Loading...
209248 05/22/2012 I Commercial SERVICES Secondary Account: 9800 201853 3 Statement Date: 04/25/12 Page: 3 of 7 I Current Invoice Details Mail Payments to: LOWE'S P.O. BOX 530954 ATLANTA, GA 30353 -0954 CARMEL CLAY PARKS RECRE Date of Sale: 03/26/12 Account: 9800 201853 3 Invoice: 1 901310 Store /City: 15251 CARMEL, IN P.O. I JOB: HAGANBURKE TRAIL w Buyer: HART SHAWN S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE 000000000201519 2X8X16 ACQ TOP CHOICE TR 3.00 EA 10.90 32.70 000000000093748 PART VINYL /ALUM.H /DOWN BR 1.00 EA 0.92 0.92 000000000155670 PROMOTIONAL DISCOUNT 1.00 EA 0.00 0.00 Subtotal. 33.62 Tax: 0.00 Balance Due: 33.62 Mail.P-ayment, LOWE'S P.O. BOX 530954 ATLANTA I ICI CARMEL CLAY PARKS &RECRE i Date of Sale. 04/05112 Account 9800 201853.3 Invoice: 998085 Store /City: 1191 N IN j P.O. JOB': MC002779 Buyer: KOEPPER DAWN f jK: DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE 1 000000000274501 NORTH STATES IN 1.00 EA 155.00 155.00 I i r� u Lj �i 000000000142738E 1 FE3 7DAY GROUND SHIPCHRG 31 O� 1.00 EA 13.99 13.99 U u Subioial: 168 99 Tax: 0:00- Balance Due: 168.99 r -1 r t l r f I r I I l A I I I I It l I I r I Mail y enll to: W LfOWE�S P.O BOX 530954 -j\- ATLANTA, GA 30353 -0954 CARMEL CLAY PARKS RECRE Date of Sa 04/05/12 Account: 9800 201853 3 Invoice: 998086 Store /City: 11911 NOBLESVILLE, IN P.O. JOB MC002779 Buyer: KOEPPER DAWN S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE 000000000155670 PROMOTIONAL DISCOUNT 1.00 EA 0.00 0.00 000000000274501 NORTH STATES 3 IN 1 SAFET 1.00 EA 147.25 147.25 000000000142738 3 -71DAY GROUND SHIPCHRG 31 1.00 EA 13.29 13.29 Subtotal: 160.54 Tax: 0.00 Balance Due: 160.54 I i Continue- 5879 0086 001 07 PAGE 3 of 7 ;COLR649A 2350 i i Definitions Payments Received: Money received and posted to the account since the previous billing period. Current Invoices Returns: New purchases and credits given for merchandise returned since the previous billing period. Past Due Invoices Returns: Previously billed invoices that have not been closed (by a payment or a credit) or merchandise returns that have not been applied to a specific invoice. Unapplied Payments Adjustments: Payments or non- merchandise credits that have been applied to the account, but not applied to a specific invoice. i i i i i i a f I C- n -rcial SERVICES Secondary Account: 9800 201853 3 Statement Date: 04/25/12 Page: 4 of 7 Mail Payments to: LOWE'S P.O. BOX 530954 ATLANTA, GA 30353 -0954 CARMEL CLAY PARKS RECRE Date of Sale: 04/05112 Account: 9800 201853 3 Invoice: 998089 Store /City: 1191 NOBLESVILLE, IN P.O. JOB: MC002779 Buyer: KOEPPER DAWN S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE w 000000000274501 NORTH STATES 3 IN 1 SAFET 1.00 EA (155.00) (155.00) 000000000142738 3 -7DAY GROUND SHIPCHRG 31 1.00 EA (13.99) (13.99) Subtotal: (168.99) Tax: 0.00 Balance Due: (168.99) i Mail Payments to: LOWE'S 530954 �ATL'ANTA GA 30353 -0954 j CARMIL�CIAYPARKS RECRE Date of Sale: 04/06/12 Account 9800 201853 3 Invoice: 909868 Store /City: 15251 CARMEL, IN P.O. I JOB: 30648 Buyer nMEHL ERIC 1 n n n S.K.U. I u L DES'CRIPTI QUANTITY UNIT PRICE EXT. PRICE 000000000352329) U 23`STRUC ;TURAL FOAM TOOL 1.00 EA 18.98 18.98 1 000000000338375 KBLT 12PT RATC COMWRN72T 1.00 EA 16.11 1611 000000000284165 14" PIPE :WRENCH- -IRON 1.00 EA 10.05 10.05 000 00 0000338604_ KBLT 7P_C 12PT STD COMB-SA n 1.00 EA 28.48 28.48 000000000284253 [y PIPE_WBENCFI CAST IRON_ 1.00 EA 19.84 19.84 i' v n i it o 00000000114533 OBAL 12PC 1.00 EA 13.76 13.76 000000000278610 1014" OBAL- T-10�C PLIERS WREN 1.00 PC 37.98 37.98 (000000000363547 AGNUM 1 3 /4 "L`AM COV 11 =1�1 1.00 EA 9.95 9.95 000000000075153 X 75' CONTRACTOR GRAD 2.00 EA 42.73 85.46 000000000 RO D 1 1.00 EA 0.00 0.00 I Subtotal: 240.61 Tax: 0.00 Balance Due: 240.61 Mail Payments to: LOWE'S P.O. BOX 530954 ATLANTA, GA 30353 -0954 CARMEL CLAY PARKS RECRE Dale of Sale: 04/09/12 Account: 9800 201853 3 Invoice: 902310 Store /City: 1525 CARMEL, IN P.O. I JOB: M000693 Buyer: HART SHAWN S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE 000000000092059 U -POST STEEL HEAVY DUTY 7 12.00 EA 4.68 56.16 000000000063321 HM 5/16 18 X 3 HEX BOLT 24.00 EA 0.24 5.76 000000000063404 HEX LOCK NUTS 5 24.00 EA 0.11 2.64 000000000024780 1 -1/4 X 1 -1/4 P TRAP 22 G 3.00 EA 9.20 27.60 H 000000000043764 5116" FLAT WASHER ZINC (2 2.00 EA 0.89 1.78 000000000155670 PROMOTIONAL DISCOUNT 1.00 EA 0.00 0.00 Subtotal: 93.94 Tax: 0.00 Balance Due: 93.94 I I Continue- 5879 0086 001 07 PAGE 4 of 7 COLR649A 2350 I I I I I I Definitions Payments Received: Money received and posted to the account since the previous billing period. i Current Invoices Returns: New purchases and credits given for merchandise returned since the previous billing period. I Past Due Invoices Returns: Previously billed invoices that have not been closed (by a payment or a credit) or merchandise returns that have not been applied to a specific invoice. I Unapplied Payments Adjustments: Payments or non- merchandise credits that have been applied to the account, but not applied to a specific invoice. i I i I I I I a i co,me —ial SERVICES Secondary Account: 9800 201853 3 Statement Date: 04/25/12 Page: 5 of 7 Mail Payments to: LOWE'S i P.O. BOX 530954 ATLANTA, GA 30353 -0954 CARMEL CLAY PARKS RECRE Date of Sate: 04116112 Account: 9800 201853 3 Invoice: 901193 Store /City: 1525 /CARMEL, IN P.O. JOB; NONE Buyer: BUSH MATTHEW S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE w 000000000324828 3 -PK MINI BRUSH SET 1.00 EA 2.83 2.83 000000000155670 PROMOTIONAL DISCOUNT 1.00 EA 0.00 00 Subtotal: 2.83 Tax: 0.00 i Balance Due: 2.83 I Mail Payments to: ,LOWE'S �P 0`BOX 530954 ATLANTA y>� 0353 -0954 i CARMEL�CLAY PARKS RECRE Date of Sale: 04/17/12 Acc 9800 201853 3 y Invoice: 912297 Store /City: 1525 CARMEL IN y J P.O. JOB: REPAIRS Buyer: RANSFORD -JIM 1 y y y h� 1 r I I S!K.U. I y I 6 IDESCRIPiTION— �yy I QUANTITY UNIT PRICE EXT. PRICE II y 000000000127398 X128 OZ.KRUD`KUTTER DEGREA 2.00 EA 14.23 28.46 00 0000000097331 SPRAY TIP SET (5 PK) TO 4 1.00 PC 26.58 26.58 000000000155670 PROMOTIONAL DISCOUNT 1.00 EA 0.00 0.00 t io Subtotal: 55.04 y y iy� Taz y 00 I y I I Balance Due: 55.04 1 I Mail Paymen to: L©WE�Sy y D P /O. BOX 530954---1 y y �ATiLANTA „1GA 30 -35 -3 -0954 CARMEL CLAY PARKS &RECRE Date of Sale: 04119/12 Account: 9800 201853 3 Invoice: I 919941 Store /City: 15251 CARMEL, IN P.O. I JOB,: ANDREW Buyer: SNYDER MICHAEL TODD S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE 000000000090954 2 CU FT PREMIUM BROWN MUL t 10.00 ZZ 2313 