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240048 12/09/14 �% �Aq,,f! CITY OF CARMEL, INDIANA VENDOR: 365203 J \; ONE CIVIC SQUARE MAILBOX SOLUTIONS CHECK AMOUNT: $********73.00* f9 i+' CARMEL, INDIANA 46032 10087 ALLISONVILLE ROAD,STE A CHECK NUMBER: 240048 .y��TON�. FISHERS IN 46038 CHECK DATE: 12/09/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 5833 73.00 REPAIR PARTS Mailbox Solutions MBS Invoice 10087 Allisonville Rd Ste A Fishers, IN 46038 Date Invoice No. 317.460.1010 09/01/14 5833 Bill To: Installation Address City of Carmel - Street Dept. 12548 Pebble Knoll Way Attn: Amy Lunn Carmel, IN 46032 3400 West 131 st Street LAKES @ HAZEL DELL Carmel, IN 46074 P.O. Number Terms Balance Due $73.00 _ __ _ _ Project 12548 Pebble... Description Quantity Price Each Amount Medium Mailbox 1 53.11 53.11 Western Beige Mailbox Color 1 20.00 20.00 Street#&Street Name on Mailbox 1 10.00 10.00 Caxton Font 1 0.00 0.00 Brown Graphics 1 0.00 0.00 2.75#'s - 2.5x19 Street Name 83.11 Contract Pricing for the City of Carmel -10.11 -10.11 Thank you for your business. Total $73.00 Payment is due at order placement • Please verify that the"Ship To"address is 100%accurate. Mailboxes produced with inaccurate information may incur additional charges. Customer is responsible for accurately marking the location of any irrigation systems or pet containment systems prior to post installation. Mailbox Solutions cannot be responsible for damage to these systems. Mailbox Solutions is not responsible for natural cracking of cedar posts VOUCHER NO. WARRANT NO. ALLOWED 20 Mailbox Solutions ? IN SUM OF$ 10087 Allisonville Road, Ste. A Fishers, IN 46038 $73.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members' 2201 5833 42-370.00 $73.00 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 .•7 ,i I r . F y 20141 Sr ( u� reet�ommissloner 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)) 09/01/14 5833 $73.00 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