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198755 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 365404 Page 1 of 1 ONE CIVIC SQUARE SIGNATURE DECOR CHECK AMOUNT: $445.00 CARMEL, INDIANA 46032 17533 DESHANE AVENUE NOBLESVILLE IN 46060 CHECK NUMBER: 198755 CHECK DATE: 6122/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4350900 4301 445.00 OTHER CONT SERVICES SIGNATURE DECOR 17533 DeShane Ave. N V O I C E NOBLESVILLE, IN 46060 317- 773 -8929 Fax 317- 776 -8 65 8 004301 DATE: CUST. ORDER N0. DATE SHIPPED SHIPPED VIA TERMS SALESMAN F.0.B. OUR ORDER NO. Z� C Ph Vecc/"a 1;e;�67 ?4 QUANTITY DESCRIPTION UNIT PRICE AMOUNT -D14 7 7) u4F- 4- 7Dev I I I 1 SAY 2011 Purchase I __..Description BY: e a P.O.# PorF I i I I Bud es Line Dcr i Purchase' Date rF Approvd!k Date_ 1 I I i I I I I I I I I C L RQaD�7 i WING- PRINTED D IN IN U.S.A. .for ��J Y 8t.11 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. Signature Decor Terms 17533 DeShane Ave. Noblesville, iN 46060 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 5/27/11 4301 Repair bench at Creekside Middle School 445.00 Total 445.00 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. Warrant No. Signature D6cor Allowed 20 17533 DeShane Ave. Noblesville, iN 46060 In Sum of 445.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -99 4301 4350 0 445.00 1 hereby certify that the attached invoice(s), or G9q 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 16 -Jun 2011 YZQ�7 Signature 445.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund