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187381 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 00350206 Page 1 of 1 ONE CIVIC SQUARE MICHAEL TODD CO CARMEL, INDIANA 46032 1401 WILLIAM STREET CHECK AMOUNT: $229.74 OMAHA NE 66105 CHECK NUMBER: 187381 CHECK DATE: 7/7/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4239011 121970 229.74 SPECIAL DEPT SUPPLIES f t Michael TInvoice 121970 C O M P A N Y INC. Date 06/14/2010 Page 1 of 1 Order Number Z2742 CITY OF CARMEL CITY OF CARMEL CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT ATTN: MIKE ATTN: MIKE 3400 WEST 131ST ST 3400 WEST 131ST ST WESTFIELD, IN 46074 WESTFIELD, IN 46074 PO Number Customer No. Salesperson !D Shipping Method Payment Terms Master No. 7662 Z NET 30 39,607 Invoice Billed B/O Item Number Description Unit Price Ext Price 1 1 0 MMBSLEDFLM -CIA 12124 LED ECONOMY MINI -BAR 1 MAG. 220.000 F220.00 MOUNT "PROMO 0 THANK YOU! Subtotal 220.00 Miscellaneous 0.00 Freight 9.74 Sales Tax 0.00 i Trade Discount 0.00 Total 22934 Less: Amt Recd 0.00 Balance Due 229.74 1401 WILLIAM STREET OMAHA, NEBRASKA 68108 i (800) 228 -7076 0 (402) 342 -6376 FAX (402) 342 -3663 www.Michaeltodd.com VOUCHER NO. WARRANT NO. ALLOWED 20 Michael Todd Inc. IN SUM OF 1401 William Street Omaha, NE 68108 $229.74 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member 2201 121970 42 390.11 $229.74 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 r .�1 I urs�d i� 201 S§ tr�eet; Co m rr�iss iofi e r Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by Stale 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 06/14/10 121970 $229.74 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