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239697 12/03/14 CITY OF CARMEL, INDIANA VENDOR: 358585 G ONE CIVIC SQUARE CERTIFIED FIRE SYSTEMS CONS ULTA NT,gIECK AMOUNT: $******"200.00* ?� CARMEL, INDIANA 46032 358 W OLD SOUTH STREET CHECK NUMBER: 239697 BARGERSVILLE IN 46106 CHECK DATE: 12/03/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4351501 2489 200.00 EQUIPMENT MAINT CONTR Certified Fire System Consultants 358 West Old South Street Invoice Bargersville , In. 46106 Number: 2489 317-422-0893 Phone 317-422-0894 Fax Date: November 20,2014 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 11/20/14 Quarterly Fire Sprinkler System Inspection 1.00 200.00 200.00 Building Maintenance Account # v�/S Department# t o EDEC :Ture2acs7urer Total $200.00 Email Address cfscinc@comcast.net 0-30 days 31 -60 days 61 -90 days >90 days Total $200.00 $0.00 $0.00 $0.00 $200.00 VOUCHER NO. WARRANT NO. ALLOWED 20 Certified Fire System Consultants IN SUM OF $ 358 West Old South Street Bargersville, IN 46106 r $200.00 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 2489 43-515.01 $200.00 I 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, D-cember 01, 2014 Director, Administration Title ' I 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)) 11/20/14 2489 $200.00 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