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209111 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 360326 Page 1 of 1 0 ONE CIVIC SQUARE CULTURE LIGHTING CO INC CHECK AMOUNT: $458.95 CARMEL, INDIANA 46032 5329 W 86TH ST BLDG #6 INDPLS IN 46268 CHECK NUMBER: 209111 CHECK DATE: 5/22/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4350100 1068991 458.95 BUILDING REPAIRS MA INVOICE VISIT OUR WEBSITE www.culturelighting.com (04 Lure E -MAIL US- customerservice @culturelighting.com L Rg Il71:Ang Co. Hnc. 1068991 5329 West 86th Street Bldg. #6 Indianapolis, IN 46268 1- 800 844 -1845 Office: 317 471 -1129 Fax: 317- 471 -1218 EPICK TICKET 30722 0000100127 S0LD SHIP TO: CARMEL CLAY PARKS S RECREATION ATTN: MATHEW BUSH ATTN: ACCOUNTS PAYABLE (MAIL) 1195 CENTRAL PARK DRIVE WEST 1411 EAST 116TH STREET CARMEL IN 46032-3455 J J SALESMAN 201 SHIPPED VIA TERMS NET 20 DAYS F.O.B. uo@6 18.0 18.0 MH1000 /U/BT37 Reduced 25.0000 450;00 Delivery Charge 895 MAY 0 4 7-012 Purcha e Deacrip ion fl MOW P.O. P ore G.L. _I iC)Q3 y 3 t 5 D 122 budget 7 Line D. ;c .Purcha. er Date Approv I Date SUBTOTAL 458x95 TAX 0.00 TOTAL 458,195 ADVANCE PAYMENT TOTAL DUE 458.:95 WE ACCEPT VISA AND MASTERCARD INVOICE 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. 360326 Culture Lighting Co., Inc. Date Due 5329 W. 86th St. Bldg. 6 Indianapolis, IN 46268 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 5/2/12 1068991 Lamps 30722 458.95 Total 458.95 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. Allowed 20 360326 Culture Lighting Co., Inc. 5329 W. 86th St. Bldg. 6 Indianapolis, IN 46268 In Sum of 458.95 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1093 1068991 4350100 458.95 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 17 -May 2012 Signature 458.95 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund