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165219 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 361420 Page 1 of 1 ONE CIVIC SQUARE FINANCIAL OFFICE SYSTEMS CHECK AMOUNT: $127.20 CARMEL, INDIANA 46032 Po BOX 941744 ATLANTA GA 31141 CHECK NUMBER: 165219 CHECK DATE: 10/29/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIPTION 1046 4230200 6950 127.20 OFFICE SUPPLIES I i N 9 p k S4 i S T -E m s n c INVOICE P.O. Box 941744 Atlanta, Georgia 31141 770 986 -7410 Fax: 770 986 -6179 Invoice Number 006950 QC Invoice Date 09/19/08 r T ®7 2008 Page 1 SOLD CARMEL CLAY PARKS AND REC SHIP CARMEL CLAY PARKS AND REC To 1235 CENTRAL PARK DRIVE EAST TO 1411 EAST 116TH STREET CARMEL IN 46032 ATTN" LINDA ACOSTA CARMEL IN 46032 Customer P.O. 19112 Terms Net 30 I Customer Number 13402 Due Date 10/19/2008 Ship Via UPS Ground Ship Date 09/12/2008 Salesperson Glenn Sales Order G22182 30.000 30.000 11X6 ZIPPER WALLETS W /IMPRINT 3.740 ea 112.20 Freight Charges 15.00 Purohaso; OC 4 2008 t5 Descriptiml L. `P.O A P and et i f Line Purchaser zA Approval .4 J� P� h 7 s e d3', z :4 'yr"P "s 7 s n fis a Subtotal 127.20 *Sales Tax 0.00 Invoice Total 127.20 Please Remit Payment To: Payments 0.00 Financial Office Systems Net Due 127.20 PO Box 941744, Atlanta GA 31141 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. 19112 F 361420 Financial Office Systems Terms P.O. Box 941744 Atlanta, GA 31141 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9119/08 6950 Bank bags 127.20 I Total 127.20 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. 361420 Financial Office Systems Allowed 20 P.O. Box 941744 Atlanta, GA 31141 In Sum of 127.20 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 6950 4230200 127.20 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 15 -Oct 2008 Signature 127.20 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund