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175159 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 00353245 Page 1 of 1 ONE CIVIC SQUARE SUTTON- GARTEN CHECK AMOUNT: $84.00 CARMEL, INDIANA 46032 901 N. SENATE AVENUE INDIANAPOLIS IN 46202 CHECK NUMBER: 175159 CHECK DATE: 7/22/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION 651 5023990 302594 84.00 OTHER EXPENSES BUTTON GARTEN CYLINDER RENTAL INVOICE 302 1 06/30/09 03758 JEFF COOPER REMIT TO SUTTON- GARTEN CO. s 0 901 N. SENATE AVE. L D s INDIANAPOLIS, IN. 46202 -3000 B (317) 264 -3236 Y P e CARMEL WASTEWATER TREATMENT PLANT s CARMEL WASTEWATER TREAT. PLANT SUITE 110 H 9609 HAZELDELL PKWY L 760 3RD AVE. SW P CARMEL IN 46280 T CARMEL IN 46032 0 INV. SHIPPER INVOICE EGINNIN CYLINDERSCYL INDERS ENDING YLINDERS DAYS CYLINDER RATE AMOUNT CYL ITEM NUMBER DATE TYPE NUMBER NUMBER BALANCE SHIPPED RETURNED BALANCE LE �USEDj DAYS Ar RAT_,A.NCF' FORWARD I 3 A ACET CY R A TOT LS 3 0 0 3 0 90 .280 25.20 MX KA1025 BALANCE FORWARD 1 K C L R K TOTALS 1 0 0 1 0 30 .280 8.40 I AR S BALANCE FORWARD 2 I MX STAR BALANCE FORWARD 1 OX 3 BALANCE FORWARD i 3 S C L R S TOTALS 6 0 0'i 6 O 180 .280 50.40 I SUMMARY OF CYLINDER BA LANCES R A A ACET CYL 3 0 0 1 3 0 j 901 .280 25.20 R K I K C L 1 0 0l 1 0 30 .280 8.40 j R S S C L 6 0 0 6 01 1 180 .280 50.40 i I 1 I I j I I I I I I I I i I I I I V i i TAX: -0 0 TO TAL VALUE O F CYLINDERS J 2028.00 TOTAL 84.00 Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL v An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 00353245 SUTTON GARTEN CO. Purchase Order No. 901 N. Senate Avenue Terms C Indianapolis, IN 46202 Due Date 7/13/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/13/2009 302594 $84.00 hereby certify that the attached invoice(s), or bill(s) is (are) true and orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Officer TOUCHER 096013 WARRANT ALLOWED 00353245 IN SUM OF SUTTON GARTEN CO. 901 N. Senate Avenue Indianapolis, IN 46202 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 302594 01- 7362 -06 $84.00 Voucher Total $84.00 Cost distribution ledger classification if claim paid under vehicle highway fund