176191 08/19/2009 a CITY OF CARMEL, INDIANA VENDOR: 362006 Page 1 of 1
ONE CIVIC SQUARE COWER SECURITY INC
4 CHECK AMOUNT: $13,962.55
CARMEL, INDIANA 46032 2311 STAVE SW
a� CARMEL IN 46032 CHECK NUMBER: 176191
CHECK DATE: 8119/2009
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER A MOUNT DESCRIPTION
900 4359016 13,962.55 SECURE OUR SCHOOLS GR
AIA Document G702"' 1992
Apph ca tion and Certificate fo r Payrn en t
To OWNER: PROJECT APPLIC.'MON N0,5Final-Retainage C r�crlbutlon o.
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By Lowell M. Davidson at 8:37 am, Jul 24, 2009
:i. TClTAL EAR 416C _F$5 K TAINAGE ARCHITECT'S CERTIFICATE FOR PAYMENT
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�Presti ed 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.
r Payee
Conzer Security Purchase Order No.
231 1st Avenue SW Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
school security camera project 13,962.55
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
VOUCHER NO. WARRANT NO.
f
ALLOWED 20
L
Conzer Security, Inc. IN SUM OF
231 1st Avenue SW
Carmel, IN 46032
13,962.55
ON ACCOUNT OF APPROPRIATION FOR
po grant fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
900 590 -16 13,962.55 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 14 20 09
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund