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166620 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 358585 Page 1 of 1 ONE CIVIC SQUARE CERTIFIED FIRE SYSTEMS CONSULTA�Tg CARMEL, INDIANA 46032 358 W OLD SOUTH STREET CHECK AMOUNT: $165.00 BARGERSVILLE IN 46106 CHECK NUMBER: 166620 CHECK DATE: 12/10/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4351501 1225 165.00 EQUIPMENT MAINT CONTR Certified Fire System Consultants Invoice 358 West Old South Street Bargersville, In. 46106 Number: 1225 317422 -0893 317422 -0894 (fax) Date: November 26, 2008 Bill To: Ship To: Jeff Barnes Carmel Civic Center 1 Civic Square Carmel, IN 46032 PO Number Terms 14705 net 30 Date Description Quantity Price Amount 11/26/08 Quarterly Fire Sprinkler System Inspection 1.00 165.00 165.00 Total $165.00 Please note new e-mail address: cfscinc@comcast.net 0 30 days 31 60 days 61 90 days 90 days Total $165.00 I $0.00 $0.00 I $0.00 $165.00 Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) =R 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 C ertified Fire System Consultants Purchase Order No. ti Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total 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. 12/08/08 ALLOWED 20 Certified Fire System Consultants IN SUM OF 358 W. Old South Street Bagersville, IN 46106 $165.00 ON ACCOUNT OF APPROPRIATION FOR GENERAL FUND 1205 Administration Board Members PO# or D PT. INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1225 51 5 5IZ12r=i materials or services itemized thereon for which charge is made were ordered and received except 20 Title Cost distribution ledger classification if claim paid motor vehicle highway fund