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209075 05/22/2012 1 CITY OF CARMEL, INDIANA VENDOR: 362272 Page 1 of 1 0 ONE CIVIC SQUARE BUSINESS FURNITURE, LLC. CHECK AMOUNT: $2,083.50 is CARMEL, INDIANA 46032 PO BOX 856300 DEPT 129 LOUISVILLE KY 40285 -6300 CHECK NUMBER: 209075 CHECK DATE: 5/22/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4463000 26117 403774 2,083.50 CHAIRS Business Furniture LLC �nVO1C@ 6102 Victory Way Indianapolis, IN 46278 PLEASE RE141T TO: Business Furniture, LLC Business Furniture P0 Box 8 6300 317.216.1600 Page 1 of 1 800.774.5544 www.businessfurniture.net Louisville. KY 40285 -6300 FAX 317.216.1601 BUSINESS FURNITURE INDIANA Invoice Invoice Sales Ship' Number Date Customer Order'Number Order No. Date Account Representative 403774 4/30/2012 26117 219817 4/30/2012 JOLYNNE WILHOIT SOLD TO: CARMEL POLICE DEPARTMENT SHIP TO: KERRI WRIN 3 CIVIC SQUARE CARMEL POLICE DEPARTMENT CARMEL, IN 46032 3 CIVIC SQUARE CARMEL, IN 46032 P: 1.317.571.2515 P: 1.317.571.2532 F: 1.317.571.2512 Due Date: 5/30/2012 Terms: NET 30 DAYS CARPOL Tax No: 0031201550020 Quote: 194663 Extended One Quantity Catalog Number/ Description Unit'Price Amount Invoice Messages This is a Partial Billing 1 7.00 TS31902 STEELCAS 265.50 1,858.50 Chair Executive 319, Full Back, Swivel Tilt, Mechanical, Plastic Open Arms Ord:8 B /O:l 2 1.00 JOB BFCINSTA 225.00 225.00 LABOR TO BUILD, SET IN PLACE AND REMOVE TRASH DURING NORMAL BUSINESS HOURS GOING IN CONFERENCE ROOM ON SECOND FLOOR CAN USE ELEVATOR *complete 04/30/12 T SKINNER* INVOICE TOTALS Sub Total 2,083.50 INDIANA SALES TAX EXEMPT 0.00 Please Pay This Amount: 2,083.50 *End of Invoice VOUCHER NO. WARRANT NO. ALLOWED 20 Business Furniture LLC IN SUM OF 6102 Victory Way Indianapolis, IN 46278 $2,083.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 26117 I 403774 I 44- 630.00 I $2,083.50 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 Thursday, May 17, 2012 Chief of Police 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)) 04/30/12 403774 chairs $2,083.50 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