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183832 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: 00352767 Page 1 of 1 ONE CIVIC SQUARE WILLIAM HOHLT CHECK AMOUNT: $378.61 CARMEL, INDIANA 46032 C/O ROCS a, o C/O DOGS CHECK NUMBER: 183832 CHECK DATE: 3/29/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4356001 378.61 UNIFORMS b I Manage Accounts Checking Account Account Activity Page l of 1 Account Balances Account Nicknames Account Activity Welcome, WILLIAM G HOHLT Wednesday, March 17, 2010 Account Activity Account Summary Account Sta tements Ex port History Account: Statement Period: Current Statement dI Pen in $392.67 Other $0.00 Pending Transactions (FIFTH THIRD FREE CHECKING X8645) Hi D to Time tliti r di Action PRE AUTHORIZATION DEBIT AT 03/17/10 08:53 AM $378.61 FIRESTOREONLINE.COMINC, NEW SMYRNA, FL ON 031710 FROM 159 Posted Transactions ( Advanced Search: Check Number Keyword Date De¢it(_) Cr itc±1 Iwheck Description Bala nce Action 03/16/10 DAILY BALANCE $822.68 03/15/10 Transactions and other information that appear on this page have occurred since your last statement cycle date. Please select another statement period to review previous account activity. Disclosure /Error Resolution Copyright ©x010 Fifth Third Bank, Member FDIC, Equal Housing Lender, All Rights Reserved Qo _Ct I Service Cent I Help I FAos I Price 5ecun https: /www.53. cola /servIet /efsciine/ account- h1story.htmI ?TransSortCode= SORT KEY,... 3/17/2010 VOUCf.IER NO. WARRANT NO. ALLOWED 20 Willi @m Hohlt IN SUM OF c/o One Civic Square Carmel, IN 46032 $378.61 ON ACCOUNT OF APPROPRIATION FOR Carmel DOGS Department PO# I Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1192 .43-560.01 $378.61 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 Thursday, March 25, 2010 ector, D S Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts Cityfiorm No. 201 (Rev. 1995) `F 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)) 03/17/10 6 badges and badge holders for inspectors $378.61 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