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332842 11/30/18 CITY OF CARMEL, INDIANA VENDOR: 361229 ONE CIVIC SQUARE DRAINAGE SOLUTIONS, INC CHECKAMOUNT: $ 55.54 (9, CARMEL, INDIANA 46032 Po Box 100 CHECK NUMBER: 332842 FRANKLIN IN 46131 CHECK DATE: 11/30/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 0128022-IN 55.54 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 361229 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER DRAINAGE SOLUTIONS, INC IN SUM OF$ CITY OF CARMEL PO BOX 100 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. FRANKLIN, IN 46131 Payee $55.54 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department 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 0128022-IN 42-370.00 $55.54 1 hereby certify that the attached invoice(s),or 11/27/18 0128022-IN Repair Parts $55.54 2201 2201 2201 2201 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, November 29,2018 Huffman, Dave Director 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 5-11-10-1.6 120 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer <S) Mail Payments To: o PO BOX 100 Invoice Franklin, IN 46131 DRAINAGE (317) 346-4110 InvoiceInvoice Date: 11/27/2018 80 SOLATIONS, INC (317) 346-4109, Fax www.drainagesolutionsinc.com Due Date 12/27/2018 Customer Number: C112000 Sold To: Ship To: Carmel Street Dept. . Carmel Street Dept. 3400 W. 131st. St. 3400 W. 131st. St. Carmel, IN 46074 Carmel, IN 46074 P E Amy Lunn Customer P.O. Ship VIA Sales Order No. Terms Tracking Number city center Net 30 Days Item Code Unit Ordered Shipped Back Ordered Price Amount 56-1515 EA 1.00 . 1.00 0.00 55.54 55.54 15"PVC Flexible Coupling(CI/Plastic x CI/Plastic) Whse: 001 RW All returns must be approved and completed within 30 days of purchase date. Items must be Net Invoice: 55.54 clean, merchantable and immediately ready for resale. Special order items are non-returnable. Less Discount: 0.00 All approved returns are subject to a 20%restocking charge to be deducted from the original Freight: 0.00 purchase price. Original shipping charges are non-refundable. Customer is responsible for Sales Tax: 0.00 return freight charges. Invoice Total: 55.54