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163850 09/17/2008 f CITY OF CARMEL, INDIANA VENDOR: 361428 Page 1 of 1 ONE CIVIC SQUARE M C L CARMEL CHECK AMOUNT: $238.00 a. CARMEL, INDIANA 46032 1390 KEYSTONE WAY CARMEL IN 46032 CHECK NUMBER: 163850 CHECK DATE: 9117/2008 DEPA ACCOUNT P O NUMBE INVOICE NUMB A MOUNT DE SCRIPTION 920 R4239099 09/09/08 238.00 END MISC SUPPLIES 's 1 3 HOUSE ACCOUNT INVOICE CU� INVOICE DATE: 9 -9 -08 �AUi2ANT OAK CR Y PAYMENT DTJE: HOMEMADE EVERY DAY. i GROUP NAME: City of Carmel CON'T'ACT: ADDRESS: One Civic Square 4 CITY STATE PHONE Carmel IN ZIP: 46032 DATE OF CHARGE ITEMS QUANTITY (PRICE TOTAL 9 -9 -08 Cont Bre 40 5.95 2 t i s F i E t 3 S Taxi TClTAL DUE Term t 30 days PA ITT TYPE: TAI t MC Visa AmEx Card Exp. Date: Personal or Company Check Please remit to: MCL Carmel, 1390 Keystone Way .Driue East, Carmel, IN 46032 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 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee MCL Carmel Purchase Order No. NA 1390 Keystone Way Terms Carmel IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 09/09/08 9 -9 -08 Keystone Reconstruction Project $238.00 Other Miscellaneous Breakfast Project 07 -08 Total $238.00 I hereby certify that the attached invoice(s), or bills(s), is (are) true and correct and I have audited same in accordance wi -th IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. MCL Carmel ALLOWED 20 1390 Keystone Way IN THE SUM OF Carmel IN 46032 238.00 ON ACCOUNT OF APPROPRIATION FOR MCL Carmel PO# or INVOICE NO. ACCT /TITLE AMOUNT Board Members DEPT.# NA 9 -9 -08 4239099 $238.00 I hereby certify that the attched 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 September 15 20 08 -2 Total $238.00 Signature Cost distribution ledger classification if Cit En claim paid motor vehicle highway fund Title