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240989 1 /13/2015 �4q- ''` '. CITY OF CARMEL, INDIANA VENDOR: 367520 b ONE CIVIC SQUARE FACILITY SOLUTIONS GROUP CHECK AMOUNT: S"''''"232.22' CARMEL, INDIANA 46032 PO BOX 952143 CHECK NUMBER: 240989 DALLAS TX 75395-2143 CHECK DATE: 01/13/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4237000 368280200 100.62 REPAIR PARTS 1093 4350000 368818600 131.60 EQUIPMENT REPAIRS & M FACUTYSOLUTIONSrou Invoice# 3682802-00 9' p 512-440-7985 Inside Sales Chicago, IL Invoice Date Due Date Terms Page net Cust# 747431-0001 Ship to: Carmel Clay Parks & Recreation Placed B Customer P.O.# PO Date 106125 XX-1454 12/03/14 1411 East 116th Street Dawn Koepper On all sums due FSG which have not been paid, Customer agrees to promptly pay a calculated service charge of 1.5%per Carmel, IN 46032 317-573-4026 month (not exceeding the highest amount lawfully allowed by contract in this state). If FSG commences litigation to collect payment of any amounts due, Customer agrees to pay reasonable attorneys'fees which may be due. Carmel Clay Parks & Recreation VIA SHIPPED SHIP# Attn: Accounts Payable 1411 East 116th Street rnd-Commerc 12/08/14 Carmel, IN 46032 Shipped from: FSG MDC MidWest LN PRODUCT AND QUANTITY I QUANTITY QUANTITY QTY UNIT PRICE AMOUNT DESCRIPTION ORDERED B.O. SHIPPED UIM PRICE UIM 1 16167 12 0 12 EA 6.60 EA 79.20 60PAR30LN/HAL/S/NFL25-12 OV LMP 1 Lines Total Qty Shipped Total 12 Total 79.20 Shp/Hand-Out 21.42 Invoice Total 100.62 Invoice delivery is now available to your email address. It' s fast, easy and environmentally responsible. To arrange for invoicing by email to one or more email addresses, email our Customer Support team at creditdept@fsgi.com. y p ****** ****** Remit to: Facility Solutions Group PO Box 952143 Dallas TX 75395-2143 FACUTYSOLUTIONSaroup Invoice# 3688186-00 V 1- 512-440-7985 Inside Sales Chicago, IL Invoice Date Due Date Terms Page net Cust# 747431-0002 j2/Iq/I4 UI/IS/I5 Ship to: Monon Community Center Placed By Customer P.O.# PO Date 106285 XX-1508 12/11/14 1195 Central Park Drive West Jim Ransford On all sums due FSG which have not been paid, Customer agrees to promptly pay a calculated service charge of 1.5%per Carmel, IN 46032 317-848-7275 month (not exceeding the highest amount lawfully allowed by contract in this state). If FSG commences litigation to collect payment of any amounts due, Customer agrees to pay reasonable attorneys'fees which may be due. Carmel Clay Parks & Recreation VIA SHIPPED SHIP# Attn: Accounts Payable 1411 East 116th Street rnd-Commerc 1 12/19/14 Carmel, IN 46032 Shipped from: FSG MDC MidWest LN PRODUCT AND QUANTITY I QUANTITY QUANTITY QTY UNIT PRICE AMOUNT DESCRIPTION ORDERED B.O. SHIPPED U/M PRICE U/M 1 72882 4 0 4 EA 31.05 EA 124.20 MVR250/HOR/PA M138/153 C L 44K ED28 E39 25OW 1 Lines Total Qty Shipped Total 4 Total 124 .20 Shp/Hand-Out 7.40 Invoice Total 131.60 Invoice delivery is now available to your email address. It' s fast, easy and environmentally responsible. To arrange for invoicing by email to one or more email addresses, email our Customer Support team at creditdept@fsgi.com. Remit to: Facility Solutions Group ****** PO Box 952143 Dallas TX 75395-2143 ****** ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 367520 Facility Solutions Group Terms P.O. Box 952143 Dallas, TX 75395-2143 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 12/8/14 368280200 AO Conference room light bulbs xx1454 $ 100.62 12/19/14 368818600 Lamps for trail doors xx1508 $ 131.60 Total $ 232.22 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 5-11-10-1.6 120 Clerk-Treasurer Voucher No. Warrant No. 367520 Facility Solutions Group Allowed 20 P.O. Box 952143 Dallas, TX 75395-2143 —Y In Sum of$ $ 232.22 ON ACCOUNT OF APPROPRIATION FOR 101 General/109 Monon Center PO#or Board Members Dept# INVOICE NO. ACCT#[TITL AMOUNT _ 1125 368280200 4237000 $ 100.62 1 hereby certify that the attached invoice(s), or _ 1093 368818600 4350000 $ 131.60 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 January 8, 2015 I Signature $ 232.22 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund