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249634 09/23/15 o CITY OF CARMEL, INDIANA VENDOR: 00351564 ONE CIVIC SQUARE GARY CARTER CHECK AMOUNT: $*""````8 8.37- CARMEL,CARMEL, INDIANA 46032 4748 BISHOPSGATE DR CHECK NUMBER: 249634 CARMEL IN 46032 CHECK DATE: 09/23/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4239099 HOBBY L OBBY 8.37 OTHER MISCELLANOUS Date: �J Submittb Email Request for Quote/Invoice Definition VENDOR: -`�;"9=.:°5' `:.P� ',tb'.;?•<r„aj ,'n^` Zr Vic^--�,NMI '��! Itemx' -t;.v�c,�9ti^ � Ualltitr�i�`1i4rrY�:��PCICe� 5� g .3'�•� F?� r.�a�,, '; sc��',�•r�s�'`1,y? �;; z x`��%'�''1tF ��t..+.+ "�``°' .a' i , y r,a Q Yw.r :� �+ � 11� rnl .'.:. �.�'�'t��d�a�?+ .�a@a���+`�.r'�'�Y.s:T,. 4�:E� :��:.'ti'�,E � � 3—•, �5� �n�i_ � �€ off'-£�_ Pr�Ce' u. ">e..e �.::a:, .'�:;�:s;vlc�:a K.1rTax:�+k�.:�c.,�,�A'�°�z`-.�1����... iE�i ��.�'•nfF..,� .Xs"�,�- 'tt�.�.'a�t `•: _"-i J' >�..Y� "; ,3"''""r^3-'" - •�g?'''�=-ky."+n '4F`'3•`' i:`'�-• -a+r •- r._ ,'."•-,.•�,r*^5 aF• ,a .' '-s-•_ .,<"». {v��zWT+�,�cc; "?� - - ."'.'" F� [..9: K L: -n� � •F:._-j?.nF0.`,��'f9.��{ ,.� ���"N� ty'� i:.fw.Exl :3: '� •VS'°CC.: 3._`lti-:Ta. � ..-. �,�;R,�.-Item ._�;,�_ ..;s. w: ,ky,� ' ��.r�,���•Q��,�,afiDescriptio'4�,.'� . '° . :� ,� uantit 111)11 •AlTlount/ L. UnitfPriee �.r' `�� y{� may. �,x. '�•s° .� :��`'�.'•' �'.�.,��`.��.,����ibt '..,bpi::QM���:��".�rY��e��? �c•-•,"'�.�",'`...��.."'x'�.°�t.�: �.'�� � :'� ';:.'�Y&5'� b*sT l `ShN -na'r;HIM �`GRANDTOTAL `� Uethisectinfor^P.,urehase�Orde (Requiredrfor'purchasesover$1,000.0 ��r`veyn�pd�.`or-Namems?1Tt SEEM y v--' ----- _ _ 1 Citjr,5 Telep Woo ne/F..ax/,Email . — �'�� ��'S8 � ' 4C•'�'1,_,",.�'`� `�i h� uS�if'�_k�::Y`Y�t,�, .-.:., 'k,,x'--.n�+,�.�rcK .,��tx� �1"`-``'�':� '! aY"�'E:s""'�'"�TY.f�"�r' ���e ��� �Q �t ��i �,P,_r,�e �usfQ�o�te� �°�Serviee Only�Sour.ce� Best DesignE C- - s�QtherFReasons/Definition 1 � yg���O'rdered✓ 3�Ye_s: GNo Ordered by and Date Ordered DPA Signature `may ;" DPA Signature ' Rev.03/15/11 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)) $8.37 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Gary Carter IN SUM OF $ $8.37 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 42-390.99 $8.37 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 SEP 2 1 2015 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund