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206876 02/29/2012 CITY OF CARMEL, INDIANA VENDOR: 00350328 Page 1 of 1 x ONE CIVIC SQUARE GLIDDEN FENCE CO, INC. CARMEL, INDIANA 46032 P.O. BOX 481 CHECK AMOUNT: $789.D0 WESTFIELD IN 46074 CHECK NUMBER: 246876 CHECK DATE: 2129/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 24312 74282 789.00 INVOICE 74282 Glidden Fence Co., Inc. Invoice Date: Finished By: Salesman: 5/17/2103 Tony Jeff P.O. Box 481 Home Phone: Work Phone: Cell Phone: Westfield, IN 46074 571 -2632 Phone: (317) 867 -5140 or (317) 844 -5657 Contact Name: Contact Phone: Fax: Fax: (317) 896 -3941 Capt Moriarty 571 -2652 Subdivision: PO Fence Type: Carmel Fire Dept #44 5032 E Main. St Carmel, IN 46032 DUE UPON RECEIPT Work was on: 21101201.2 Work Location: Base Bid: 789.00 Work Done: Adjustments: R &R (6) 4x4s with treated 4x4s; rehang 1 panels Adjustments: replace (4) 2x4s in 2 sections and H/A all debris Deposit: If balance is not paid in full within 10 business days, a 2% finance charge will be added to the remaining balance that will be compounded monthly thereafter. Balance Remaining: 789.00 VOUCHER NO. WARRANT NO. ALLOWED 20 Glidden Fence Co., Inc. IN SUM OF P.O. Box 481 Westfield, IN 46074 $789.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. I ACCT #/TITLE I AMOUNT Board Members 24312 74282 j 43- 501.00 j $789.00 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 FEB 2 4 2012 jj Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 74282 $789.00 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