Loading...
163757 09/17/2008 CITY OF CARMEL, INDIANA VENDOR' 358710 Page 1 of 1 0 c j. ONE CIVIC SQUARE H D SUPPLY WATERWORKS LTD CHECK AMOUNT: $926.59 CARMEL. INDIANA 46032 P BOX 91036 v CHICAGO IL 60693 CHECK NUMBER: 163757 CHECK DATE: 911712008 DEPARTMENT ACC OUNT PO NUMBER INVOICE N AMOUNT DESCRIPTION 651 5023990 7808310 272.11 MATERIALS SUPPLIES 651 5023990 511288 7808381 654.48 REPAIR CLAMP l llaie Ordered Date Shipped Customer PO No. Job Namc Job No. Bill of Ladin Shipped Via Order Number 8/22/08 8/27/08 VERBAL PAUL REPAIR CLAMPS UPS 7808381 Quannly Quantity Back Product Code Description Ordered Shipped Ordezed Price Per Amount HID SUPPLY WATERWORKS PO##- 3916339 72226127512 226- 127512 -000 12X12 -1/2 CLAMD 3 3 207 51000 EA 622.53 OD 12.62 -13.02 1 IS FOR THE CARMEL WATER DEPT ;r TO REPLACE ONE BORROWED NOTE CHARGE BELOW IS FACTORY OUTBOUND UPS CHARGE i Terms Subtotal NET 30 622.53 Freight Delivery hlandhng Kestock Misc "hax Invoice Total 31.95 654.48 THANK YOU FOR YOUR ORDER VISIT Please par this amount WATERWORKS.HDSUPPLY.COM FOR OTHER SERVICES OFFERED HDSWW INDIANAPOLIS IN -E Branch 509 7281 East 30th St Page: 1 Indianapolis IN 46219 06883 Invoice: 7808381 TERMS AND CONDITIONS OF SAL;-' i c. -e'ato ;ojht shall ncWne ennn subsidiary or tlrnsinn e be Home Depot Srppl•y!nc whether or III specifically identified rimern, and Sellers colinslor n F Pei b; am eahiy that is pa if A saes manetn Bayer by Seller are sarjoct tothese Ter•rr,',nd COnditionsnf Sa'eeth shall prevail us:: anylncorroseent torn, of Buyer's purchase older or other docurnents.No 111.i d i,.It ors m any way -Ito rig or nonliving those owinions shall be banal lg upon Seller unlash dirty ate specifically autho;ved in writing by Seller's authorized represernat ve. fs,r lmno ia tern.,are expresslyop ;er? silo No modification •vauetahon of the" mws;ons shall result b';Chat' ;pment of good: fcllowmg receipt of Poy, to nr otner dhcu•nhn4 c proms ;ors terms or condrtipns in a:'d.bnn [o, in conf icr wdh, o,- rnconsistant wilt, irrese proviswns There are no terms, conditions or agreemen's o! i, "gar those stated' c'c:n and all prior prop'J, -its and negotiolon s ale merged herein rI M ev1.. :Mho -ads by Seiblr.a C' Subject to chance without notice, and all nUGbuions eap;te grid become Invalid If not ar'rr within 10 days h e m the date of eme uAI sS ^e n, L-1 o; Seger n pin', n'.! Prv.e eaehshins tlne•; made are for Ruyhr'a rrnr•emence only end 'hr; as well as say n ;eGherratical, stenographic o cl ograpr erical error;, are of 0 d: ac or 9•;I'4r fiices shown TIC r Y.jnciude any sales ra-sz. or other govern +c reel tax or charge payi,lb a by Seller to indeed slate or local authority Any taxes note it ri thpoher r, 3 ad c 3 -Les or sttprner is n 1' be generati :o U e pur'hasea price, aad Buyer shall reimburse Seller for any such tax nr provide Seller with an acceptable tax "h pnboh ..'o i c no �,c mows one other Ie:n,., Inrildeo to Buyer ,mdnr, this document shah be kept conudem ;al except to the extent that +party is required `iy law's disclose the co•m. F, 4'r e'r,f, ^e' L I ade to a, !a, t. o, '0,1! in net very o,, from any r,ause f iyond Seller's reasoraule control, incluo ;ng, but not !rallied to, gosoi tit erla! action, satiates o; vtor •:rot iJ-;, it e, damage Dr as.ruai I of goods •,r t foo.,ared �r undeclared!, acts or terrorism, inatrufa.turers shortages. inability to obtain hampportation, macri.,ls f ,rI or :.;Dpi as n: tit bus pf God Insert a'Fo-:L f: Aa Event I ti the occu rn:na: of a Force Malian ro Even[ (a) the hole fat liar's !.