . . . . � . . . . . . . . SOB TOTAL ----> 21 . 56 CHARGE Sat MISC. �-------> 0 . 00 - TAX .0------> 0 . 00 00 TAX 7 , 000 ---> O . 00 ; Signatq£e �� INVOICE TOTAL-> 21 . 56 VOUCHER NO. WARRANT NO. ALLOWED 20 Carmel Welding and Supply IN SUM OF$ 550 S. Rangeline Road Carmel, In 46302 $21.56 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT Board Members 2201 I 365618 I 42-370.001 $21.56 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 Frid No 141 WVV W f-ry Y Title Cost distribution ledger classification if claim paid motor 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 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)) 11/04/14 365618 $21.56 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