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170323 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 361188 Page 1 of 1 y ONE CIVIC SQUARE BROWN SPRINKLER CORP CHECK AMOUNT: $382.00 CARMEL, INDIANA 46032 5250 COMMERCE CIRCLE INDPLS IN 46237 CHECK NUMBER: 170323 CHECK DATE: 4/1/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM OUNT D ESCRIPTION 1110 4350100 9IN7802 382.00 BUILDING REPAIRS MA Brown Sprinkler Corporation Invoice 5250 Commerce Circle Date Invoice Indianapolis, IN 46237 Phone: 317-889-4225 3/11/2009 091N7802 Fax: 317- 889 -9895 Bill To Work Performed At: Carmel Water Department 3400 West 131 st Street Westfield, IN 46074 P.O: Number Terms Attention Net 15 Description Amount Inspection of fire protection service; inspect wet system in existing building, inspect wet system in new 382.00 addition and test three backilow preventers. Sales Tax 0.00 CAUTION: It is the responsibility of the owner to maintain the sprinkler system and to keep the system from freezing by maintaining low point drains and heat wherever wetpipe sprinklers are installed in the building. Thank you for your business. We Accept Corporate Purchasing Cards Only: American Express Mastercard -Visa Total $382.00 Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER r 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 Brown Sprinkler Corporation Purchase Order No. 5250 COmmerce Circle Terms Indianapoils, IN 46237 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 3/11/09 091N7802 annual payLnent 382.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 B rown Sprinkler Corporation IN SUM OF 5250 Commerce Circle Indianapolis, IN 46237 382.00 ON ACCOUNT OF APPROPRIATION FOR p olice generalf and Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. 1 hereby certify that the attached invoice(s), or 1110 91N7802 501: 382.00 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 March 25 2009 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund