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164669 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 360326 Page 1 of 1 Q ONE CIVIC SQUARE CULTURE LIGHTING CO INC CARMEL, INDIANA 46032 5329 W 86TH ST BLDG #6 CHECK AMOUNT: $209.40 INDPLS IN 46268 CHECK NUMBER: 164669 CHECK DATE: 10116/2008 DEPARTMENT ACCO PO NUM INVOICE NUM AMOUNT DESCRIP 1047 4237000 1049766 209.40 REPAIR PARTS Remit T o: INVOICE VISIT OUR YEBSITE Mrr.cultureligAting.cos E-MAIL US- ®ailOculturelighti .coo u 7ture 1049166 L�Jighting Co., Inc. N@ 9�•i6��38 5329 West 86th Street Bldg. #6 DATE PICK TICKET i Indianapolis, IN 46268 S Work: 317 471 -1129 Fax: 317 -471 -1218 CUSTOMER'S 11148 000008023$ Toll Free: 1- 800 844 -1845 �r ORDER N0. SOLD SHIP TO: CARMEL CLAY PARKS I RECREATION HONOR CENTER P0111148 ATTN: ACCOUNTS PAYABLE JEREMY CELL 432 -2640 1411 EAST 116TH STREET 1235 CENTRAL PARK DRIVE WEST CARMEL IN 46032 -3455 CARMEL IN 46032 SALESMA __201_ SHIPPED VIA TERMS NET 20 DAYS F.O.B. cUlo 9E M @ffV. @M5r EE p W. 96 @6 o gm maw I 1 6.0 6.0 B224PUMV-C BALLAST 34.9000 209',40 I ttttttttt'4ILL CALLtttttttt I I I I I I I I 1 P F s C UV D CLL SEP 2 9 2003 lRud I 13 7- °ZG 0 I I 1 I 1 1 I I I 1 I 1 I i 7 1 I I I I 1 I SUBTOTAL 20940 I TAX 0}00 TOTAL 209;40 ADVANCE PAYMER TOTAL DUE 209;40 1 1 I I WE ACCEPT VISA AND MASTERCARD I I 1 1 INVOICE 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. 17748 P Date Due 360326 Culture Lighting Co., Inc. 5329 W. 86th St. Bldg. 6 Indianapolis, IN 46268 Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 209.40 9116108 1049766 Light Ballasts Total 209.40 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� Cierk- Treasurer Voucher No. Warrant No. Allowed 20 360326 Culture Lighting Co., Inc. 5329 W. 86th St. Bldg. 6 Indianapolis, IN 46268 In Sum of 209.40 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members Dept 1047 1049766 .4237000 209.40 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 1 -Oct 2008 Signature 209.40 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund 1