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241518 1 /27/2015 ��.4!xy CITY OF CARMEL, INDIANA VENDOR: 367491 ;; ONE CIVIC SQUARE HOT BLOWN GLASS LTD CHECK AMOUNT: $********60.00* =q CARMEL, INDIANA 46032 3717 S COUNTRY ROAD 200 E CHECK NUMBER: 241518 CLAYTON IN 46116 CHECK DATE: 01/27/15 ETON� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 854 5023990 60.00 OTHER EXPENSES Glass As Hot As It Gets... Invoice HotBlownGlass, Ltd Lisa F. Pelo Glass As Hot As It Gets... DATE:JANUARY 21, 2015 3717 S County Rd 200 E Clayton, IN 46118 Phone 317-987-6862 Lisa@HotBLownGLass.com TO City of Carmel SHIP Attn Stephanie Marshall TO 30 W. Main Street Carmel, IN 46032 SALESPERSON JOB SHIPPING PO# DELIVERY DATE PAYMENT METHOD TERMS DUE DATE Lisa Shipped 1/21/15 Due on receipt QTY ITEM DESCRIPTION EACH TOTAL 2 Flat Heart Paperweight with copper heart inclusion/give away 30.00 60.00 items SUBTOTAL 60.00 SHIPPING/DELIVERY SALES TAX exempt BALANCE DUE 60.00 Make all checks payable to HotBlownGLass, Ltd. VOUCHER NO. WARRANT NO. Hot Blown Glass, Ltd. ALLOWED 20 IN SUM OF$ 3717 S. County Road 200 East Clayton, IN 46118 $60.00 ON ACCOUNT OF APPROPRIATION FOR Community Relations Gift Fund 854 PO#/Dept. INVOICE NO. ACCT#lrITLE AMOUNT Board Members 854 Invoice 1 hereby certify that the attached invoice(s), or I I Arts District Festivals $60.00 I 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 "I Monday,January 26,2015 i I Director,Cono unity Relations/Economic Development i 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)) 01/21/15 Invoice $60.00 i I 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 i