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176696 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 353917 Page 1 of 1 0 ONE CIVIC SQUARE CARMEL SELF STORAGE CENTER CHECK AMOUNT: $269.00 CARMEL, INDIANA 46032 147 W CARMEL DRIVE CARMEL IN 46032 CHECK NUMBER: 176696 CHECK DATE: 9/2/2009 DEPART ACCOUNT PO NUMBER IN VOICE N UMBER AMO UNT D 1110 4353099 269.00 OTHER RENTAL LEASES INVOICE August 26, 2009 Carmel Self- Storage Center 147 West Carmel Drive Carmel, IN 46032 317 844 -6957 BILL TO: City of Carmel Police Department 3 Civic Square Carmel, IN 46032 Self storage payment for September, 2009 89.00 8 x 15 unit #H -15 Self storage payment for September, 2009 $180.00 10 x 35 unit #A -10 TOTAL $269.00 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 Carmel Self Storage Center Purchase Order No. 147 West Carmel Drive Terms Carmel, IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 8/26 09 monthly payment 269.00 Total 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. 20 Clerk- Treasurer VOYCHER NO. WARRANT NO. ALLOWED 20 Carmel Self Storage Center IN SUM OF 147 West Carmel Drive Carmel, IN 46032 269.00 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 530 -99 269.00 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 August 26 20 09 Signature Ci of Po lic e Cost distribution ledger classification if Title claim paid motor vehicle highway fund