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241332 01/22/15 CITY OF CARMEL, INDIANA VENDOR: 368222 (9, ONE CIVIC SQUARE MIDWEST TECHNOLOGY SOLUTIONS IWECK AMOUNT: $*******347.00' CARMEL, INDIANA 46032 3562 E COUNTY ROAD 730 S CHECK NUMBER: 241332 KIRKLININ 46050 CHECK DATE: 01/22/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 262 347.00 OTHER EXPENSES Midwest Technology Solutions Inc. 3562 E Co Road 730 S Kirklin, IN.46050 f- 1'2 9/30/2014 62 Phone # (765) 242 9103 mtsolutions201.0@att.net l Carmel Utilities; Carmel W.W.T.P 760 Third Avenue SW. 9609 Hazel Dell Parkway :Swte 110 Indianapolis, IN 46280 CarmelIN 46032 E Net 45 9/30/2014 Pickup Cable at shop. Dropped 1x 841261 to be repaired. 1 841261 12p Parallel Tractor and Camera 347.00 347.00 J. Total $347:66 VOUCHER # 146463 WARRANT # ALLOWED 368222 IN SUM OF $ MIDWEST TECHNOLOGY SO UTIONS 3562 E. CO. ROAD 730 S. KIRKLIN, IN 46050 ,I Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR �I Board members PO# INV# ACCT# AMOUNT Audit Trail Code 262 01-7200-02 $347.00 I I j t I i V Voucher Total $347.00 Cost distribution ledger classification if !` claim paid under vehicle highway fund I � 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 il performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 368222 MIDWEST TECHNOLOGY SOLUTIONS INC Purchase Order No. 3562 E. CO. ROAD 730 S. Terms KIRKLIN, IN 46050 r Due Date 12/30/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/30/201 262 $347.00 r 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 t'ky G�-fid+t- /-7� - Date Officer