+erformanco shall be extended reeswrh'Y •:fin art' loner stall advst all 01,1tor, dates acce•deiav r `b) the purchase Bore shall be ad!ushof fir on increased cos to Seller resulting from such Force Melzurl :'rtr+ Se: IT is r,s ilor c' goods anc ad ..uch cans not p�onJe a r.a:ranty °or the q,oJ- it suppbes hercioi&r 'Jotw;thstanduiq ino fvre9orng Seller shell ss through ;n Bayy IH E end (arrue'aub: n manufacture's stdnda, war Isabel will alr t lasunor to hands purchased eunder BU i ER AND PERSONS CLAIM B Seller THROUGH oHALL SEEK P.ECO EXCLUS' dr L" FROM MANUF4: 1 1-1' +FRS IN CONNECTION VII ANY DEFECT' -.'N OR FAILURES Or SOODS, AND THIS SH SLL BE THE EXCLUSIVE RECOURSE OF BU^'.i4 AVD PE fS )LS CLAIMING TH`1Cd: 3,i B'UY ER FOR D ,J E ITIVE GOODS f!F R- SPECTIVE OF WHvf HER THE CLAIM OF BUYER OR THE PEDSON CLAIMING THROUGH BiJYER SH-Li- SOUND IN COPT F HAG I IN TORT, IN S I PIC r LIABILITY PURSUAdT TO STATUTE. OR FOR NEGUGENCEI BILLER EXCLUDES AND DISCLAIMS ALL Oi HER EXPEL SS Pit) IMPLIED WAPPA•4'I Ir S INCLUDING All IPIPUED INARHAru T'ES OF NERCHANTABrt" Y AND FITNESS RIH A. PARTICULAR PURPOSE SELLER AS` NO HESP "d' PIUTY NIHATSOF' A q o0c SELLER C if" PRr'RETAT!ONi OF P' P Into CI OR SPECIFIC NS PROVIDED BY P!'YPR, AND BUYER': ACCEPTANCE AND USF OF GOODS SC "'PLIED HERE'UNDEP' :.+ALL BE PRELtiS D ON FINAL APPROVAL PY BUYER OR BY /.FC hTECTS ENGINEER;: OR OTHER THIRE C9RTIES RATHERTHAN ON SELLER 3 hJ'fERPRETATION IP. N� EVENT WHETHEF If! CONTRACT 'cWRRANTY. WDENINIT'r TORT IINCLUDING NEBUCENCE). STRICT LIA3ILIT'r OR OTHERS %ICE AR'S!N :+I -i6C fC+ OR INDRFl 1 u `f OUT GF THE PERF :Y4,rAANCE OR BREACH;)! THIS DOCUMENH. SHALL SELLER BE t lA6L FOR (a) ANY W 16EOUENTIAL INCIDENTAL, ,PL(, 'PL, O' INDIRECT DAf•W4 F 5 UCH AS LOST OW IFTS OR DELAY DAt•IPPES EVEN IF SUCH DirMAGES WERE FORESEEABLE OR CAUSED BY SELLER S BHi-ACH c I rS 1 LiUILIENT !b1 Ahl'r C Vitt THAT PROPE-L'/ IS A r,r.A'r,f AGAVS' 'I IF 61A.NUFACTUREP, OR (G ANY ANIOUGT EXCEEDING THE AGGREGATE AMOUNT PA'D TO F't' R :i 3OODS PORtfoilu. T: BUYER UNDERT, fS DOCUMENT .mr ty cefand air! Inhi Se!Ier as ofbcem o onsenyces .'nil all ;aces harminss rrom any and all faldwhy rasuiimg from or rmateo to any third Daily cla;rn 'c'osie'r a•r -i-.p I o'* Riryer s use of a'i; n iac+s turmshed I mucdr^r as well as any r.tIr7enl. Intentional. or Ori ons act m omission of Buyer or any maier,eI Lrr. o ,i. r pet. r L11 r..9: a de3WOera f it'a, i site but i'il' I' doaS the FO B r pal shall be Sellvl': Sara; Cr i 1,,It Lit•,'I'd Tit r o':, `+tile F O C fr: ;tall he borne by St'N'i Ilife mid nsl. or in: s shall Doss to Buycl nt the to I a =r not scold uSailc,'s oar own vehicles s be is! no Seller don ov I!? goods to the curl: ixin curler Noc!ern IC- ehnrtagbet prices o' b+rinss .q. .Gum, ac I ;,mil- Saiivl has the risk of loss sn,ill rte allowed pries tluye within 10 ray's edcr deeelpt of the snort r,; damaged sh;pmant amts Seller v:ntten nr Lc 2 billy dh, cn