23.80 000000000164826 RED 1000 DANGER PELIGRO 1.00 EA 7.11 7.11 000000000155670 PROMOTIONAL DISCOUNT 1.00 EA 0.00 0.00 Subtotal: 30.91 Tax: 0.00 Balance Due: 30.91 i I I Continue- 5879 0086 001 07 PAGE 5 of 7 COLR649A 2350 i I i i Definitions Payments Received: Money received and posted to the account since the previous billing period. Current Invoices Returns: New purchases and credits given for merchandise returned since the previous billing period. I Past Due Invoices Returns: Previously billed invoices that have not been closed (by a payment or a credit) or merchandise returns that have not been applied to a specific invoice. i Unapplied Payments Adjustments: Payments or non- merchandise credits that have been applied to the account, but not applied to a specific invoice. i I a Commercial SERVICES Secondary Account: 9800 201853 3 Statement Date: 04/25/12 Page: 7 of 7 Mail Payments to: LOWE'S 1 I P.O. BOX 530954 ATLANTA, GA 30353 -0954 CARMEL CLAY PARKS 8 RECRE Date of Sale: 04124/12 Account: 9800 201853 3 Invoice: 1 901730 Store /City: 1525 CARMEL, IN P.O. I JOB: MC0002841 Buyer: MEHL ERIC S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE w 000000000267964 REAL ORG 50LB SCREW IN LA 12.00 EA 3.69 44.28 000000000215266 DURACELL D 8PK 1.00 EA 11.37 11.37 000000000076198 MAGLITE 2D ASSORTED RED /B 1.00 EA 15.09 15.09 000000000020116 1/2" BLK IRON PLUG 4.00 EA 1.05 4.20 000000000020113 1 /2" BLK IRON CAP 1.00 EA 1.13 1.13 000000000022485 1/2" BLK IRON 90D ELBOW 2.00 EA 130 2.60 000000000020113 .112 IAN CAP 1.00 EA 1.13 1.13 000000000022440 1/2" GALV:FLOOR FLANGE 1.00 EA 5.32 5.32 000000000022440 112" GALV FLOOR.FL-ANGE= 1.00 EA 5.32 5.32 000000000010777 1 -1/4" DECK SCREW 11- 10Y -i 1.00 EA 637 6.37 000000 00 006 X948 TAPCN 3116X1 -1/4 PFH SCRE 1.00 PC 10.95 10.95 000000000108717 A35Z FRAMING ANCHOR ZMAX 24.00 EA 0.81 19.44 I I 000000000022503 1%2" X LK IRON-PIPE� j 2.00 EA 8.05 16.10 00000000002250.1 1-112" X-24" BLK IRON i PIPE-� 2.00 EA 6.00 12.00 000000000019385 -718 "X48 "DOWEL -ROD I 14.00 EA 2.83 39.62 000000000046905 2X4X8 A CEQ T OP CHOI TR 1 6.00 EA 2.25 13.50 000000000155670 PROMOTIONAL DISCOUNT 1.00 EA 0.00 0.00 Subtotal: 208 42 n� 1�° (Tax; X0.00 I Balance Due: 208.42 r L�1 L_J L-J i--J L_I L_J I I I i i I 5879 0086 001 07 PAGE 7 of 7 COLR649A 2350 i Definitions Payments Received: Money received and posted to the account since the previous billing period. Current Invoices Returns: New purchases and credits given for merchandise returned since the previous billing period. i Past Due Invoices Returns: Previouslv billed invoices that have not been closed (by a payment or a credit) or merchandise returns that have not been applied to a specific invoice. Unapplied Payments Adjustments: Payments or non- merchandise credits that have been applied to the account, but not applied to a specific invoice. i I I I I Commercial SERVICES Secondary Account: 9800 201853 3 Statement Date: 04/25112 Page: 6 of 7 I Mail Payments to: LOWE'S P.O. BOX 530954 ATLANTA, GA 30353 -0954 I CARMEL CLAY PARKS RECRE Date of Sale: 04/23/12 Account: 9800 201853 3 Invoice: j 912370 Store /City: 1525 CARMEL, IN P.O. /JOB: DECTROM REPAIRS Buyer: RANSFORD JIM S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE W 000000000292679 18" NAT