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177441 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 361278 Page 1 of 1 ONE CIVIC SQUARE WEBB EFFECTS LLC CHECK AMOUNT: $65.00 CARMEL, INDIANA 46032 1000 OAK HILL LANE CICERO IN 46034 CHECK NUMBER: 177441 CHECK DATE: 9/15/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 `4350900 2008 -126 65.00 OTHER CONT SERVICES Webb Effects, LLC Invoice 1000 Oak Hill Lane Date Invoice Cicero, IN 46034 8/28/2009 2008 -126 Bill To Ship To Carmel Fire Department 2 Civic Square Carmel, In 46032 P.O. Number Terms Rep Ship Via F.O.B. Project 8/28/2009 Quantity Item Code Description Price Each Amount I Vinyl safety day signs and banners 65.00 65.00T Tax Free 0.00 0.00 Total I $65.00 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)) 2008 -126 $65.00 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 Webb Effects, LLC IN SUM OF 1 Q00 Oak Hill Lane Cicero, IN 46034 $65M ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 2008 -126 43- 509.00 $65.00 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 SEPIA ;II9 7 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund