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240320 12/16/14 CITY OF CARMEL, INDIANA VENDOR: 133000 4 ONE CIVIC SQUARE JEFFREY J HORNER CHECK AMOUNT: $*******348.99* CARMEL, INDIANA 46032 '' CHECK DATE: 12/16/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4467099 40387096 348.99 OTHER EQUIPMENT Anderson, Teresa K From: Horner, Jeffrey J Sent: Wednesday, December 10, 2014 10:53 AM To: Anderson, Teresa K Subject: FW: Confirmation of your Order 40387096 From: help@mmawarehouse.com [ma!Ito:help@mmawarehouse.com] Sent: Wednesday, December 10, 2014 10:27 AM To: Horner, Jeffrey J Subject: Confirmation of your Order 40387096 I 'T %'¢f d '. MMA Warehouse _ - - �c� 1147 N. Ellis St. Bensenville, IL, 60106 USA mmawarehouse.com Thank you for your order. Order Placed: 12/10/14 Order Number: 40387096 Payment Information Billing Address: Payment Method: Payment Total: Jeffrey Horner Jeffrey Horner Po Box 1041 Order Subtotal: $299.99 Carmel,IN 46082 Shipping: Standard (Drop-Ship Only) $49.00 United States Exp.09.17 Sales Tax: $0.00 Amount: $348.99 Order Total: $348.99 Product Quantity Price Century Sparring BOB@ XL Body Opponent Freestanding - - _ -- -Bag-._ - .-----=-- , --- - - - - - - ---- - - - - -- -- Item#cen-1035 1 $299.99 Ships by itself in 1-2 business days (UPS Ground to the 48 continental United States only). Shipping Details Shipping Address: Jeffrey Horner 3 Civic Sq. Carmel , IN 46032 United States Method: Standard (Drop-Ship Only) Shipping Status: Not Shipped 1 1 VOUCHER NO. WARRANT NO. Jeffrey J. Horner ALLOWED 20 IN SUM OF$ ; $348.99 i 1 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 40387096 44-670.99 $348.99 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 Thursday, December 11, 2014 Chief of Police Title i Cost distribution ledger classification if claim paid motor vehicle highway fund n 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)) 12/10/14 40387096 Century Sparring BOB $348.99 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 ■