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326051 06/12/18 4+�,CAq�� CITY OF CARMEL, INDIANA VENDOR: 358585 4.� �' ONE CIVIC SQUARE CERTIFIED FIRE SYSTEMS CONSULTAN�$IECK AMOUNT: S....***200.00* Ja. CARMEL, INDIANA 46032 358 w OLD SOUTH STREET CHECK NUMBER: 326051 �'dr`oN�°' BARGERSVILLE IN 46106 CHECK DATE: 06/12/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4350000 3170 200.00 EQUIPMENT REPAIRS & M VOUCHER NO. WARRANT NO. Prescribed by State Hoard of Accounts City Form No.201(Rev.1995) Vendor# 358585 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER CERTIFIED FIRE SYSTEMS CONSULTANTS IN SUM OF$ CITY OF CARMEL 358 W OLD SOUTH STREET 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. BARGERSVILLE, IN 46106 Payee $200.00 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# General Administration Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 3170 43-500.00 $200.00 1 hereby certify that the attached invoice(s),or 6/1/18 3170 $200.00 1205 101 1205 101 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 Thursday,June 7,2018 James Crider Administration 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Certified Fire System Consultants 358 West Old South Street Invoice Bargersville, In.46106 Number: 3170 317-422-0893 Office Date: June 01,2018 Bill To: Ship To: Clayton Bell Carmel Civic Center 1 Civic Square Carmel, IN 46032 PO Number Terms verbal net 30 Date Description Quantity Price Amount 06/01/18 Quarterly Fire Sprinkler System Inspection 1.00 200.00 200.00 o „_ > - JUN 0 6 2018 rer Building�ItLe Account# Department $200.00 0-30 days 31 -60 days 61 -90 days >90 days Total $200.00 $0.00 $0.00 $0.00 $200.00