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183353 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 00351529 Page 1 of 1 ONE CIVIC SQUARE JAZZ IT UP CARMEL, INDIANA 46032 525 INDUSTRIAL DRIVE CHECK AMOUNT: $484.64 's CARMEL IN 46032 CHECK NUMBER: 183353 CHECK DATE: 3/16/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 W09155 14390 484.64 WATER GIVE AWAYS 1 i; INVOICE JAZZ IT UP Date Invoice No. 525 INDUSTRIAL DRIVE 03/05/2010 14390 CARMEL IN 46032 PH 317 -574 -0066 FX 317- 574 -0184 jazzitup @jazzitup. biz SOLD TO: SHIP TO Sue Maki CARMEL UTILITIES CARMEL UTILITIES 760 3rd Ave. S.W. 760 3rd Ave. S.W. Suite #110 Suite #110 Carmel IN 46032 Carmel IN 46032 Cust. No. Cust. Order No. SHIP DATE SHIP VIA /Tracking Terms SALES PER CAR00035 01/15/2010 U P S GRND NET 30 ASN Ordered Shipped Item No. Description Price Amount 500 EA 500 SP4FM Compressed sponge 0.87 435.00 shape: water drop color: blue imprint color: reflex blue -logo: Carmel Utilities 9 gallons 1 EA 1 SETUP Screen setup charge 35.00 35.00 Order Total 470.00 Shipping 14.64 INVOICE TOTAL 484.64 .,VOUCHER 101009 WARRANT ALLOWED f 00351529 IN SUM OF JAZZ IT UP 525 Industrial Drive Carmel, IN 46032 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 14390 01- 6750 -08 $484.64 1� V J Voucher Total $484.64 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts d am 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 00351529 JAZZ IT UP Purchase Order No. 525 Industrial Drive Terms Carmel, IN 46032 Due Date 319!2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/9/2010 14390 $484.64 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 Date Officer