Oo, t,Is alleged shnr[age o, Dann gb qa onto, m piecuct sossification quantities. dnsimauono, stIpppmg schedules, )I any other aspect a scope of supply m,.y instill m a prim adpsanant by Seiler No rrcdJ fur c os irrn�ied oy Buyer shah be gr•cn without Seller's wwton authorization All ndmns are sublcotto a vstockme charge Uh,ess otne'v'sn agreetl in wr ono:, nayarl terms are re* 20 nays Notw;thstandmn the foregoing, all on]ers are subject to Sellers continuing apptova, ut !Buyer's credit. If Edycr's ro-ue ;c r..,t p rraced or Di su•s'+ts+aetory to Sel'er lhrn Seller in its sole dscrution, mayy requi re different payment terms, Including cash on acirvedgon advance of sgi h,nert Re!e-maqq:n,tsdxsue'uh' squire an advance doriont of up to 100'+, of Snllcr'ssellmg pncefurm+y soec ;ally manufln:tuoo goods order: by Br mornereunder Pavinonts r_l hr s "'.r ;all bn made u :'h f vin of cash rhefh, C u morey order. Splint pray apply Buyer's pa•m ;on1 against an charges '.mmin Sclit•t a sole discretion Pact due arcom's x a, ,rat•: eat as rest i tit Y. per month or titans •,mum rate For �d by applicable lay, r r nf;rmng after Seller obm'ns a judgment against Buyer. Seller may erarc ;so u,• aos.o.zen: to apply to a .,h ist, Savers outsmr.dmg dent Buyer sh bm.e no right of setoff •r for ndcr the same Inning e+.pressly warvert herehy, R.,vr ;4m1 nra export or re -uxoon c needy or mduetoly, a!, or any part of the tic ods or related [e fiar Joy cbouned from S. l ;r under this doc.imrn' un!ess in aceorda ^oo v I n i expo: caws and reo<nahuhs of the Umted Siam,, o f Anierca 1USl Fmil,w. a i3uyer that is a i e,.i -,Jo nompany or a,noe,i ;half snndarly hm t any .export or re- exoor' a ^Lvity t ^a ter" •ianor of l.v co i wah U5 export la'.vs and•ego ations.f perto reed bya Us con.p,u,y nr citizen Tho.o.^,o.ng requremen [s s`r, :+!survive any sahsfac! :on or if he nncu.mment ent and onbgzuons hereuntlet F1 r ^av S°ner all costs and nxparses of collection wit, or other legal action brought as a result of !loll commercial relanaishrp between them it,<jud!ng all actual star i s v h acs recurred me -s m 'hrough trial, on 2 ipe and in any administrative or banxruptcy pdoceed ;ngs Amv cause of action that Salve: has against Buyer nniv he t P:rera car sent to Thr Home Depot Supply Inc or to any alutiso of The Home Depo; Dimply, Inc i' •rn ",r I n ;"n•slnn- r,!at ^.d srnr hahveer Rover and Seger shall be governed and construed in arrordance with the laws of Florida without regard to $3.ve -r.d or her an It L of a legal action drought by euhe' s a result of the acrount at busmess delahan Chip between Buyer a:,d Sol!er r it Sn ie• sa 0u,cr nrctr,..n an7any right in miner, to such venue er to assert the inconvenience of such forum is hereby r ,i, aTh,w•e,ol..air v t roy i nn,.nr. esinctano ion! upon nGticeb Buy,'.Iu /c, Tbfiesntevi �o'eentaadihat ;r v, adv:c< r n' .t 3u'• agrees to send Sel e• r, nna'I !.cane r: any gna•.y e,. ,a ,I .0onn of ownsto i 0 o: Eu,E, bashes err'; n 5 says or so ur, r, I'".r,_BC an tit thr 'Joe re ^i a',d there a'n no third party hohchrrarios E �DE7DEue Ordered Date Shipped Customer PO No. Job Name Job No. Hill of Ladin Shipped Via Order Number 8/22/08 8(26/08 VERBAL, PAUL STOCK OUR TRUCK 7808310 t Product Code