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206668 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 00351160 Page 1 of 1 ONE CIVIC SQUARE FEDEX KINKO'S -COPY CHARGES CHECK AMOUNT: $25.50 CARMEL, INDIANA 46032 PO BOX 672085 DALLAS TX 75267 -2085 CHECK NUMBER: 206668 CHECK DATE: 2/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4239099 070400009960 25.50 OTHER MISCELLANOUS Falaz0ffica, @3 FedEx Office is your destination for printing and shipping. 530 E Carmel Or Carmel, IN 46032 -2814 Tel: (317) 818 -1600 2/17/2012 12:14:37 PM EST Team Member: Liane M. Customer: Ann Davis Account XXXXXX6806 -0041 Account: CITY OF CARMEL INVOICE Official bill of Sale Terms Net 30 Days Please Reference Invoice 070400009960 Account XXXXXX6806 -0041 Authorized User: City Of Carmel Account: CITY OF CARMEL Reference: Clerk Treasurer Ann Davis Signee: Ann Davis Signee Phone: (317) 571 -2414 Tax Exempt mount only Qty 1 25.50 LF Mounting 2436 1 L 25.5000 E 000400 Reg, Price 30.00 Price per piece 25.50, Regular Total 30.00 Discounts 4.50 Sub -Total 25.50 Tax 0.00 Deposit 0.00 Total 25.50 Invoiced Account 25.50 Total Tender 25.50 Change Due 0.00 Total Discounts 4.50 07040044803 I am an authorized agent of the company and my signature authorizes the company to pay for all items reflected on this invoice. 4 Please remit payment to: FedEx Office Customer Administrative Services P.O. Box 672085 Dallas, TX 75267 -2085 Questions? Please call: 1- 800 -488 -3705 Save up to 50% on everyday high volume printing Go to fedex.com /printdeals or ask a team member for details. Thank you for visiting FedEx Office Make It. Print It. Pack It. Ship It. fedex.com /office By submitting your project to FedEx Office or by making a purchase in the FedEx Office store, you agree to all the FedEx Office terms and conditions located at fedex.com /office or you may request a copy of our terms and conditions, which will be made available to you upon request. Customer Copy Prescribed 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. Paye Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 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. U m ALLOWED 20 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or U )j q6D 3 5 t 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 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund