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173353 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 362485 Page 1 of 1 ONE CIVIC SQUARE HAMM SONS INC PLUMBING CHECK AMOUNT: $495.63 CARMEL, INDIANA 46032 6350 SOMMER AWNING BLVD INDIANAPOLIS IN 46220 CHECK NUMBER: 173353 „o o CHECK DATE: 6/10/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 WO-37995 495.63 BUILDING REPAIRS MA AM AM AMAW rA INC Plumbing 6350 Sommer A wning Bled., Indianapolis, IN 46220 CP 10000101 Invoice Number: 54480 Invoice Date: 05/12/09 Page: 1 1 Bill To: Carmel Fire Department Work Carmel Fire Department 3610 W 106th St Location: 3610 W 106th St Carmel, IN 46032 Carmel, IN 46032 Our Order No. WO -37995 Customer ID CARFIR42 Due Date 05/12/09 P.O. Number Terms Due Upon Receipt P.O. Date 05/05/09 Item Description Unit Quantity Total Price KBROW Labor 05/08/09 Hour 2.75 MATERIAL laundry box, 10ft 1 /2 "pex, 3ft 2 "pvc, fittings 05/08/09 Each 1 QUOTED Quoted Price 05/08/09 Each 1 495.63 Installed laundry box, ran water and drains for same from adjacent floor sink and secured lines to the wall. Amount Subject to Amount Exempt from Subtotal: 495.63 Sales Tax Sales Tax Invoice Discount: 0.00 0.00 495.63 Sales Tax: 0.00 Total: 495.63 Phone 317.202.9850 Fax 317.202.9860 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)) WO -37995 $495.63 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 N ALLOWED 20 Hamm Sons, Inc. IN SUM OF 6350 Sommer Awning Blvd. Indianapolis, IN 46220 $495.63 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 WO -37995 43- 501.00 $495.63 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 u N 2009 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund