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163439 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 00350674 Page 1 of 1 ONE CIVIC SQUARE ULINE CHECK AMOUNT: $133.25 CARMEL, INDIANA 46032 2200 SOUTH LAKESIDE DR WAUKEGAN IL 60085 CHECK NUMBER: 163439 CHECK DATE: 9/3/2008 Dc PARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION 1.150 4230200 24423490 133.25 OFFICE SUPPLIES i INVOICE NO. 1 -800 -295 -5510 24423490 Email www.uline.com 2200 S. Lakeside Drive Waukegan, IL 60085 INVOICE SHIPPING SUPPLY SPECIALISTS ULINE FED ID 36- 3684738 THANK YOU FOR YOUR ORDER. ULINE CUSTOMER SINCE 2008 YOUR ORDER 27356854 SOLD TO: SHIP TO: MDG2000013498 1 MB 0.369 03 BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLUB CARMEL INDIANA CITY OF 013498 CARMEL INDIANA CITY OF 12120 BROOKSHIRE PKWY 12120 BROOKSHIRE PKWY CARMEL IN 46033 -3314 CARMEL IN 46033 -3314 =6061111MMIZI e ORDER a e e e e e 4650553 KEN UPS GROUND 8/20/08 8/20/08 NET 30 DAYS 8/20/08_ e 131 e e e e e 1 BG 1 S -11901 1.5" ROUND BRASS TAG 1 -1 127.00 127.00 ORDER PLACED BY: KEN MILLER SUBTOTAL SALES TAX FRT /HNDLING AMOUNT DUE JGROTH /IL 127.00 .00 6.25 133.25 Prescribed by Slate Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by �tuhom, 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)) 8 o7U d g 2- '/-Lf .23 Y6 ega 5 Total 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. ALLOWED 20 IN SUM OF Gr.�u/Ce�a✓ /L �BoBS /33 ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. 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 20 �s ig t�� �J Title Cost distribution ledger classification if claim paid motor vehicle highway fund