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190461 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 357831 Page 1 of 1 ONE CIVIC SQUARE SERVICE EXPRESS CARMEL INDIANA 46032 4845 CORPORATE EXCHANGE CHECK AMOUNT: $273.50 GRAND RAPIDS MI 49512 CHECK NUMBER: 190461 CHECK DATE: 9/2912010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1202 4341955 616441 273.50 INFO SYS MAINT /CONTRA z U��������~�� ox�m'��o��u~ Customer PO# Te�rV Crockett" Aftel Invoice Total:" x� n��~��� o Phone: 1.800.940.5585 ..Paym4nt 30 Fax 616.871.0754 www.soioeNoo.00m BILL TO: Service Location: City of Carmel City of Carmel Information Services Department Terry Crockett 2 Three Civic Square Terry Crockett Carmel, IN 46032 760 3rd Ave SW Carmel, IN 46032 Price 1 173826-001 CPQ PRL DL360 G1 24V DC PS FAN Assy $11.00 $11.00 1 LABOR LABOR $262.50 $262.50 Service Start Date On 8/28/2010 Equipmerit Repaired: HP DIL 360 Sales Tax: $0.00 Total Credit Card m PaymoQuesUonsnoUJonn�vK�x,ywou horat(V16) �1�742ur email a1 biUing@soisomico.00m estio Service Questions James Hintz (616) 698-2221 jhintz@soieer\4ce.nmn Billing Invoices /Purchase Orders JonniferMerryweathor (616) 971-0742 biUing@ooioe,\Ano.00m Accounts Rece RodRa|| (O15)971-O718 rrall@meioer\Aoo.uom Read About The Values and Practice Wgorxumwmmoom»enr www.meuo/~a»vvm VOUCHER NO. WARRANT NO. Service Express Inc. ALLOWED 20 IN SUM OF 4845 Corporate Exchange Blvd SE Grand Rapids, MI 49512 $273.50 ON ACCOUNT OF APPROPRIATION FOR Carmel IS Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1202 I 616441 43- 419.55 $273.50 I 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 Monday, September 27, 2010 Di ector, IS Title Cost distribution ledger classification if claim paid motor 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 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)) 08131/10 I 616441 I I $273.50 1 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 2a Clerk- Treasurer