Description Ordered Shipped Ord Price Per Amount 04123514 12X14' SDR35 PVC SWR PIPE(G) 14 14 9.97000 FT 139.58 96PAINT17G 17 OZ GREEN MARKING PAINT 36 36 3.12000 EA 112.32 1242 2812CCLCI 1002 -1212 12 FLX CPG CLXCI /PV 1 1 20.21000 EA 20.21 i Terms Subtotal NET 30 272.11 Freight Delivery Handling Restock Mise Tax Invoice Total 272.11 THANK YOU FOR YOUR ORDER VISIT Please par this amount WATERWORKS.HDSUPPLY.COM FOR OTHER SERVICES OFFERED HDSWW INDIANAPOLIS IN -E Branch 509 7281 East 30th St Page: 1 Indianapolis IN 46219 04023 Invoice: 7808310 TERMS AND CONDITIONS OF SALE ^c V,'Sree stallmclideeaot msidrary Ordivrsionef Thd Home Depot`;rru'y, Inc whetheror nor,,pr=gficalfy Identified hnrem. and Sellers obliya:,or Ii „,e rd by rn; miny that rs part cf &:II ^r H,. sales 1T I, !d Buyer by Seller are v:r;ect to these Tern, red Conditions of Sale, which shall prevail ovot any Inconsistent term, of Buyer's purchase older or other documeris. No ^s ane c n,. It, IOn i any way altos, is 0r modifying th's itt visions shall be oindir g upon Seller unless they ate =peafically aua•orzed In writing by Sellers authorized represent tive >tlswrrfl or different terns an, expressly obleck d tr No modification or.11tu ration of these pro estrus shall result by Sayer s shipment of goods following receipt of 31 ycr's it,- ',.r, nr other documrns ei marling provisions, I runs, or conditions in adgalon to. in carihlcl coo, or Inconsistent won these provisions, There are no terms conducts -rd rstanes qc or .agreements ether fhsn those stated hums, and air prior preprsir and tedotratean, are merged herein P-,crs in qoc ^d'mas made by Se'rler ere .,uoject to chanc v^thout notice, and all quotations expire and become Invalid it not acrx, mathem cd within 10 days from the date of sue tr)b :ss r7enwsa i1:1., h Seile n- r in wor, F'nre extensions •A1ieu made ire for Buyer th s onventence only, and ey as well as any atical, stenographic or clerical errors, ai=l •nit o' ^Omg Or 3, db :r Prices shown dot, n ir,,ade any sales. OKnse or other gove or, ex:)im. tax or chzh e marrole by Seiler to fed r.ra 1, state or local au the Iry Any to res now or he rafior rpus00 )oil a=les or shipm. wdi he incremental `c. Fir u`chase mice, and 3uyer ;hall reim�urso for any such tax er provide Seller with an acceptable tan cx :.lt or n It Ica.e l,;l pr: �es and other slrn 't i to Buyer arms this document shall at Kept ron4dentiol ;,;rot to the extent that a party is required by law to disclose the sami, Seller She .l i,or be liable ter delay e; .eta if an delivery aSutnnt7 :ram any cabs? nev -nd Sellers reasonable control, including. hill not limited to, governmental Action, strikes ormhnr stir tiro "tali fire mamage or des raouon of goods, wars {declared or undeclared), acts of terrorism manutaoturers shnriaE es inability to obtain transportation, mater Ale turf 9r i,pphes, ar d arts of God (each a 'Ponce Majeure Even: 1 Upon the occurrence o, a Force Majeura E ont fat the time for oeller's partormance shall ne extended reaso r :;!td B vet mi, Sel,e, shall adjust all afkc -mrr dates aceordmq v, and (b) the purchase price shall be adjusted for any increased cost; to >eller tesulimg from such Force Majeme Cre,.t Seller a r :£'i' of goads are he silct does