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182280 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 033825 Page 1 of 1 ONE CIVIC SQUARE CDW GOVERNMENT INC =4�4' CARMEL, INDIANA 46032 75 REMITTANCE DR CHECK AMOUNT: $62.67 SUITE 1515 CHECK NUMBER: 182280 CHICAGO IL 60675 -1515 CHECK DATE: 2/17/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 RMV9465 62.67 REPAIR PARTS �su The Right Technology. c Right Away.— 01(22/2010 RMV9465 NET 30- VERBAL GOVT 02/21/2010 VISIT CDWG ON THE INTERNET OUR PART NO. DESCRIPTION QTY QTY QTY UNIT PRICE TOTAL ORD SHIP B/O 1530$64 PEERLESS CEILING MOUNT 15 -37 1 1 0 $60.00 $60.00 Manufacture Part Number: PC932A ACH INFORMATION: THE NORTHERN TRUST ROUTING NO.: 071000152 50 SOUTH LASALLE STREET ACCOUNT NAME: COW GOVERNMENT CHICAGO, IL 60675 ACCOUNT NO.: 91057 HAVE QUESTIONS ABOUT YOUR ACCOUNT? PLEASE EMAIL US AT: credit @cdw.com ORDER DATE SNIP VIA PURCHASE ORDER NO. CUSTOMER NO. PRODUCT 01120/2010 UPS Ground (1- 2 day) GARY CARTER 6676598 SUBTOTAL $60.00 SALESPERSON SHIP TO: SALES ORDER NUMBER SHIPPING $2,67 BART HECKMAN CITY OF CARMEL FIRE DEPT 312- 705 -9572 GARY CARTER SALES 2 CARMEL CIVIC SQ STT 1 879 TAX $0.00 barthec@cdwg.com CARMEL IN 46032 INVOICE AMOUNT $62.67 CDW GOVERNMENT AN ILLINOIS CORPORATION FEIN 36- 4230110 111111111111111 {lilllllllllllllllllllll111dilIIIII IIIIII11111IIIIII111111IIIIII AMOUNT DUE $62.67 VOUCHER NO. WARRANT NO. ALLOWED 20 CDW -G IN SUM OF 75 Remittance Drive Chicago, IL 60675 $62.67 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# 1 Dept. INVOICE NO. ACCT #1TITLE AMOUNT Board Members 1120 RMV9465 42 370.00 $62.67 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 FFR 15 7010 e Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) 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)) RMV9465 $62.67 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