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164466 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 00350483 Page 1 of 1 ONE CIVIC SQUARE TRAFFIC SIGNALS CO CHECK AMOUNT: $417.50 CARMEL, INDIANA 46032 8802 BASH ST SUITE E INDIANAPOLIS IN 46256 CHECK NUMBER: 164466 CHECK DATE: 9/30/2008 D�; PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4350060 2301 417.50 TRAFFIC LIGHT REPAIRS i Traffic Signal Company Invoice 8802 Bash Street Date Invoice Suite E Indianapolis, IN 46256 9/10, 2301 Bill To Ship To 01Y of 0,11 11)CI City of Cnrnlel Street Dep"11 -ide a Sti-cel NI i k C IN'l C B 1 3460 13 1 I CIVICSCILKIR: %vesiriei(i, IN 46074 IN 460 S. 0. No. P.O. No. Terms Due Date Ship Date Ship Via FOB 1805 Vvrlml .1 Belitley Net 10 10/10/2008 9/ 1 0/200A UfIS Item Description Ordered Invoiced Unit Price Total I PC(I I'USI1 BUI(On Round Yellow ADA S S 50.110 40().00 Freight Silippillu. 1111d I-kincIlin Ul's 1 1 17,50 17-50 z I'lionk you for voLlr NISHICSS, Balance Due 5=117.50 Phone# Fax E-Mail 17-594-9259 :317 -51) 1 -9406) VO NO. WARRA NO. ALLOWED 20 Traffic Signal Company IN SUM OF 8802 Bast Street Suite E Indianapolis, IN 46256 $417.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 2301 43- 500.60 $417.50 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 Monday, September 29, 2008 Street 6ommissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No 201 (Rev. 1995) T 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 Purchase Order No. Terms i— Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 09/10/08 2301 $417.50 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