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180156 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 00352542 Page 1 of 1 t' ONE CIVIC SQUARE KENNEY OUTDOOR SOLUTIONS CHECK AMOUNT: $154.78 CARMEL, INDIANA 46032 Po eox 1142 o� INDIANAPOLIS IN 46206 -1142 CHECK NUMBER: 180156 CHECK DATE: 12/8/2009 DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350000 556491 -00 154.78 EQUIPMENT REPAIRS M 8420 Zionsville Road INVOICE Indianapolis, IN 46268 OUTDOOR SOLUTIONS (317) 872 -4793 Fax (317) 879 -2331 UPC V ii 'ANV010E DATE :INVOICE NO 0000 11/11/09 556491 -00 -SALES REP: PO NO PAGE N' CUST.k: 170 2080 1 SHIP TO: CITY OF CARMEL BROOKSHIRE 12120 BROOKSHIRE PARKWAY CARMEL, IN 46033 -3314 REMIT TO: KENNEY OUTDOOR SOLUTIONS P.O. BOX 1142 INDIANAPOLIS, IN 46206 -1142 RILL TO: CITY OF CARMEL BROOKSHIRE 12120 BROOKSHIRE PARKWAY CARMEL, IN 46033 -3314 ..:J: ;>:INSTRUGTIONS Sf :'5: :I..::iWAREHOUSE�NO': 1Z4408660342282591 SHIP POINT _j; ED SHIP: VtA TERMS Kenney Outdoor Solution UPS Ground 11/11/09 Net 30 Days LINE PRODUCT iQUANTITY:i QUANTITY i�OTY QTY UNIT NO NET :TOTAL AND,DESCRIP,T10N1 ORDERED ii' B 0 .:SHIPPED U(M PRICE:'t 1 108.3841:. 10 O; 10 EA 6.38 63:80:: FILTER; OIL 2 BS492932S 5 0 5 9.35 EA`: :OIL:F1LTER 3 104..5169 5 0 5 EA:?. 5.40 27::0T FILTER7.OIL 3 Lines Total Qty Shipped Total 20 Total 137 55: FreightFa:rts 17.23 Invoice Total 154.78 Last Page ORIGINAL Cash Discount 0.00 If Paid By 11/11/09 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 D/pro 00,-s �7 �o��o //�01 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total 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 VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR Z,::2=Q 2 &d Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 6� 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 i� "7 20 LL Si ature VO 9c. 1 �v Ti Cost distribution ledger classification if e claim paid motor vehicle highway fund