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174080 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 357105 Page 1 of 1 ONE CIVIC SQUARE TOWNSEND GLASS CO CARMEL INDIANA 46032 302 NORTH UNION CHECK AMOUNT: $340.00 PO BOX 335 CHECK NUMBER: 174080 on WESTFIEL6IN 4674 CHECK DATE: 612412009 DEPAR TMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION v 1,120 4237000 19425 340.00 REPAIR PARTS 06/16/09 TUE 08:50 FAX 317 867 4527 TOWNSEND CLASS COMPANY 0 001 invoice Invoice Number: 19425 Invoice Date: 202 NORTH UNION Nay 1e, 2009 P BOX 335 Page; WESTFIELD, IN 46074 1 F1140NE, 317 -$96 -1259 FAX: 317 -867 -4527 Sold T o: S17ip to: OFFICER REEVES c ARl`ML �'zRE pEpAFtTM�NT 2 CIVIC sQ CAlpPML Tii 45032 317 571 -2667 P Terms Customer PQ Custom ID Nit 10 Days Sh Date ip Due Date 5hip��Method zs /09 J Sal }tap ID— PICKUP R_ P IPER Unit Price Extension I I Description 340.00 Item Qty E I— �/2 ROUN1� 2634: SNSIILA'PD GLASS CUT PEkt PATTERN ANI7 340.00 0 iG- TFP.NE INSTALLED IN CUSTOMER'S SASI'j TO INCLUDE REPAIRING COD STOP$ IN TGC'S SHOP IG- PRICE LASS PRICE INCLUDES: RemcvaL disposal of old glass 11 Installation labor sealants Manufacturer's glass seal warranty I ITG -COND SPECIAI CONDITXONS: bead time is about 2 -4 weeks I Paint'<ing surface fa.ni,shing are net included I I 1 I Glazing bead, if requixed is not included I I 1 —I S40- CREDIT CARD 1�1— I_—��l l —l� 1— I-I�I,V�I —I -I�1 Subtotal Sales Tax EXQ DATE: ZIP: Total Invoice ,�maunt 340.00 Payment Received TOTAL 340.00 PAID WITH: and P Terms arms a S stated not paid when o ab o v e Shall be s bject to a I HEREBY ACKNOWLEDGE THEE ABOVE WORK GOMPLEYK AND AGREE TO document. Any O THE TERMS AND CONDITIONS ON THE FRON month T ANO BACK OF 1HI5 INVOICE Billing or Charge and bear interest max proceedings a rate of may per or the imum legal rate. Lien praceedinge may begin at45 days after vwvrk completion. X Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL s 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)) 19425 $340.00 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 Townsend Glass Co. IN SUM OF P.O. Box 335 Westfield, IN 46074 $340.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 19425 42- 370.00 $340.00 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 JUN 2 2 2(1D5 d D Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund