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203845 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 365816 Page 1 of 1 ONE CIVIC SQUARE FARRALANE CHECK AMOUNT: $280.28 CARMEL, INDIANA 46032 300 ROUTE 109 FARMINGDALE NY 11735 CHECK NUMBER: 203845 CHECK DATE: 11/21/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 33992 280.28 REPAIR PARTS Invoice Professional Lighting, Audio Video INVOICE 33992 300 Route 109 DATE 11/9/2011 Farmingdale, NY 11735 Tel: (631) 752 -9824 Fax: (631) 752 -8781 SALESPERSON JJD BILL TO SHIP TO CITY OF CARMEL STREET DEPARTMENT CITY OF CARMEL STREET DEPARTMENT 3400 W. 131 ST STREET 3400 W. 13 1 ST STREET CARMEL, IN 46074 CARMEL, IN 46074 P.O. NO. TERMS FOB SHIP VIA TRACKING NO. DUE UPON RECEIPT Drop Ship QTY. DESCRIPTION SHIPPED B/O PRICE AMOUNT I COLOR KINETICS #109 000008 -01 264.67 264.67T PDS -150E POWER SUPPLY 1 SHIPPING (UPS GROUND) 15.61 15.61 T Tax Exempt 0.00 0.00 Total $280.28 PLEASE VISIT US AT WWW.FARRALANE.COM Notice to all customers: All returns may be subject to a 25% re- stocking fee. Please call for a return authorization number. $30.00 charge for returned checks. Open invoices over 30 days will be charged 1.5% finance charge per month. 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11/09/11 33992 $280.28 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 VOUCHE NO. WARRANT NO. ALLOWED 20 Farralane IN SUM OF 300 Route 109 Farmingdale, NY 11735 $280.28 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 33992 42- 370.00 $280.28 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 �1 Thursday, NoveTbyr 17, 2011 Street Commissio e�1 Stree r Sti Cost distribution ledger classification if claim paid motor vehicle highway fund