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242607 02/24/15 'G9gM CITY OF CARMEL, INDIANA VENDOR: 366310 d i ONE CIVIC SQUARE SCHAFER POWDER COATING INC CHECK AMOUNT: $**—***80.00* >1. CARMEL, INDIANA 46032 4518 W 99TH STREET CHECK NUMBER: 242607 1"*t TON o CARMEL IN 46032 CHECK DATE: 02/24/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4239032 78197 80.00 POSTS & HARDWARE Schafer Powder Coating, Inc. INVOICE 4518 West 99th Street, Carmel, IN 46032 INVOICE#: 78197 CUST. #: City of Carmel Eric PH: (317)733-2001 BILL TO: SHIP TO: City of Carmel City of Carmel One Civic Square One Civic Square I Carmel, IN 46032 i Carmel IN 46032 tNVOtCEZQTY. PO# W/O# .. SALESPERSON TERMS SHIP VIA 02/16/ See Below See Below Net 30 Days Customer Truck SHIPPED.GITY: PART NUMBER % PART DESCRIPTION UNIT PRICE:;: `:` EXT:PRICE 1 1 1 Sign Frame 80.000 lea. - $80.00 Shipped:02/16/2015 Po:02-06-15 P/L:81367• wio: 116497 SUBTOTAL: $80.00 f Surcharge: 0.00 Cert: j 0.00 i Tax 1: I 0.00 . i Tax 2: ; 0.00 Charges: 0.00 Freight. 0.00 Page 1 of 1 INVOICE ISO TOTAL: j $8 0_ 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 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)) 02/16/15 78197 $80.00 1 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Schafer Powder Coating, Inc. IN SUM OF $ 4518 W. 99th Street Carmel, IN 46032 $80.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 78197 42-390.32 $80.00 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 w f 1 f� //�� ,/, Tl ursda Net h 9, 2015 L"LlIk t_ �e a �v+��II iIJJ Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund