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190696 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 048100 Page 1 of 1 ONE CIVIC SQUARE CARMEL PRO PRINTER CHECK AMOUNT: $461.79 CARMEL, INDIANA 46032 303 WEST CARMEL DRIVE CARMEL IN 46032 CHECK NUMBER: 190696 CHECK DATE: 10/13/2010 DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 31341 461.79 GENERAL PROGRAM SUPPL s C 0 INVOIC CARMEL PRO PRINTER Invoice 00031341 303 West Carmel Drive Carmel, IN 46032 Date: 10/4/2010 317 -844 -9171 Ship via: Delivery Bill To: Shipping Date: Your Order Verbal, Sara Carmel Clay Parks Recreation Attn: Administrative Office 1411 E. 116th Street Ship To: Carmel, IN 46032 Carmel Clay Parks Recreation 1411 E. 116th Street Carmel, IN 46032 Description Amount 100 qty pads 50 sheets per pad on 2 part NCR black $461.79 Pur chase RlC}�Gi� Ii �C 0 5 2010 Description P F i P.O. '�J UneDe8cr 6 Purchaser Date._,. Approval pate Thank You For Your Continued Business! Terms: Net 30 Freight: $0.00 1.75% per month added to accounts over 30 days. Sales Tax: $0.00 If Carmel Pro Printer is required to resort to collection proceedings to recover fees incurred and expenses advanced on customers (your) behalf, Carmel Pro Printer Total Amount: $461.79 shall also be entitled to recover all costs incurred in connection with such collection proceedings including reasonable attorney's fees incurred. Balance Due: $461.79 L ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 048100 Carmel Pro Printer Terms 303 W. Carmel Dr Carmel, INI 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 1014110 31341 R.I.C.H.E.R. "Right Up" pads ESE 23982 461.79 Total 461.79 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 Voucher No. Warrant No. 048100 Carmel Pro Printer Allowed 20 303 W. Carmel Dr Carmel, IN 46032 In Sum of 461.79 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 99 31341 4239039 461.79 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 7 -Oct 2010 D w MLI Signature 461.79 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund