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186944 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 358825 Page 1 of 1 t` ONE CIVIC SQUARE MISTER ICE OF INDIANAPOLIS 7954 E 88TH ST CHECK AMOUNT: $390.00 CARMEL, INDIANA 46032 INDIANAPOLIS IN 46256 CHECK NUMBER: 186944 CHECK DATE: 6/23/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350900 56301 390.00 OTHER CONT SERVICES Lease Invoice Invoice No: 56301 Date: 06/22/2010 OF INDIANAPOLIS Due Date: 06122/2010 Terms: Due Upon Receipt 7954 East 88th St. oust PO: Indianapolis, IN 46256 Reference: Monthly Service Tel. 317- 8494466 Lease 50993 Fax. 317- 578 -0750 AcctNo: 50993 Billing Address: Location Address: Brookshire Golf Club Brookshire Golf Club Carmel Redevelopment Commissio 12120 Brookshire Parkway 12120 Brookshire Pkwy CARMEL, IN 46033 CARMEL, IN 46033 ItemNo Description Qty Unit Price Extended OE -LEASE Fufl Service Lease for Outside 1.00 MONTH $195.00 $195.00 Clubhouse Ice Machine OE -LEASE Full Service Lease for 126th St. Pump 1.00 MONTH $195.00 $195.00 House Outside Ice Machine. Due on the 22nd of every month Blank Acount Numbers indicate invoices prior to June 2008 Open Invoices as of: 7- Jun -2010 Invoice Location Account Company Amount Due Date Tear Off Return With Payment for proper credit. V NO. WARRA NO. Mister Ice of Indianapolis ALLOWED 20 Accounts Receivable IN SUM OF 7954 East 88th Street Indianapolis, IN 46256 $390.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1207 56301 43- 509.00 $390.00 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 Friday, June 11, 2010 Director, Br kshire Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 19� 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)) 06/22/10 56301 Ice Machine Lease $390.1 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