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168421 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00351241 Page 1 of 1 e ONE CIVIC SQUARE COMMERCIAL FURNISHINGS CHECK AMOUNT: $1,728.00 CARMEL, INDIANA 46032 251 E OHIO ST #100 INDIANAPOLIS IN 46204 CHECK NUMBER: 168421 CHECK DATE: 214/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4463000 26109 1,728.00 FURNITURE FIXTURES COMMERCIAL FURNISHINGS CORPORATION Invoice 251 E. Ohio Street, Suite 100 Indianapolis, IN 46204 BILLING DATE INVOICE Phone (317)636 -3690 1/12/2009 26109 Fax (317)632 -5668 BILL TO SHIP TO City of Carmel Carmel Redevelopment Commission Carmel Redevelopment Commission 111 W. Main St., Suite 140 30 W. Main St., Suite 220 Carmel Carmel, IN 46032 Attn: Sherry Mielke for instructions Attn: Sherry_Mielke 571 -2787 P.O. NUMBER TERMS REP VIA TAX EXEMPT NO. ORDER DATE LOA Net 30 days GLM Our Truck 003120155 002 0 12 -4 -08 QUANTITY DESCRIPTION PRICE EACH AMOUNT For Redevelopment: 1 Credenza, 72" x 24" 1,578.00 1,578.00 Freight 75.00 75.00 Delivery 75.00 75.00 Subtotal $1 ,728.00 Sales Tax (7.0 $0.00 Total $1,728.00 Ind. Furn. /23206 Payments/CreditE $0.00 Balance Due $1,728.00 FINANCE CHARGE OF 2% PER MONTH, 24% PER YEAR ON PAST DUE INVOICES. -PrescfiUed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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. 2 v s1� .Sv.`�o �O� Terms f; /ly G 26y Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total 72 �f ,00 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 WOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF 2 ON ACCOUNT OF APPROPRIATION FOR 6 Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or gd2 x /09 72,�(,b 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 20 0 Signatu e C`� Cost distribution ledger classification if Title claim paid motor vehicle highway fund