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250784 10/21/15 CITY OF CARMEL, INDIANA VENDOR: 366745 *y*rtw(9, ONE CIVIC SQUARE NEW DEAL DEICINGCHECK AMOUNT. $ 9,490.00CARMEL, INDIANA 46032 2456 SYRACUSE ST CHECK NUMBER: 250784 DENVER CO 80238 CHECK DATE: 10/21/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236500 101515 9,490.00 SALT & CALCIUM NEW DEAL DEICING Invoice No. 101515 I-Ov. 12015 E 46th Ave. Suite 410 Itlaw Denver, CO 80239 � Tel:303-459-2500 rNVOICE Customer I Misc Company: Carmel Street Department Date: 10/15/2015 Address: 3400 W 131st St. (P.O.Number. per Dave Huffman City: Carmel State: IN ZI(P. 46074 QW. Laura (Phone: 317-733-2001 Ow(Date: 11/15/2015 Q Unit Description Unit Price TOTAL 5 Pallet NEWDEAL®Blend Solid Airtield Deicer $ 1,898.00 $ 9,490.00 25kg(551b)per bag;40 bags per pallet I SubTotaf $ 9,490.00 Shipping INCLUDED Payment Discount Tax Wgte(s) Comments: Product was delivered on 10/14/2015. TOTAL $ -9,490.00 Office Use Only PLEASE MAKE CHECK PAYABLE TO NEW DEAL DEICING BALANCE DUE IN FULL 30 DAYS FROM INVOICE DATE. A LATE CHARGE OF 1 1/2%PER MONTH WILL BE IMPOSED ON ALL OVERDUE AMOUNTS. Thank you for choosing NEWDEAL®! VOUCHER NO. WARRANT NO. ALLOWED 20 New Deal Deicing IN SUM OF$ 2456 Syracuse St. Denver, CO 80238 $9,490.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 j 101515 j 42-365.00 $9,490.00 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 i FrpFy, O er 16, 2015 Street Commissio r StmetCommiseieneF Title Cost distribution ledger classification if claim paid motor vehicle highway fund I Prescribed by State Board of Accounts City Form No.201(Rev.1991 5) 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)) 10/15/15 101515 $9,490.00 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