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164368 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 355371 Page 1 of 1 0 ONE CIVIC SQUARE OTT EQUIPMENT SERVICE INC CARMEL, INDIANA 46032 517 HERRIMAN CT CHECK AMOUNT: $225.00 NOBLESVILLE IN 46060 CHECK NUMBER: 164368 CHECK DATE: 9/30/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION ?201 4350100 19469 225.00 BUILDING REPAIRS MA Ott Equipment Service, Inc. Invoice 517 Herriman Ct. Noblesville, IN 46060 DA'rE INVOICE 317 773 -8941 9/19/2008 1.9469 BILL TO SHIP To Carmel Street Department Attn: Jeff Stewart 3400 W 131st Street 733 -2001 Westfield, IN 46074 S.O. No. P.O. NO. TERMS REP Due on receipt. JZT QTY ITEM DESCRIPTION RATE AMOUNT 3 Sery -Joe T Service Labor Joe Thompson 75.00 225.00 R70Q hydraulic oil contaminated with water. Power unit had been totally submerged in water. No Sump Pump Quote to be sent to Jeff Stewart for repairs Sales Tax 0.00 0.00 Total $225.00 A 1.5% Service Charge will be assessed on amounts over 30 days past due. VOUCHE NO. WARRAN NO. ALLOWED 20 Ott Equipment Services IN SUM OF 517 Herriman Court Noblesville, IN 46060 $225.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept_ INVOICE NO. ACCT #!TITLE AMOUNT Board Members 2201 19469 43- 501.00 $225.00 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 Monday, September 29, 2008 Stree ommissioner Title Cost distribution ledger classification if claim paid motor 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 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)) 09/19108 19469 $225.00 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 2d Clerk- Treasurer