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182787 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 353916 Page 1 of 1 ONE CIVIC SQUARE CARMEL FLORIST LLC CARMEL, INDIANA 46032 620 N RANCELwE ROAD CHECK AMOUNT: $85.50 CARMEL IN 46032 CHECK NUMBER: 182787 CHECK DATE: 3/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 852 5023990 57 85.50 OTHER EXPENSES 3 Carmel Florist, LLC Invoice 620 North Rangeline Road Date Invoice Carmel, IN 46032 2/2512010 57 Bill To Carmel Police Dep artmen t ttn :.Accounts.PayableNicki.Bailey 3 Civic Square Carmel, IN 46032 P.Q. Number Terms Project Due On Receipt Quantity Description Rate Amount 1 for George Sippel funeral service 75.00 75.00T 1 to Nora Leppert Mortuary 10.50 10.50T Sales Tax 0.00% 0.00 r l I v Thank you so much for your business! Please call 846 -2578 with any questions/comments Total $85.50 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 Carmel Florist,; ,LL "C Purchase Order No. 620 North Ran eline Road Terms Carmel, IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 9/95/10 57 ent for flowers for Chief's uncle i Total 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 VOUCHER NO. WARRANT NO. ALLOWED 20 C armel Florist, LLC IN SUM OF 620 North Rangeline Road Carmel, IN 46032 85.50 ON ACCOUNT OF APPROPRIATION FOR p olice gift fund Board Members D a INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or 852 57 852 85.50 bill(s) is (are) true and correct and that the materials or services itemized thereon for f which charge is made were ordered and 1 received except Z February 26 20 10 Signature Acting Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund