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207437 03/26/2012
CITY OF CARMEL, INDIANA VENDOR 366016 Page 1 of 1 ONE CIVIC SQUARE CJ EDWARDS CARMEL, INDIANA 46032 579 GRABILL DRIVE CHECK AMOUNT: $227.25 WESTFIELD IN 46074 CHECK NUMBER: 207437 CHECK DATE: 3/26/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4350000 227.25 EQUIPMENT REPAIRS M Attn: CJ Edwards 579 Grabill Drive F Westfield, IN 46074 Number° Cate: January 131111 To:_ Sh To Linctsay V1lillard Lindsay Willard Carmel Clay Darks Re-creation i Car el Clay larks creation Morton COrnmUnfty Center Mortran: Con munity Penter 1235 Cor teal dark DriV6 fast 1235 :Cent.ral Park:t)rlve test Carrel, 1 603 'Cannel, IN :6432 m Nurr� mber Torms COO net 34 4 Date I tem Description Quantity Prtce.l Tax i Arr ounit j 3 Il 413 �Jfaintertartca RS ilwlnri IC) l 24:44 10 Toe clip slap 5,00 4.2.5 Brake pact (Sehinn) 1 40' 6,00' &00 MAR 13 2012 f I Purchase ©escriptW R -rs- P.O. 0 P CrF a.L A IB d B DesCt Purr laS9r p 3 i $227.25 i Stat Tax 6 ti6 rn .Us 'ntat $'227.25 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 366016 Edwards, CJ Terms 579 Grabill Drive Westfield, IN 46074 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 1/24/12 1907 Repairs 227.25 Total 227.25 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. 366016 Edwards, CJ Allowed 20 579 Grabill Drive Westfield, IN 46074 In Sum of 227.25 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1096 -21 1907 4350000 227.25 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 22 -Mar 2012 Signature 227.25 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund