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198748 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 357775 Page 1 of 1 s ONE CIVIC SQUARE SEPRO CORPORATION CHECK AMOUNT: $275.20 CARMEL, INDIANA 46032 11550 N MERIDIAN STREET STE600 CHECK NUMBER: 198748 CARMEL IN 46032 CHECK DATE: 6/22/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350400 103426 275.20 GROUNDS MAINTENANCE SePRO Corporation 11550 N Meridian Street Suite 600 Carmel, IN 46032 -4565 (317) 580 -8282 Phone (317) 580 -8290 Fax Invoice Number ...........:10 -3426 Bill to: Inv. Date 6/1/2011 City of Carmel Page 1 3400 West 131 st St. Sales order 60189 Westfield,W 46074 Order date 6/1/2011 USA Purchase order Customer Account 156BF33B -2 Ship to Terms Net 30 Jim Hobbs Due date 7/1/2011 3400 West 131st St. Mode of delivery UPS Westfield,IN 46074 USA-- Item numberDescription Ordered Shipped B/O Unit price Disc. Discount Amount TBWP8012 SePRO Blue Liquid 64 Oz 8.00 8.00 0.00 43.00 20.00 0.00 275.20 Bottle For billing questions. call (317) 580 -8291 or Email Us at seproaccounting@sepro.com To Make Payment by ACH: Regions Bank ABA ACH 074014213 Account 4450007937 Comments Invoice amount Freight /Misc. Sales tax Invoice total 275.20 0.00 0.00 275.20 Invoice 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)) 06/01/11 10 -3426 $275.20 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 VOUCHER NO. WAR NO. ALLOWED 20 SePro Corporation IN SUM OF 11550 N. Meridian Street Suite 600 Carmel, IN 46032 $275.20 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Member 2201 10 -3426 43- 504.00 $275.20 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. T rsday� J n 16, 2011 Ssgi r Is Title Cost distribution ledger classification if claim paid motor vehicle highway fund