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334069 01/04/19 ti CITY OF CARMEL, INDIANA VENDOR: 00350182 ONE CIVIC SQUARE HUMANE SOCIETY FOR HAMILTON COWWK AMOUNT: $*****5,076.00* 9� jr CARMEL, INDIANA 46032 1721 PLEASANT ST CHECK NUMBER: 334069. MiTON_�. SUITE B CHECK DATE: 01/04/19 NOBLESVILLE IN 46060 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4357500 2321 5,076.00 HUMANE SOCIETY SERVIC VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 00350182 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER HUMANE SOCIETY FOR HAMILTON COUNTY IN SUM OF$ CITY OF CARMEL 1721 PLEASANT ST An invoice or bill to be properly itemized must show:kind of service,where performed,dates service SUITE B rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. NOBLESVILLE, IN 46060 Payee $5,076.00 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Police 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 2321 43-575.00 $5,076.00 1 hereby certify that the attached invoice(s),or 1/2/19 2321 monthly payment $5,076.00 1110 101 1110 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,January 3,2019 ac,-.., 10_5..A.w Jim Barlow Chief 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 Humane Society for Hamilton County Invoice 1721 Pleasant St., Ste B Date Invoice# 1/2/2019 2321 Bill To Ship To City of Carmel City of Carmel City of Carmel Police Department ATTN:Teresa Anderson 3 Civic Square Carmel,IN 46032 P.O. Number Terms Rep Ship Via F.O.B. Project Net 15 1/2/2019 Quantity Item Code Description Price Each Amount 1 Contract Carmel Monthly Carmel Stray/Owner Surrender Contract 5,076.00 5,076.00 Total $5,076.00