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185958 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 362221 Page 1 of 1 F ONE CIVIC SQUARE SILLWORKS CHECK AMOUNT: $139.95 CARMEL, INDIANA 46032 5 -155 TERENCE MATTHEWS CRESCENT o OTTAWA, ONTARIO K2M 2AB CHECK NUMBER: 185958 CHECK DATE: 5126/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 04A48562 139.95 OTHER EXPENSES r SI'llworks PartsDlrectw 5 -155 Terence Matthews Crescent Ottawa, Ontario K2M 2A8 Invoice: 04A -48562 Invoice: 04A 485,62 Customers Inf Delivery Info Sold To: Carmel Wastewater Utilities Ship To: Carmel Wastewater Treatment Plan Accounts Payable Kevin Buhmann 760 Third Ave S.W. Suite 110 9609 Hazel Dell Parkway Carmel, Indiana Indianapolis, Indiana 46032 46280 United States United States Phone: 317 571 -2634 E- .Mail: ,carmeiwastewaterO.sillworks.com Payment Information Payment Method: Net 30 Date Purchased: Friday, 30th April, 2010 Remit to: Sillworks 5 -155 Terence Matthews Crescent Ottawa, Ontario K2M 2AS Phone: 613.599.1287 Qty. Products Tax Total 1 36586 -1321 CPQ ML350 G4 Redundant Fan Kit 0 0 /0 $139.95 Sub Total: $139.95 Tax: $0.00 Total: $139.95 Comments ARE: PO KEVIN E l 1 i Wednesday, 5th May, 2010 Sillworks 5 -155 Terence Matthews Crescent Ottawa, Ontario K2M 2A8 (Tel) 613.599.1287 (Fax) 613.599.8120 www.sillworks.com VOUCHER 105476 WARRANT ALLOWED 362221 IN SUM OF SILLWORKS 5 -155 TERENCE MATTHEWS CRESCE OTTAWA, ONTARIO, K2M 2A$ Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 04A48562 01- 7202 -05 $139.95 Voucher Total $139.95 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 362221 SILLWORKS Purchase Order No. 5 -155 TERENCE MATTHEWS CRESCENT Terms OTTAWA, ONTARIO, K2M 2AB Due Date 5/17/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/17/2010 04A48562 $139.95 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 a X Date Officer