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Home My WebLink About200855 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 00352873 Page 2 of 2 ONE CIVIC SQUARE G K SERVICES INC CHECK AMOUNT: $1,123.38 CARMEL, INDIANA 46032 9145 EAST 33RD STREET INDIANAPOLIS IN 46236 CHECK NUMBER: 200855 CHECK DATE: 8/30/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 WATER 149.92 CR91826582 G K DIRECT BUY PURCHASES INVOICE AMOUNT 620.3 JINVOICE AMOUNT 620.6 91813000 162.92 91822186 26.49 91823867 22.49 91823866 251.40 91823864 122.95 91816015 33.07 91823865 238.26 91819173 29.49 91822187 23.05 91834313 45.79 91814525 i�.v3 6 91835814 65.97 91832713 82.47 308.36 815.05 3� 1,123:4,1 G &K Services 9145 EAST 33RD STREET INDIANAPOLIS,IN 46235 (317)898 -4874 Invoice Number 91823867 (800)GKCARES Invoice Date 08/08/2011 gkservices.com /shop PO Number G &K SERVICES Delivery Number 81526627 Shipping Date 08/08/2011 Order Number 3887420 CITY OF CARMEL UTILITIES Order Date 07/20/2011 DISTRIBUTION OFFICE customer number 1109847 3450 WEST 131ST STREET Pa Terms Net 30 days CARMEL IN 46074 Cost Center Shipping Cond UPS Grnd Commercial Ship -to address CITY OF CARMEL UTILITIES PAUL PACE 3450 W 131ST ST CARMEL IN 46074 Line Item Description 1000193930 Amadou Diallo 200 11271E EMB MEN'S 100% COTTON PIQUE POLO Color Size Qty Unit Price Total French Blue L SS 1 EA 17.99 17.99 Merchandise Total 17.99 Value Added Services 3.00 Merchandise /Value Ad 20.99 Items total 20.99 Freight Charge 1.50 Final amount 22.49 Please note our new remittance address. Delivery Tracking Numbers 1Z4FY5850302401781 G &K Services 9145 EAST 33RD S TREET l INDIANAPOLIS,IN 46235 (317)898 -4874 Invoice Number 91813000 (800)GKCARES Invoice Date 07/28/2011 gkservices.com /shop PO Number G &K SERVICES Delivery Number 81518046 Shipping Date 07/28/2011 Order Number 3887420 CITY OF CARMEL UTILITIES Order Date 07/20/2011 DISTRIBUTION OFFICE Customer number 1109847 3450 WEST 131ST STREET Payment Terms Net 30 days CARMEL IN 46074 Cost Center Shipping Cond Ship -to address CITY OF CARMEL UTILITIES PAUL PACE 3450 W 131ST ST CARMEL IN 46074 Line Item Description 1000193930 Amadou Diallo 100 11271E EMB MEN'S 100% COTTON PIQUE POLO Color Size Qty Unit Price Total Red L SS 1 EA 17.99 17.99 Merchandise Total 17.99 Value Added Services 3.00 Merchandise /Value Ad 20.99 1000193930 Amadou Diallo 300 11306E EMB MENS SS VALUE POLO Color Size Qty Unit Price Total Black L SS 1 EA 9.99 9.99 Merchandise Total 9 Value Added Services 3.00 Merchandise /Value Ad 12.99 10001.9 Diallo 4 1 00 l 3 6t tMB IViENS VALUE -P'UiO Color Size Qty Unit Price Total Navy Blue L SS 1 EA 9.99 9.99 Merchandise Total 9.9 Value Added Services 3.00 Merchandise /Value Ad 12.99 1000193930 Amadou Diallo 500 13424E EMB DOCKERS° MEN'S 1/4 ZIPSWEATER Color Size Qty Unit Price Total Black L RG 1 EA 34.99 34.99 Merchandise Total 34.99 Value Added Services 3.00 Merchandise /Value Ad 37.99 G &K Services 9145 EAST 33RD STREET Doc. no. 91813000 INDIANAPOLIS, IN 46235 Date 07/28/2011 (317)898 -4874 (800)GKCARES gkservices.com /shop G &K SERVICES Page 2 CITY OF CARMEL UTILITIES 3450 WEST 131ST STREET CARMEL IN 46074 Line Item Description 1000193930 Amadou Diallo 600 14736E EMB LIGHTWEIGHT WATERPROOF JACKET Color Size Qty Unit Price Total Black L RG 1 EA 29.99 29.99 Merchandise Total 29.99 Value Added Services 3.00 Merchandise/Value Ad 32.99 1000193930 Amadou Diallo 700 59489E EMB SS 100% HVY CTN POCKET T -SHIRT Color Size Qty Unit Price Total Forest Green L 1 EA 7.99 7.99 Merchandise Total 7.99 Value Added Services 3.00 Merchandise /Value Ad 10.99 1000193930 Amadou Diallo 800 59489E EMB SS 100% HVY CTN POCKET T -SHIRT Color Size Qty Unit Price Total Red L 1 EA 7.99 7.99 Merchandise Total 7 Value Added Services 3.00 Merchandise/Value Ad 10 100019 Amadou Diallo 900 59483E EMB 88 100 HVY`C T N POCKET T- Color Size Qty Unit Price Total Heather Gray L 1 EA 7.99 7.99 Merchandise Total 7.99 Value Added Services 3.00 MerchandiselValue Ad 10.99 Items total 150.92 Freight Charge 12.00 Final amount 162.92 Please note our new remittance address. Delivery Tracking Numbers lZ4FY5850302381713 G &K Services 9145 EAST 33RD STREET INDIANAPOLIS,IN 46235 o Ce (317)898 -4874 Invoice Number 91823864 (800)GKCARES Invoice Date 08/08/2011 gkservices.com /shop PO Number G &K SERVICES Delivery Number 81523763 Shipping Date 08/08/2011 Order Number 3898200 CITY OF CARMEL UTILITIES Order Date 07/26/2011 DISTRIBUTION OFFICE customer number 1109847 3450 WEST 131ST STREET Payment Terms Net 30 days CARMEL IN 46074 cost center Shipping Cond UPS Grnd Commercial Ship -to address CITY OF CARMEL UTILITIES ATTN: PAUL PACE 3450 WEST 131ST STREET CARMEL IN 46074 Line Item Description 1000285675 JAMES ALFORD 200 68458E EMB LS -65/35 STRIPED WORK SHIRT Color Size Qty Unit Price Total Light Blue /W L RG 3 EA 15.99 47.97 Merchandise Total 47.97 Value Added Services 9.00 Merchandise /Value Ad 56.97 1000285675 JAMES ALFORD 500 14736E EMB LIGHTWEIGHT WATERPROOF JACKET Color Size Qty Unit Price Total Navy Blue XL RG 1 EA 29.99 29.99 Merchandise Total 29 Value Added Services 3.00 Merchandise /Value Ad 32.99 1000285675 JAMES ALFORD 600 ,-047E EMB— N-Y-LON— HOODE-D_FLE -ECE LINED JACKET Color Size Qty Unit Price Total Navy Blue XL RG 1 EA 29.99 29.99 Merchandise Total 2 9. 99 Value Added Services 3.00 Merchandise /Value Ad 32.99 Final amount 122.95 Please note our new remittance address. Delivery Tracking Numbers 1Z4FY5850302401245 G &K Services 9145 EAST 33RD STREET a INDIANAPOLIS,IN 46235 (317)898 -4874 Invoice Number 91822186 (800)GKCARES Invoice Date 08/05/2011 gkservices.com /shop PO Number G &K SERVICES Delivery Number 81525120 Shipping Date 08/05/2011 Order Number 3887403 CITY OF CARMEL UTILITIES Order Date 07/20/2011 DISTRIBUTION OFFICE Customer number 1109847 3450 WEST 131ST STREET Pa Terms Net 30 days CARMEL IN 46074 Cost Center Shipping Cond UPS Grnd Commercial Ship -to address CITY OF CARMEL UTILITIES PAUL. PACE 3450 W 131 ST ST CARMEL IN 46074 Line Item Description r� 1000193930 WEARER1 TC)r l 900 18174E EMB BADGER MICROFIBER WINDSHIRT Color Size Qty Unit Price Total Black L RG 1 EA 26.49 26.49 Merchandise Total 26.49 Final amount 26.49 Please note our new remittance address. Delivery Tracking Numbers 1Z4FY5850302397493 G &K Services 9145 EAST RD STREET 3 INDIANAPOLISJN 46235 (317)898 -4874 Invoice Number 91823866 (800)GKCARES Invoice Date 08/08/2011 gkservices.com /shop PO Number G &K SERVICES Delivery Number 81523871 Shipping Date 08/08/2011 Order Number 3898089 CITY OF CARMEL UTILITIES Order Date 07/26/2011 DISTRIBUTION OFFICE Customer number 1109847 3450 WEST 131 ST STREET Payment Terms Net 30 days CARMEL IN 46074 Cost Center Shipping Cond Ship -to address CITY OF CARMEL UTILITIES ATTN: PAUL PACE 3450 WEST 131ST STREET CARMEL IN 4F074 Line Item Description 1000285635 MATT MCNULTY 100 13423E EMB CARHARTT HOODED PULLOVER SWEATSHIRT Color Size Qty Unit Price Total Navy Blue XL RG 1 EA 49.99 49.99 Merchandise Total 49.99 Value Added Services 3.00 Merchandise /Value Ad 52.99 1000285635 MATT MCNULTY 200 11016E EMB DICKIES THERMAL LINED SWEATSHIRT Color Size Qty Unit Price Total Navy Blue XL RG 2 EA 33.99 67.98 Merchandise Total 67.98 Value Added Services 6.00 Merchandise /Value Ad 73.98 1000285635 MATT MCNULTY 300 -2- 9453 A -NSI -CLASS 11 T- SHIRT Color Size Qty Unit Price Total Safety Yello XL 2 EA 19.99 39.98 Merchandise Total 39.98 1000285635 MATT MCNULTY 400 30987E EMB ADULT 50/50 SS T -SHIRT W /PKT. Color Size Qty Unit Price Total Navy Blue XL 3 EA 6.99 20.97 Merchandise Total 20.97 Value Added Services 9.00 Merchandise /Value Ad 29.97 1000285635 MATT MCNULTY 500 17417E EMB DICKIES° SS PERFORMANCE HENLEY Color Size Qty Unit Price Total Heather Gray XL SS 2 EA 14.99 29.98 Merchandise Total 29.98 Value Added Services 6.00 Merchandise /Value Ad 35.98 QD G &K Services 9145 EAST 33RD STREET Doc. no. 91823866 INDIANAPOLIS,IN 46235 Date 08/08/2011 (317)898 -4874 (800)GKCARES gkserviees.com /shop G &K SERVICES Page 2 CITY OF CARMEL UTILITIES 3450 WEST 131ST STREET CARMEL IN 46074 Items total 232.90 Freight Charge 18.50 Final amount 251.40 Please note our new remittance address. Delivery Tracking Numbers 1Z4FY5850302401129 G &K Services 9145 RD EAST STREET S 33 S INDIANAPOLIS,IN 46235 (317)898 -4874 Invoice Number 91816015 (800)GKCARES Invoice Date 08/01/2011 gkservices.com /shop PO Number G &K SERVICES Delivery Number 81520172 Shipping Date 08/01/2011 Order Number 3897852 CITY OF CARMEL UTILITIES Order Date 07/26/2011 DISTRIBUTION OFFICE customer number 1109847 3450 WEST 131ST STREET Payment Terms Net 30 days CARMEL IN 46074 cost Center Shipping Cond UPS Grnd Commercial Ship -to address CITY OF CARMEL UTILITIES PAUL PACE 3450 W 131ST ST CARMEL IN 46074 Line Item Description 1000193930 Josh Davis 200 11040E EMB MICROFIBER WINDSHIRT Color Size Qty Unit Price Total Navy Blue XL RG 1 EA 26.99 26.99 Merchandise Total 26.99 Value Added Services 3.00 Merchandise /Value Ad 29.99 Items total 29.99 Freight Charge 3.08 Final amount 33.07 Please note our new remittance address. Delivery Tracking Numbers 1Z4FY5850302386816 G &K Services 9145 EAST 33RD STREET �IrtvglCB INDIANAPOLIS, IN 46235 (317)898 -4874 Invoice Number 91823865 (800)GKCARES Invoice Date 08/08/2011 gkservices.com /shop PO Number G &K SERVICES Delivery Number 81523807 Shipping Date 08/08/2011 Order Number 3897852 CITY OF CARMEL UTILITIES Order Date 07/26/2011 DISTRIBUTION OFFICE Customer number 1109847 3450 WEST 131ST STREET Payment Terms Net 30 days CARMEL IN 46074 Cost Center Shipping Cond Ship -to address CITY OF CARMEL UTILITIES PAUL PACE 3450 W 131ST ST CARMEL IN 46074 Line Item Description 1000193930 Josh Davis 100 11016E EMB DICKIES THERMAL LINED SWEATSHIRT Color Size Qty Unit Price Total Navy Blue 2X RG 1 EA 33.99 33,99 Merchandise Total 33.99 Value Added Services 3.00 Merchandise /Value Ad 36.99 1000193930 Josh Davis 300 12029E EMB ECONOMY FULL ZIP FLEECE Color Size Qty Unit Price Total Navy Blue XL RG 1 EA 24.99 24.99 Merchandise Total 24.99 Value Added Services 3.00 Merchandise /Value Ad 27 .99 1000193930 Josh Davis 400 33886f EMB ADULT SS 50/50 T -SHIRT NO PCKT Color Size Qty Unit Price Total Navy Blue L 10 EA 5.99 59.90 Merchandise Total 59.90 Value Added Services 30.00 Merchandise /Value Ad 89.90 1000193930 Josh Davis 500 31088E EMB LS ADULT 50/50 T -SHIRT NO PCKT Color Size Qty Unit Price Total Navy Blue L 2 EA 8.99 17.98 Merchandise Total 17.98 Value Added Services 6.00 Merchandise /Value Ad 23.98 1000193930 Josh Davis 600 35047E EMB LINED COACHES JACKET Color Size Qty Unit Price Total Navy Blue XL 2 EA 18.99 37.98 Merchandise Total 37.98 Value Added Services 6.00 Merchandise /Value Ad 43.98 QD G &K Services 9145 EAST 33RD STREET Doc. no. 91823865 INDIANAPOLIS, IN 46235 Date 08/08/2011 (317)898 -4874 (800)GKCARES gkservices.com /shop G &K SERVICES Page 2 CITY OF CARMEL UTILITIES 3450 WEST 131 ST STREET CARMEL IN 46074 Items total 222.84 Freight Charge 15.42 Final amount 238.26 Please note our new remittance address. Delivery Tracking Numbers 1Z4FY5850302401174 G &K Services 9145 EAST 33RD STREET INDIANAPOLISJN 46235 (317)898 -4874 Invoice Number 91819173 (800)GKCARES Invoice Date 08/03/2011 gkservices.com /shop PO Number G &K SERVICES Delivery Number 81523261 Shipping Date 08/03/2011 Order Number 3904336 CITY OF CARMEL UTILITIES Order Date 07/28/2011 DISTRIBUTION OFFICE customer number 1109847 3450 WEST 131ST STREET Payment Terms Net 30 days CARMEL IN 46074 Cost Center Shipping Cond UPS Grnd Commercial Ship -to address CITY OF CARMEL UTILITIES PAUL PACE 3450 W 131ST ST CARMEL IN 46074 Line Item Description 1000193930 Josh Davis 100 35047E EMB LINED COACHES JACKET Color Size Qty Unit Price Total Navy Blue XL 1 EA 18.99 18.99 Merchandise Total 18.99 Value Added Services 3.00 Merchandise /Value Ad 21.99 Items total 21.99 Freight Charge 7.50 Final amount 29.49 Please note our new remittance address. Delivery Tracking Numbers 1Z4FY5850302393666 G &K Services 9145 EAST 33RD STREET 9nvQce INDIANAPOLIS,IN 46235 (317)898 -4874 Invoice Number 91822187 (800)GKCARES invoice Date 08/05/2011 gkservices.com /shop PO Number G &K SERVICES Delivery Number 81525147 Shipping Date 08/05/2011 Order Number 3904344 CITY OF CARMEL UTILITIES Order Date 07/28/2011 DISTRIBUTION OFFICE Customer number 1109847 3450 WEST 131ST STREET Payment Terms Net 30 days CARMEL IN 46074 Cost Center Shipping Cond UPS Grnd Commercial Ship -to address CITY OF CARMEL UTILITIES PAUL PACE 3450 W 131ST ST CARMEL IN 46074 Line Item Description 1000193930 Rick Alvey 300 11636E EMB MEN'S VERTICAL BLOCK 60/40 POLO Color Size Qty Unit Price Total Khaki /Black XL SS 1 EA 17.99 17.99 Merchandise Total 17.99 Value Added Services 3.00 Merchandise /Value Ad 20.99 Items total 20.99 Freight Charge 2.06 Final amount 23.05 Please note our new remittance address. Delivery Tracking Numbers 1Z4FY5850302399124 G &K Services 9145 EAST 33RD STREETRvglCe INDIANAPOLIS,IN 46235 (317)898 -4874 invoice Number 91834313 Q. (800)GKCARES Invoice Date 08/1712011 gkservices.com /shop PO Number G &K SERVICES Delivery Number 81534854 Shipping Date 08/17/2011 Order Number 3936109 CITY OF CARMEL UTILITIES Order Date 08/11/2011 DISTRIBUTION OFFICE Customer number 1109847 3450 WEST 131 ST STREET Payment Terms Net 30 days CARMEL IN 46074 Cost Center Shipping Cond UPS Grnd Commercial Ship -to address CITY OF CARMEL UTILITIES ATTN: PAUL PACE 3450 WEST 131 ST STREET^`" CARMEL IN 46074 Line Item Description 1000285676 STEVE COOK 300 11294E EMB DOCKERS° MENS SS SOLID PIQUE POLO Color Size Qty Unit Price Total Light Green 4X SS 3 EA 10.99 32.97 Merchandise Total 32.97 Value Added Services 9.00 Merchandise /Value Ad 41.97 Items total 41.97 Freight Charge 3.82 Final amount 45.79 Please note our new remittance address. Delivery Tracking Numbers 1Z4FY5850302423294 G &K Services 9145 EAST 33RD STREET Gre ll, memt INDIANAPOLIS, IN 46235 (317)898 -4874 Invoice Number 91826582 (800)GKCARES Invoice Date 08/10/2011 gkservices.com /shop Original Invoice 91814517 G &K SERVICES Original Date 07/29/2011 Customer number 1109847 Payment Terms Net 30 days CITY OF CARMEL UTILITIES Cost Center DISTRIBUTION OFFICE Shipping Cond 3450 WEST 131ST STREET CARMEL IN 46074 Ship -to address CITY OF CARMEL UTILITIES PAUL PACE 3450 'v1/ 131ST ST CARMEL IN 46074 Line Item Description 1000193930 Rick Alvey 101 12150 DOCKERS° MENS DENIM JEANS Color Size Qty Unit Price Total Medium Denim3430 5 EA 14.99 74.95 Merchandise Total 74.95 1000193930 Rick Alvey 201 17416 DICKIES° RELAX FIT PEACHED CARGO SHORT Color Size Qty Unit Price Total Khaki 34RG 3 EA 24.99 74.97 Merchandise Total 74.97 Final amount 149.92 Credit Memo Please note our new remittance address. G &K Services 9145 EAST 33RD STREET �nvor0e.. INDIANAPOLIS,IN 46235 (317)898 -4874 Invoice Number 91814525 (800)GKCARES Invoice Date 07/29/2011 gkservices /s PO Number G &K SERVICES Delivery Number 81518694 Shipping Date 07/29/2011 Order Number 3892920 CITY OF CARMEL UTILITIES Order Date 07/22/2011 DISTRIBUTION OFFICE Customer number 1109847 3450 WEST 131ST STREET Payment Terms Net 30 days CARMEL IN 46074 Cost Center Shipping Cond UPS Grnd Commercial Ship -to address CITY OF CARMEL UTILITIES PAUL PACE 3450 W 131 ST ST CARMEL IN 46074 Line Item Description 1000193930 Shawn Cooksey 100 11016E EMB DICKIES THERMAL LINED SWEATSHIRT Color Size Qty Unit Price Total Navy Blue L RG 2 EA 33.99 67.98 Merchandise Total 67.98 Value Added Services 6.00 Merchandise /Value Ad 73.98 1000193930 Shawn Cooksey 300 13423E EMB CARHARTT HOODED PULLOVER SWEATSHIRT Color Size Qty Unit Price Total Navy Blue L RG 1 EA 49.99 49.99 Merchandise Total 49.99 Value Added Services 3.00 Merchandise /Value Ad 52.99 1000193930 Shawn Cooksey 400 17423E EMB KARIBAN L I W T FULL ZIP jAcKE T Color Size Qty Unit Price Total Navy Blue L RG 2 EA 17.99 35.98 Merchandise Total 35.98 Value Added Services 6.00 Merchandise/Value Ad 41 Final amount 168.95 Please note our new remittance address. Delivery Tracking Numbers 1Z4FY5850302383720 G &K Services A T RD STREET 9 145E S 33 INDIANAPOLIS,IN 46235 o ce (317)898 4874 Invoice Number 91835814 (800)GKCARES Invoice Date 08/18/2011 gkservices.com /shop PO Number G &K SERVICES Delivery Number 81535159 Shipping Date 08/18/2011 Order Number 3941746 CITY OF CARMEL UTILITIES order Date 08/15/2011 DISTRIBUTION OFFICE Customer number 1109847 3450 WEST 131ST STREET Pa Terms Net 30 days CARMEL IN 46074 Cost Center Shipping Cond UPS Grnd Commercial Ship -to address CITY OF CARMEL UTILITIES PAUL PACE 11� 3450 W 131ST ST CARMEL IN 46074 Line Item Description 1000193930 RICK ALVEY 200 16376 SIGNATURE LEVI STRAUSS MENS RLXD JEAN Color Size Qty Unit Price Total Medium Denim 3632 3 EA 19.99 59.97 Merchandise Total 59.97 Items total 59.97 Freight Charge 6.00 Final amount 65.97 Please note our new remittance address. Delivery Tracking Numbers 1Z4FY5850302428164 G &K Services 9145 EAST 33RD STREET lnvo�ce INDIANAPOLIS,IN 46235 (317)898 -4874 Invoice Number 91832713 (800)GKCARES Invoice Date 08/16/2011 gkservices.com /shop PO Number G &K SERVICES Delivery Number 81533646 Shipping Date 08/16/2011 Order Number 3941746 CITY OF CARMEL UTILITIES Order Date 08/15/2011 DISTRIBUTION OFFICE customer number 1109847 3450 WEST 131 ST STREET Payment terms Net 30 days CARMEL IN 46074 Cost Center Shipping Cond UPS Grnd Commercial Ship -to address CITY OF CARMEL UTILITIES PAUL PACE 3450 W 131 ST ST CARMEL IN 46074 Line Item Description 1000193930 RICK ALVEY 100 17416 DICKIES° RELAX FIT PEACHED CARGO SHORT Color Size Qty Unit Price Total Khaki 36RG 3 EA 24.99 74.97 Merchandise Total 74.97 Items total 74.97 Freight Charge 7.50 Final amount 82.47 Please note our new remittance address. Delivery Tracking Numbers 1Z4FY5850302420868 I VOUCHER 112221 WARRANT ALLOWED 00352873 IN SUM OF G &K Services Inc. WA-" 9145 East 33rd St OPERAT Indianapolis, IN 46236 Carmel Wafter Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code `1 i I; 3 ;'7) S bl Le7 -Lc Z 1 g 7 91823867 01- 6200 -03 $22.49 gt to, i3wo 0 1 "gw-03 4 11a�.92 q(u39W it qA c gtBaal$f' al,- -ato A� -4 t it 11 151 •dfo it q I� J ip016 33. a? gIS343I3 Cl 15 q 18 14 5 5 it r Voucher Total I 9- Cost distribution ledger classification if I r claim paid under vehicle highway fund 39 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 00352873 G &K Services Inc. Purchase Order No. 9145 East 33rd St Terms Indianapolis, IN 46236 Due Date 8/23/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/23/2011 91823867 $22.49 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 j f -21,/ 1 Date Officer