not pror:do a warranty for the .tuck r, supplies hereunder Nolwrthstandmo !ho fore om Seller shall pass through to Bbver illy transfetarne n,a,.t.ract,zers starArtil taarrin ies with ha�p tc prods purchased rereunder, BUYER VIC PERSONS CLAIMING THROUGH BUYER SHALL SEEK RECOURP3c FXCLUSIyL1, LROM MANUFAC`C^.ERS IN CONNFC Ili IN WITH ANY DEFECTS W OR FAILURES GF GOODS. ANDTHIS SHALL BE THE EXCLUSIVE RECOURSE OF BI lY R AND PEPS-)NF CLAIMING THR6i16H BUYER FOP DFFECIIVE GOODS rRPESPECTIVE OF WHETHER THE CLAIM OF BUYER OR THE PER30N CLAIMING TF W)UGH 3UYER 3 >i'tL L SOUND IN CONTRA(,—, IN TORT IN STP I4T I (ABILITY, PURSLk,NT TO STATUTE, OR t OR NEGLIGENCE). SELLER EXCLUDES AND DISCLAIMS ALL 0 rf FR EXPRESS .1G.0 SVFUEDtVAPRFt4 rtFS INCLUDINGALL jTIPLIED WARRANT LS OF MERCHAP!TALSKITY AND FITNESS FOR A PARTICULAR PURPOSE SELLER ASSUMES ':O RESPGJNBILITYNIHATSCP)LL' FCR SELLERS IN ERPRETATION OF PL AN', OR SPECIFICAT'JNS PROVIDED BY BU YE R, AND BUYER S ACCEPTANCE AND USE GF u00DE cU'.PL IF!) HEPEUWL L4 !,L'A-LBE PREMISE V`d FINAL APPROVAL Ry RLIYER OR BY ARCHITECTS ENGINEER^, nR OTHER THIRD PARTIES RATHER I HAN OPI oLL LEP I'J F`IhREfATION T' w(' cVENT WHETHEf' IN CONTRACT WAR 4MITY INDEMNITY, r(,HT NCLUDING PIECLIGENCE). STRICT rJABILIIFY OR OTHER AR'SING Of 1LC V0R'NOIRE THE PEPFORS MANCEORBREACHGFTi11SDOCUMEP'T SHALL SELLER BE LIAULE 'OR ((a) ANY CONSEQUENTIAL,( NCIDrNTAL SPECIAL aiF1 ;RECT DAMAGES S'J.H AS LOST PHIL ITS OR DELAY DAMAGES EVEN IF SUCH DAMAGES WERE FC'RESEEABLE OR CAUSED BY SELLERS BREACH Or THIS OOCUMFNT lot AN C—!t,1TH :T PROPER1V I A CLAIM AGAINST IHr MANUFACTURER, OR jet ANY AtMOUIIT FX,CEEDING THE AGGREGATE AMOUNT PAT BELLEHFC :l S' (13tiYERU!dDER' defend -.r� n�i :i c."Iler Rs Ohceis rineclars, employees and affiliates harriluss !rot, any and all fiahpav resulting from or raa:ad to any third pony clam, `h —J egment anan,y Ili 13uyar s use or any geode p furnished herender. as well as a,,y r,aghiOnt. Intentional, or mrhous msro actor osrr of Rover at any maten IF,( rich i, I Iie F O H p0,,' n ialh e Buren s desidnatad del,11r r srte bur n -i ah=, cases the F 3, p,.IrO shall ba Ses. -trne Or n' s•ii:.pir; ant dome,; oeyord 1 c L,A cable F O B phirr shalt be borne by 1 3.hc- Title and risk of Ins.= shall pass to Buyer vt the r ,1 win If for co ail, not delivered in ShIIa• s ey.h vehicles snail be wnen Seller den' =rs the goods to the commin carrier No claim fir auortage of goods or tar Loss d.: nape t,. as to win ch c. res'he risk of loss shalt be allowed unie's Buyer within 10 days aft; r receipt of the short or damaged shrpmenq gI Seller wntten notice hilly O,,ChLarin in shortage it damage A ^y change,. p• „duct specific xno•r. quantities desananor;, shrppimg schedules Or any other asprof of the scope of supply may result In a price adjustment by Seller No rred,t for oeods total net uy Buyer shall bi or an without Seller s rmttan authorization All returns are subject to a restoseng charge U�Aess nIDenwse agreed in ymrric peymont terms are list SU days Notwithstanding the foregoing, all radars are subject to Seller's continuing Upp mLl Of Buyers credit n buyers "eat w lie' ap ^rr'ved or becomes &,satcfactory to °ever then Seiler, In its sole di- c-olar, may require dlrterent payment terms, inch iding cash on cienva: v at in advance of shpment Ir Addmar,c;('r mayor its discretion requite an advance depnsR Of up to t00' of °al tar's sell ing price for any specially manufarNred goods ordered by Buyer hereunder Pavments rue 1 r,ei.00e shall be made m till; ,o, in of cash, check M money order Sialc; nay apply Buyer's pevment against any span charges within Seller s sole discretion Past due n scodos ce rn•erest at the felsar "f 1 3', per month m tier maximum rate perrnttsd by applicable law' contnuing after Sellea obtame a judgment against Buyer, Seller may etoe or :at iL p-ient to apply to or sal afy Buyer s outstirdLng deb; Buyer sl i miva no right of setoff hereunder the same borvt expressly waived hereby 11010, sn;ll f ;)port Or re- expnrt fir ectly or indirectly, <!I nr ary part of the r; foes or related trill obtained Iron) S6;mr under this dorum0nl unless in accordance w4h lic cable e, poe! la.vs and reguauons of the United Ct,t. s P,meuca (US). Rusher a Buyer that Is a nrr -US company or citzen shall similarly bmc any export or re -export activity 'o that wh,a, world lie deemed cornpimn! with US export io.v: ;nd regulations it performed by a US ccn p try O, citizen. The foregoing requirements eh,ill survive any satata,hun or '.-rim nation of Ili s document and o!iLgniorl hereunder iI p r; oeuer all costs ahc c stories of erllP.cadn suit, or other legal ar§ °n brought as a result ui the commercial refatrnnshlp between there in,Aeding ail actual attorneys' &'a eeai= 'ass I,curroo pro -;Art, through trial. on arpeai and in any admir,strative or bankmpe, proceedings Any cause of action that Scllar has against Buyer may he sot. en t .'k e Home Depot Supply Inc or to any afltlaat i Of The Home Depot Supply, Inc. r te r n I less rafaaorstop e r;es•en Buyer arrl Seller shall be yovera-d and construed In accordance with the !ants of 'londa wphout retard to Q H, e ar a Se'darr,gr +h n— at any legal action brought by edh -i vr c result of the account o, business resat, )rsvp h hween Buyer and Se ,rr c ,r •r wr•e-re .n v sacs' Seiler to Buyer occurred, and any ngh'rn obp•ct to such venue sr to assert the irconvenienre of such forum is her my I t .r9 Condt or., ui l, .IC, Svl!er may rar'•,Irem nr restrict any rr .dvr upon nonce to Buyer Buyer i.ernfies tl iso c r covert and that a zrJ e..r ev d Burr ag'evs I, .,end Seller r iI'a9 •+nh ^r of any changes v, t'1 norm at ownership „f Buyer s busine s v. it rn 5 days of eueI char go; car Jcc.,ment and Pere One no and parry tenefi. Fires VOUCHER 086241 WARRANT ALLOWED 86201 IN SUM OF HD SUPPLY WATERWORKS LTD (NA1 P.O. Box 91036 CHICAGO, IL 60693 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 7808310 01- 7200 -02 $272.11 z00.o� 6sY q 26.sq Voucher Total 4r Cost distribution ledger classification if claim paid under vehicle highway fund 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 of service rendered, by whom, rates per day, number of units, price per unit, etc Payee 86201 HD SUPPLY WATERWORKS LTD (NATIONAL Purchase Order No. P.O. Box 91036 Terms CHICAGO, IL 60693 Due Date 9/8/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/812008 7808310 $272.11 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 9 1 /0 U a� Date Officer