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163386 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 361722 Page 1 of 1 ONE CIVIC SQUARE DAVID A SANDMAN CARMEL, INDIANA 46032 604 S OHIO CHECK AMOUNT: $1,850.00 'y« fi g. SHERIDAN IN 46069 CHECK NUMBER: 163386 CHECK DATE: 9/3/2008 DEPARTMENT ACCOUNT PO NUMBER INVOI NUMBE AMOUNT DESCRIPTION 1205 4350100 256458 1,850.00 BUILDING REPAIRS MA z I i I Dave Sandman Invoice No. 256458 604 S. Ohio Sheridan, IN 46069 INVOICE Customer Misc Name City of Carmel Date 9/2/2008 Address One Civic Square Order No. City Carmel State IN ZIP 46032 Rep Phone 317 571 -2448 FOB Qt y Description I Unit Price TOTAL 1 Provide Labor and Material for installing 3ft 6pannal Door Lock set and trim 925.00 925.00 1 Provide labor for moving interior door to new location and new trim. 925.00 925.00 SubTotal Shipping fayment Select One... Tax Rate(s) Comments PO Number 18462 TOTAL 1,850.00 Name Jeff Barnes CC Expires I I� Thank you and have a great day. 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 Mom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Dave Sandman Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) pannel door lock 1,850.00 ;Pt and troM Labor for moving interier door to new locati I and new trim. 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 nave Sandman IN SUM OF 6 04 S. Ohio S heridan, IN 46069 $1 ON ACCOUNT OF APPROPRIATION FOR GENERAL FUND 1205 Adm inistration 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 18462 256458 bUl i,850.00 which charge is made were ordered and received except 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund /,did