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161288 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 359661 Page 1 Of 1 ONE CIVIC SQUARE BRENNTAG MID -SOUTH INC �fo CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY CHECK AMOUNT: $653.25 CHICAGO IL 60686 -0037 CHECK NUMBER: 161288 CHECK DATE: 7/1112008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NU AMOUNT DESCRIPTION 2201 4350400 BMS497606 152.63 GROUNDS MAINTENANCE 2201 4350400 BMS502593 500.62 GROUNDS MAINTENANCE ri Brenntag Mid- South, Inc. B R E N N TACT 1405 Highway 136 W P.O. BOX 20 Henderson, Kentucky 42419 -0020 W INVOICE BMS497606 INV DATE: 6/17/08 PAGE 1 OF 1 DUE DATE: 7/17/08 SOLD TO: SHIP TO: CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT ONE CIVIC SQUARE REFLECTING POOL CARMEL IN 46032 THIRD AVE. 126TH STREET CARMEL IN 46032 FEDERAL ID 610504545 DATE SHIPPED: 6/17/08 T ERMS NE T 30 D AYS B/L 59800 -00 SHIP WHS: 29 SALESPRSN: 294 CUSTOMER 897255 SHIP VIA: OUR TRUCK PKG CUSTOMER PO 1873 FOB DELIVERED TAX EX# 0031201550 -020 UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED 32.0949 365998 10.140 32.0949G 2.1072 67.63 1.0000 G BULK SOD HYPOCHLORITE 12.50 DRUM OFF -330 G POLY TOTE BLK QUESTIONS, CALL 317 -898 -8632 REMIT TO ADDRESS: BRENNTAG MID SOUTH, INC 3796 RELIABLE PARKWAY CHICAGO IL 60686 -0037 MERCHANDISE 67.63 FUEL SURCHARGE 85.00 PAID ON OR PRIOR TO 7/17/08 INVOICE TOTAL 152.63 PAID AFTER 7/17/08 INVOICE TOTAL 154.16 Original Document Atlanta, GA Columbus, OH Indianapolis; IN Miami, FL St. Albans, WV Bartonville, IL Georgetown, KY Kansas City, MO Nashville, TN St. Louis, MO Calvert City, KY Greeneville, TN Kennesaw, GA Nitro, WV Tampa, FL Chattanooga, TN Henderson, KY Louisville, KY Orlando, FL Terre Haute, IN Clearwater, FL Huntsville, AL Memphis, TN Springfield, MO Valdosta, GA ALL SALES SUBJECT TO AND GOVERNED BY THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE TERMS AND CONDITIONS L Conflicdn Pmvisions r Seller's (elms and conditions stated in this Document L °'Fernts and Condition., shall hp deemed controlling notwA sl:mdin_ any print or suhscqucnl purchase order or similar document front Purchaser Purchaser by taking dcliverq of all or any portion of ilie item, shown on the reverse side shall be conclusively deemed to have accepted and assented to Sellers Terms and Conditions 1, Purchase Price and Pavincnl The purchase price for all items shown on the reverse side excludes .sales, Lint, occuptitirnt. Iltellne, czcise and other tuxes and fees ill respect of manufacture, sale, storage, consumption or delivery, till of which shall be paid by Pnl'ChaSCI. The purchase price for all ikons is payahle in iawtirl money of the United States. Acceptance by Seller of dralls, checks or other C mcclia of payment will he pruvisiomtl only and subject w immediate colicclion of (he fill] thcc .mlount thereof, Sellcr reserves the right to charge a late fee and /or interest, if Purchaser lails to make any payments to Scllcr when same become chic. 3. DelivenlForce Nlaicuic Delivery of goods to the Purchaser'S IOCalltn ,hall constitute delivery Io the Parclwser: and all risk of to s nr damage shall thereupon pasS to and he assumed by the Purchaser, Any time or dale ;fated for delivery is an estimate onl and the Seller shall not he liable 101' failre u to deliver at the specilied time or Lin the SpccifiCd date, nor shall such Glilul n 'e o the part of the Seller be deemed to be a breach of (his Agrectnent or any terms and comlitions or part ihercof. PLiI'ChasCl shall not be entitled In cancel or rescind this sale not shall Seller be liable in damages or otherwise, in the case of delay or impairment or fililure of performoticc by SCfler by reason of causes heyond SCder'S COMIC]. inCluding. without limitation, claims oI force nut)cure by Seller's Suppliers, strikes. labor dil'ficuhies, shottageS of labor, fuel. po.vc(, nuuerials or supplies, inability In obtain shipping space, transportation delays, fine. floods_ accidents. riots, acts of God- war, governmemA interference of cmhurgo. In anty such cvem, Seller resents the right, in its sole discretion, to allocate its inventory between Purchaser and Seller's other custimners, and Purchaser waives any riC_h( to assert a Maim against Sellcr d[Crclor. -f. Sll of CrCdht or Shipment Seller may at any lime inter or suspend ardil to Purchaser. stop Shipment 10 PrIIClltr ;er ill Ir:tnsi(. or (MtIv or refuse IL, ship to Purchase(; or cancel any or all unfilled orders when. in Seller's wit opinion' a. the hutle it,l cundillorr of Purchast� is uosali.,factory Lin Scllcr: h. delivery is delayed by the I:mlt of PLirchascr: C. Purchaser is delinquent in payment of any obligation owed to Scllcrt or d. sale of products or materials to PlndlaSUL may result in environmental, I:Aety Of health dancer or hazard, 5. Warraniv Seller warrants that the products or materials delivered hereunder Intel the standard SpeciFlCaliwls of the tnanufachirer(s) for the product_~ or such other specifications as may have been expressly melted to in writing by Purchaser and Seller. SELLER MAKES ND OTHER WARRANTIES. EXPRESS OR IMPLIED. INCLUDING. WITHOUT LIMITATION. ANY WARRANTY OF MERCHAN FABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Deternnimnion of the suitahility of the Produce supplied hcremulcr for the uses and appli- cations contemplated byy Purchuser and others shall he the sole responsibility of Purchaser. Purchaser assumes all risk and IiahilhV resulting Iron the handling. use, storage or resale of the products delivered hereunder, whelber used, handled, Gored nr resold singly or in combination with other products, and Purchaser agrecs to indemnify and hold Seller hunnlesn against any and till loss, datnaeet. hahihty, cost and expense (including reasonahie anomcys' ices), alining out of such use, handling, storage or resale. Scller assumes no obligation or liahiiity for (lie Icchnical advice given by Scllcr with reference to the use A the Products or results obtained therehom. and alt Such advice is given and accepted at Purchaser's risk. 6. LIMITATIONS OF LIABILITY a. PURCHASER HEREBY WAIVES ANY CI_AINI AGAINST SELL.E:[R FOR CONSEQUENTIAL DAMAGES, LOSS OF OR DAMAGE TO GOODWILL OR ANY OTHER SPECIAL. DIRECT, INDIRECT OR INVIDENTAL DAMAGES. FVhiN IF SELLER HAS BEEN ADVISED OF OR HAS NOT]( E OF THE POSSIBILITY OF SUCI I DAMAGES AND PURCHASER'S EXCLUSIVE REMEDY WITH RESPECTTO ANY CLAIM, WHETHER IN CONTRACT, TORT OR STRICT LIABILITY OR OTHERWISE. IN RESPECT OF THE PRODUCTS SOLD HEREUNDER SHALL BE EXPRESSLY i.IMfTFDTO THE AN101 PURCHAS' PRICE OF SUCH PRUDUCTOR THE REPLACEMENT OF SUCH PRODUCT b. FAILURE BY PURCHASER 1'O GIVE WRIT "hEN NOTICE- OF SUCH CLAIM TO SELLER WITI IIN 30 DAYS FRONT TI I €.i DATE OF DELIVERY OF SUCH PRODUCT SHALL CONSTITUTE A WAIVER BY PURCHASER OF ALL CI:AINIS IN RESPECT OF SL'CH PRODUCT. NO PRODUCT SOLD HEREUNDER SHALL. BE RETURNED TO .SELLER NVI 111017 SFLLI R'S PERMISSION. NO CLAIM SHALL BL ALLOWABI_I-. AI-TER ANY SUCH PRODUCT HAS BEEN PROCESSED IN ANY MANNER. 7. ConminenlC :t. All rvlurnahlr containers and cylinder remain the property of the Scllcr and uiu.l he 1041 n.•d in SCIICI. h. C'onwincr and cvlimlcr deposits ,Nit] be torfchcd if conuuncrs arc nor relnriv d vxI[hin tin dm, Of shipntcnt, unfe,s othcnvtse agreed to in writing Ins Scller. In addition (o the larfeiture Of :ul% such deposit. Purchaser ,hall remain liable for an amount equal to the dillemicc hchveen the deposit and the t'cplaceincn( cost of any returnable container or cylinder which is not rcturmed to Scllcr. C. Purchaser agrecs to accept full Wspoasibihty and liabilit for the disposal of non- rcurrnable containers and cylinders in strict compliance with all LMS and regulations. d. Purchaser shall indemIIIN and hoki Sellev' harmless tiguims( any claim, loss, darmtgc or expense nosing from Purchaser's handling, use, Storage or diSPOSA of any container or C%duclel. C. Seller reserves the light to charge Purchaser with dcnwrrage for any returnable container or cylinder, R. R_cturn M aterial \o credit ,,ill he issued for material retm'ned lades Scllcr haS given wrillcn consent rn such r.•lum. Ali returned material is sublect to a restockint, charge. 9. Cic dlity Any crcdla issued by Sellcr (o Purchaser, may only be applied again,i the funoc pwchase of Pmducis by Purchaser ❑lid will 1101 he paid in Cash. Any such credit Will expire on r e yea 1111.1 the date of issuance and .Scllcr will have no obligation with respect thereto in tin event that I'mchascr does not apply the crcdlr again.s't the cost of Product purchased by it prior I(, such espity cla[r. 10. Gcuer:l a. Thi; Doamnm .hull not lie .rssigtmhlc in ,hole or in part by Pnleha,er 1v Ithtalt line prior written conscut of Scller. h. Unless Slated nn the cotnmry elacMICIC In this Document. no action, regardless of Lrl nt. ari,ina nut ul the sale or delivery of produce he'cU lde,, may he commenced more than one year after Ilse cause of action has accrued. except that tilt action €oar nonpayment or Inr failure w return Conlziucn and cylinders may he brtxtght at any lime. C. Sailers waiver of any breach, or luilule to enforce any of the tcrnts and c0ndiuons of :Ngncrncm, at any time, Shall not in any way affect, lino( or waive Sehcrs right 16ere- alter to enforce and compel strict compliance with each and every term and condition hereof. The acceptance by the Seller of any payment after the speciiied due date shall not constitute a waiver ol'tire Purchaser's obligation to make further payments on the specifcd dates. 1. This Agreement shall be governed by and cnfor in accordance with the laws of the .slate in „hick the Scller's corporate of€iCC is located without reference to its conflict of law rules. Purchaser by taking delivery of till ov tiny items shall be conclusively deemed to have comemed to personal jurisdiction in rile above mentioned sane. e, The terms and amdiuons herein consume the entire ngreemett Ixtwcen Scllcr and Purchaser Lind tats not be nxlchflsl or amondal except by a writing csccutcd by Lin tiuthon'zcd oflim of Scller and no movlificotion shall he cffceted h} the p IWIc1' course Ill deahnc or Ian nr acceptance of purchase order forms comuinine terms or cuudi- Iion, in addition to or at variance with those set Eortln herein. C If any provision or provisions 01 this DOCtmlent shall he 11041 to he iltegal or unenlnrccabk the legahty and enforccahility Oldie remaining provisions shall not in env way he afTccl- ed of Impaired. Prodoels shill be delivered Io I'LlrJ aSer as indicated on the I-tct: hereof, mad till -1 otherwise indicated. Purchaser shall he responsibIc for the Payment of ,ill freie'lt and lran;poitatinn charges time SOkCS point of loading to the delivery address specilied oil the face hereof Delivery dates are approximate:md are predicated im the prempl receipt by Scller of all necc,sary information and dOCmnCTIL16011 from Purchaser. h. Unless Purchuser is au(horiiccl to distribute the products delivered hereunder pursuant 10 it written ogt'eement with Seller, Sellcr agrees that the product is supplied Io Purchaser for Purchaser's' internal use only, and Purchaser Lino) nut repackage, resell or ntheivine distribute the product to third parties without the express written consent of Scllcr. I. hl the event (hut Purchaser and Scllcr engage in ally electronic u'annactinns, mcludtng. hen not limited to. electronic data interchange or faCS61111C eXCIIaII CS, such electronic exchanges shall be cansidereCI as valid :Ind ICLally hindin, mill Shall be uthjecl w the Iona and condition, of this Agrceme i. Brenntag Mid- South, Inc B 1405 Highway 136 W P.O. BOX 20 Henderson, Kentucky 42419 -0020 INVOICE: BMS502593 INV DATE: 6/24/08 PAGE 1 OF 1 DUE DATE: 7/24/08 SOLD TO: SHIP TO: CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT ONE CIVIC SQUARE REFLECTING POOL CARMEL IN 46032 THIRD AVE. 126TH STREET CARMEL IN 46032 FEDERAL ID 61 DATE S_HI_PP_E_D_ _6/2 TERMS NET�_30__DAYS B/L 59803 -00 SHIP WHS: 29 SALESPRSN: 294 CUSTOMER 897255 SHIP VIA: OUR TRUCK PKG CUSTOMER PO 1873 FOB DELIVERED TAX EX# 0031201550 -020 UNITS SHIPPED PROD WGT /GAL TOTAL QTY UNIT PRICE EXTENDED 197.2380 365998 10.140 197.2380G 2.1072 415.62 1.0000 G BULK SOD HYPOCHLORITE 12.5% DRUM OFF -330 G POLY TOTE BLK QUESTIONS, CALL 317- 898 -8632 �.c �c ��lr�:cii *icx *ic is is 7Y it �t is i�ic irk *7t it it it �t �t :F REMIT TO ADDRESS: BRENNTAG MID SOUTH, INC 3796 RELIABLE PARKWAY CHICAGO IL 60686 -0037 MERCHANDISE 415.62 FUEL SURCHARGE 85.00 PAID ON OR PRIOR TO 7/24/08 INVOICE TOTAL 500.62 PAID AFTER 7/24/08 INVOICE TOTAL 505.63 Original Document I�S� Atlanta, GA Columbus, OH Indianapolis, IN Miami, FL St. Albans, WV Bartonville IL Georgetown, KY Kansas City, MO Nashville, TN St. Louis, MO Calvert City, KY Greeneville, TN Kennesaw, GA Nitro, WV Tampa, FL Chattanooga, TN Henderson, KY Louisville, KY Orlando, FL Terre Haute, IN Clearwater, FL Huntsville, AL Memphis, TN Springfield, MO Valdosta, GA ALL SALES SUBJECT TO AND GOVERNED BY THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE TERMS AND CONDITIONS 1. Conflicting Provisions Seller's terms and conditions stated in this Document (`Terms and Conditions shall he deemed controlling notwithstanding Lilly prior of subsequent purchase order or similar document from Purchaser. Purchaser by taking delivery A all or any portion of the items Shown on the reverse side shall be conclusively deemed to have accepted and assented to Seller's Terms and Conditions. 2. Purchase Price and Pavment The purchase price for all items .shown on the reverse side excludes sales, use, Occupsairm, license, excise and other tuxes and fees in respect otmanufacture, sale, storage, constnnplioa or delivery, all of which shall be paid by PnichaScr. The purchase price for all items is payable in lawful money of the Unilcd States_ Acceptance by Seller of drafts, checks or otheh media of payment will he provisional only and subject to immediate collection of the full face amount thereof. Seller reserves the right to charge a late t'cc and /or interest. if purchaser fails to make any payments to Seller when same become due. 1 Delivery/Force Majeur Delivery of goods to the Purchaser's locuion shall constitute delivery to the Purchaser: and all risk of IOSS or danhagc shall thereupon pass in and be assured by the Purchaser. Any tirric or date Slated for delivery is an estimate only and the Seller shall not be liable for failure to deliver at the specified time or on the specified date, nor shall such failure on the part of the Seller be deemed to he a breach of lhis Agreement or any terms and conditions or part ihercof. Purchaser shall not be entifled to cancel or rescind this sale nor shall Sellea be liable in damages or otherwise. in the saes of deltry or impairment or failure of performance by Seiler by reason of cauSCS beyond Scllet'S control, including, without lhnilution, claims of force majeure by Seller's suppliers, strikes, labor difficulties, ShortageS cd labor, fuel, power, materials or Supplies, inability to obtain shipping space, tratlsporwtion delays, fire, floods. accidents, riots, acts of God, war, governmental interference or enibargo. In any such event, Seller reserves the right, in its sole discretion, to allocate its inventory between Purchaser and Seller'S other customers, Lind Purchaser waives any right to assert a claim against Seller therefor. d. Suspension of Credit or Shipment Seller Inuy ai any time after or Suspend credit to Purchaser. stop shipment to Purchaser in transit. Or delay or refuse to .ship to Purchaser, or rmcel m or Lill unfilled orders when, in Seller's sole opinion: a. the tlnal'1640 condition of Purchaser is unsaustarctory to Seller: b_ delivery is delayed by the fault of Purchaser: C. Purchaser is delinquent in payment of any obligation owed to Seller; or d. Sale of product., or materiulS to Purchaser may result in environmental, safety or health dancer or hazard. 5. Warranty Seller warrants that the products or materials delivered hereunder meet the standard specifications of the manufacturer(s) for the products o Such other specifications as may have been expressly agreed to in writing by Purchaser and Seller. SELLER MAKES NO OTHER WARRANTIES, EXPRESS OR IMPLIED. INCLUDING. WITHOUT LIMITATION. ANY WARRANTY 01- MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Determination of the Suitability of the Product Supplied hereunder for the uses and appli- cations contemplated by Purchaser and others shall he the sole responsibility of Purchaser. Purchaser assumes all risk and liability resulting from the handling. use, storage or resale of the products delivered hereunder, whether used, handled. Stored or resold singly or in combination with other products. and Purchaser agrees to indemnify and hold Seller harmless against any and all loss_ damages, liability, cost Lind expense (including reasonable altorneys' fees), arising out of Such use, handling. storage or resale. Seiler assumes no obligation or liability for the technical advice given by Sellcr with reference to the use of file ProfuctS or results obtained therefrom, and all such advice is given and accepted at Purchaser's risk. 6. LIMITATIONS OF LIABILITY U. PURCHASER HERFBY WAIVES ANY CLAIM AGAINST SELLER FOR CONSEQUENTIAL DAMAGES, LOSS 0h OR DAMAGE TO GOODWII -L, OR ANY OTHER SPECIAL- DIRECT, INDIRECT OR INCIDENTAL- DAMAGES. EVEN IF SELLER HAS BEEN ADVISED OF OR HAS NOTICE OF THE POSSIBILITY OF SUCH DAMAGES AND PURCHASER'S EXCLUSIVE REMEDY WITH RESPECT TO ANY CLAIM. WHFTHFR IN CONTRACT. TORT OR STRICT LIABILITY OR OTHERWISE... IN RESPECT OF THE PRODUCTS SOLD HEREUNDER SHALT_ BE EXPRESSLY I „IMfI'ED "10'T'f-IEAMOUNTOF'I'fiE PURCHASE PRICE OF SUCH PRODUCTOR THE REPLACFiNIENT OF SUCH PRODUCT. h_ FAILURE BY PURCHASER TO GI VF WRITTEN NOTICE OF SUCH CLAIM TO SFC.I,FR WITHIN 30 DAYS FROM'T HE DATE OF DELIVERY OF SUCH PRODUCT SHALL CONSTFITTE A WAIVER BY PURCHASER OF ALL CLAIMS IN RESPECT OF SUCH PRODUCT. NO PRODUCT SOLD HEREUNDER SHAL,I., BF RETURNED TO SELLER WITHOUTSELL-FR`S PERMISSION, NO CLAIM SHALL, BE ALLOWABLE AFTER ANY SUCH PRODUCT HAS BEEN PROCESSED IN ANY MANNER. 7. Containers /Cvlindux a. All returnable containers and cylinders remain the properly of the Seller ;rod must be returned to Seller. h. Container and cylinder deposits will be forfeited if containers are trot returned within 90 days of shipment, unless otherwise agreed to in writing by Seller. In addition to the torfeiture of any such deposit. Purchaser shall remain liable for rot amount equal to the difl between the deposit and die replacement cost of any refunurble container or cylinder which is not returned to Seller. C. purchaser agrees 1. accept Dull responsihihty and liability for thc disposal of non returnable containers and cylinders in strict compliance with all laws and regulations. d. Purchaser Shall indemnify and hold Seller harmless against any claim, loss, damage or expense arising from Purchaser's handling, use, storage or disposal of any container or cvlinder. C. Seller reserves the right to Charge Purchaser with denurrrage for any returnable container or cylinder. 8. Returned Material No credit will be iSSUed for material reuuned unless Seller has given written consent to SUCK return. All returned material is Subject to it restocking charge. 9. Credits Any credit issued by Seller to Purchaser, miry only be applied against the funtre purchase of Products by Purchaser and will not be paid in cash. Any Such credit will expire one year after the date of issuance. and Seller will have no ohlipaton with respect thereto in the event that Purchaser does not apply the credit against the cast of Product purchased by it prior w such expiry duc. 10. General a. This Docunlcnt Shall not be assignable in whole or in part by Purchaser without the prior written consent of Seller In. Unless staled to the contrary e[sewhcrc in this Document. uO action, regardless of form, arising rna of the sale or delivery of product hereunder, may be commenced morn than one year after the cause of action hags accrued, except that an action for nonpayment or for failure to return containers and cylinders may he brought Lit any time. C. Seller's- waiver of any breach, or failure to enforce any of the terms and conditions of This Agreement. at any little, shall nut in any way affect limit or waive Seller's right there- after to enforce and compel strict compliance with each and every term and condition hereof. The acceptance by the Seller of any payment after the specified clue date shall not COnS60-11e a waiver of the Pmthaser's obligation to make further payments on the specified dates. d. This Agrcemcnt shall he governed by and enforced in accordance with the laws of' the state in which the Seller's corportle office is located without reference to its conflict of law roles. Purchaser by taking delivery of till or any items shall be conclusively deemed to have consented to personal jurisdiction in the above mentioned slate. e. The termS tool eondilionS herein coosutute the entire ;agreement between Seller and Purchaser and may riot be modified or untended except by a writing executed by an authuritcd officer of Seller and no modification Aran be effected by the parties' course of dealing or the ucknowledgnlent or acceptance of purchase order terms containing terms or comdi- lions in addition to or at variance with those Set forth herein. f. 11 any provision or provisions Of this Dgenmenl Shall he held to he illegal or unenforceable the legality and enforceability of the rwnaming provisions Shall not in any wary he al'lect- cd or impaired. Procluel% shall be delivered to Purchaser n as indicated o the rice hercoL and unless otherwise indicated, Purchaser shall he responsible for the payment of all freight and Transportation charges from Seller's point of loading to the de[ivcry address specified on the face hereof. Delivery dates are approximate and are predicated on the prompt receipt by Seller of ah nccessary infonnation and dOCnIllCntorion from Purchaser. h. Unless Pnchascr is authorized to distribute the products delivered hereunder pursuant to it written agreement with Seller, Sellcr agrees that the product is supplied to Purchaser for Purchaser's' infernal use only- and Purchaser may not repackage, resell or otherwise distribute the product to third partieS without the express written consent of Seller. i. In the event that Purchaser and Seller engage in any electronic transactions, including, but not lntiled to electronic data interchange or facsimile exchanges, such electronic exchanges shall be considered as valid and legally binding and shall be subject to the terms and conditions of this Agreement. VOUCHE NO. WARRANT NO. ALLOWED 20 Bren';ntag Mid -South Inc IN SUM OF 3111 Post Road Indianapolis, IN 46226 $653.25 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Oept. INVOICE NO, ACCT /TITLE AMOUNT Board Members 7 l I BMS497606 43- 504.00 $152.63 I hereby certify that the attached invoice(s), or 175' �R BMS502593 43- 504.00 $500.62 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 Wednesday, July 02, 2008 r Street arnmissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund i 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)) 06/17/08 BMS497606 $152.63 06/24108 BMS502593 $500.62 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 20 Clerk- Treasurer