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319163 11/30/17 CITY OF CARMEL, INDIANA VENDOR: 364573 4� 4� b ONE CIVIC SQUARE PLYMATE CHECK AMOUNT: $*******424.88* ?� CARMEL, INDIANA 46032 819 ELSTDN DRIVE CHECK NUMBER: 319163 SHELBYVILLE IN 46176 CHECK DATE: 11/30/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 2711562 251.69 OTHER EXPENSES 601 5023990 991182 173.19 OTHER EXPENSES Voucher # 173453 Warrant # Prescribed by State Board of Account City Form No.201(Rev 1995) ALLOWED 20 364573 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER PLYMATE CITY OF CARMEL 819 ELSTON DR An invoice or bill to be properly itemized must show, kind of service, where SHELBYVILLE, IN 46176 performed, dates of services rendered, by whom, rates per day, number of units price per unit, itc. Payee Carmel Water Utility 364573 Purchase Order No. ON ACCOUNT OF APPROPRIATION FOR PLYMATE Terms 819 ELSTON DR Due Date. Board Due Date Members SHELBYVILLE, IN 46176 Description Audit Trail INVOICE (or note attached invoice(s)or PO # INV# ACCT # AMOUNT Code DATE INVOICE NUMBER bill(s)) AMOUNT 2711562 01-6360-06 $251.69 11/22/2017 2711562 $251.69 991182 01-6200-06 $173.19 11/22/2017 991182 $173.19 Voucher Total $424.88 Cost distribution ledger classification if claim paid under vehicle highway fund 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 Date Officer CITY OF CARMEL WATER DIST Invoice# 2711562 3450 W 131 ST ST Date 11/22/2017 E, (800)553-2661 WEST FIELD, IN 46074 - www.plymate.com Gust# 2934 ��" Stop130 Pdyat 819 Elston Drive Shelbyville, IN 46176 Jerry Smith >�','rkoueAppard&Floor[Oat,Programs, RT 5 RerfalF, 1 SHOP TOWEL RED 100 $6.00 3 4X6 MIDNIGHT GREY MAT 18 9 $47:25 4 5X8 MIDNIGHT GREY MAT 10 5 $45.00 5 3X10 MIDNIGHT GREY MAT' 4 2 $13.00 6 POLO BLK/RY BLOCK SNAGPROOF 7 1 EDDIE ALVAREZ $8.21 ................__..-_- 9 GARMENT CARE 22 $1.32 10 4 JUSTIN BRANDT $7.45 12 GARMENT CARE 22 $1.32 - ...... -._... . ._...... ..............._.._. ..._......-- .......---- . ....... _.. .. ..... --....._._.._. ................................_._. ......... ---- -- 13 7 ALEX BROWN $7.45 15 GARMENT CARE 22 $1.32 16 14 STEVE CALLAHAN $7.25 _ _...__, _..- - ......"....:... ._.._.. ....-----------........:....._ _..._..--- __....__ .__.................... .....---- -- ... .............. ._ ........... _..__.__.... 19 GARMENT'CARE 22 $1.32 20 9 ALDWIN CASTANEDA $7.45 __._. ............ ------ _-... 23 GARMENT CARE 22 $1.32 24 11 SHAWN COOKSEY $7.45 26 GARMENT CARE 22' $1.32 T........ .__................ -- - ........... ......... ..... -"-........................................._... _. . _...,__.. 27 16 CALVIN COOPER $3.28 - - .......... ..: _.. ----- --- ._..... 28 GARMENT CARE 11 $0.66 -- _.: _.... -- -.._:..._.. _...._ _ _._. .._........ _-_ _......... - _ ..-..... _.....- -........ _.. -- 29 2 FRAZIER JONES $8.21 ..........__ ................... ..." ............................-- :..._ ..... ....._. ......,-..._- ...................._............... -- ....:... ...----.. .._..... __.............. ._._.__,..........................__...__ 31 GARMENT CARE 22 $1.32 32 10 MIKE LUPER $8.20 35 GARMENT CARE 22 $1.32 _ .._..._._.:. _. .. - .....- 36 3 MATT MCNULTY $8.21 38 GARMENT CARE 22 $1.32 -- ...T...---................................---..___ - --.,........, __....__ -.. ......._. __..... .............._..._ .- _ 39 6 JOE MERCER $7.45 .. --------- 41 GARMENT CARE 22 $1.32 - .. - •.... - - - _. . - . __..-._. ...............- 42 13 TRENT MORGAN $9.70 46 GARMENT CARE 22 $1.32 47 12 JERRY SMITH $4.55 49 GARMENT CARE 11 $0.66 -- - ...... .... ........__ _.--- ........ 50 5 BARRY THOMAS $9.70 52 GARMENT CARE 22 $1.32 . ..._............-- --- .. .......:. ......._.__ _._ .... . ... ....... . .... _......... __..._.............--- ...-- ......... ._............. 53 8 SEAN WHITLOW $7.45 55 GARMENT CARE 22 $1.32 Service Charge $9.95 Page"1 Yof 2 CITY OF CARMEL WATER DIST Invoice# 2711562 "R 3450 W 131ST ST Date 11/22/2017 (800)553-2661 WESTFIELD, IN 46074 axe ., '; c°�� www.plymate.com Cust# 29341; 819 Elston Drive Stop 130 plilQ, Shelbyville, IN 46176 Jerry Smith VKplacaApparel&Floor Mat PragrAms RT 5 ,. . P Inu Qty h Rental C:he< #^ tVame.l Descr'i lion. Subtotal $251.69 ltiW4GCe Tax Total 251.69 I Thanks for your business. Your Service Rep-Ad,0GV0R7,{M5F70; Past Due Amounts 30 Days 60 Days 90 Days Customer Signature $ 0.00 $ 0.00 $ 0.00 RT 5 Page,2 of 2 lymat In Invoice No: SO 991182 P . Invoice Date: 11/22/17 Aegarel Sales Division DETAILED INVOICE Customer Number: 2934 AM 61 Iston Drive P. O. Number: f�lymate Shelbyville, IN 46176 Please forward to* Phone: (317)392-3283Customer P. O.# FAX: (317)392-6576 ACCOUNTS PAYABLE Toll Free: (888)880-6287 Payment Terms. Net'1 Invoice To: Shipped To:. ; Shipped Via: On Route CITY OF CARMEL WATER CITY OF CARMEL WATER 5 Wed P. O. Number: DIST 'DIST 3842 S. EMERSON AVE 3450 W 131ST ST WESTFIELD, IN 46074 WESTFIELD, IN 46074 Ship Name Price Total Qty Item Code Description Size Color Release# Each Price 1 CS620 Full-Zip Hooded with navy Eddie Alvarez Direct $55.73 $55.73 Thermal Lining XL- Embroidered I 000 1 CS620 Full-Zip Hooded with navy Calvin Cooper Direct $55.73 $55.73 Thermal Lining XL- Embroidered L oo 1 CS620 Full-Zip Hooded with navy Frazier Jones Direct $61.73 $61.73 Thermal Lining 4X Embroidered Loao Other $0.00 Subtotal $173.19 Sales Tax $0.00 Ship Charges Invoice Total $173.19 Customer Signature