CABLE TIES 15 BAG 6.00 BA 5.26 31.56 000000000155670 PROMOTIONAL DISCOUNT 1.00 EA 0.00 0.00 Subtotal: 31.56 Tax: 0.00 Balance Due: 31.56 i Mail Payments to: LOWE'S P O BOX 530954 ATLANTA A -0954 CARMEL-CL-AY PARKS RECRE I Date of Sale: 04/23/12 Account 9800 201853 3 11 Invoice: 912369 S d-R I n 1� P.O. JOB: PLUMBING REPAIRS Buyer: RANSF JIM S.K.U. �DESCRIPTIONN� QUANTITY UNIT PRICE EXT. PRICE 000000000023378 2" PVC WY 600 10 00 1.00 PC 2.06 2.06 1 0 00000000023282 2" PVC COUPLING 100100 I 4.00 PC 0.66 2.64 000000000150887 B:OZ:HANDIPAK ____T_ 1.00 EA 7.11 7.11 000000000023316 2 "X1.5" PVC COUPLING 10- 1.00 PC 1.12 1.12 000000000155670 PROMOTIONAL DISCOUNT 1.00 EA 0.00 0.00 U► Subtotal= 12.93 Tax 0.00 i Balance Due: 12.93 Mail: P em nls fo LOWE 'S� J L= PtQ.]BOX 530854 ATLANTA, GA 30353 -0954 i CARMEL CLAY PARKS RECRE Date of Sale: 04123/12 Account: 9800 201853 3 Invoice: 901602 Store /City: 1525 CARMEL, IN P.O. I JOB; NONE Buyer: BUSH MATTHEW S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE 000000000144983 ENERGIZER AAA 10 PACK 1.00 EA 7.10 7.10 000000000155670 PROMOTIONAL DISCOUNT 1.00 EA 0.00 0.00 I Subtotal: 7.10 Tax: 0.00 Balance Due: 7.10 I I H t I Continue- 5879 0086 001 07 PAGE 6 of 7 ICOLR649A 2350 i I I I i i I I I i i I i Definitions Payments Received: Money received and posted to the account since the previous billing period. Current Invoices Returns: New purchases and credits given for merchandise returned since the previous billing period. i Past Due Invoices Returns: Previously billed invoices that have not been closed (by a payment or a credit) or merchandise returns that have not been applied to a specific invoice. Unapplied Payments Adjustments: Payments or non- merchandise credits that have been applied to the account, but not applied to a specific invoice. i I I I i I I a L LU o w LE5 imu-w k R WE�5 IM 1 0 5 2012 1 AW6 V I N Awbv NO LOVE'S HOME CENTERS INC. LOVE'S HONE CENTERS, INC. LOVE'S HONE CENTERS, INC. 16800 MERCANTILE BY 16800 MERCANTILE BLVD 16800 MERCANTILE BLVD NOBLESVILLE, IN 46060 (317) 774 -1826 NOBLESVILLE. IN 46060 (317) 114 -1826 NOBLFSUILLE, IN 46060 (317) 774 -1826 RETURN 9 8 0 8 9 YYYy,:x *Y DK UP INFORMATION 3ALES #:RS119ILPI 8793 TRANSN 85635172 04-05-1 PICK UP INFORMATION i OBTAIN STOCK MERCHANDISE DESIGNATED AS TO 08TIIIH STOCK MERCHRt10ISE DESIGNATED AS 'ICK UP LATER] ON THIS RECEIPT, YOU MUST ?IT 274501 4930 155.00- [PICK UP LATER] O11 THIS RECEIPT, YOU MUST COME TO THE CUSTOMER SERVICE DESK. NORTH STATES 3 IN I SAFET COME TO THE CUSTOMER SERVICE DESK. 'ICK UP DATE 04/05/12 FOR IHUOICE 98085 ORIG. STORE: 1191 DATE:040512 IIIV :98085 PICK UP DATE 04/05/12 FOR INUOICE 98087 Y'Y kYYYY l'[1IY[lY2Y �.11:Y Y�l. It! 1 4)7 3 4 iY4Y iYiYY }ikJll 2YYYYYt Y2 a:ra x.Ykx :YY 1Yl Y.XYk YLI O 1 ..Y *ltl.! iaak't iiY 3.7DAY GROUND SHIPCHRG 31 SA E ORIG. STORE: 1191 DATE:040512 INU:98085 is S119ILPI 8793 TRANS#: 85634420 04 -05 -12 INVOICE 98089 SUBTOTAL: 168.99- S A LE SALES S119ILPI 8793 TRAHS#: 65635061 04 -05 -12 1501 4930 155.00 SUBTOTAL: 168.99 NORTH STATES 3 IN 1 SAFET TAX: 0.00- 274501 4930 147.25 [PICK UP LATER] BALANCE DUE: 168 "49 NORTH STATES 3 IN 1 SAFET 1738 13.99 LAR: 168.99- 155.00 DISCOUNT EACH -7.75 3 -79AY GROUND SHIPCHRG 31 [PICK UP LATER] [PICK UP LATER] LAR:XXXXXXXX,XXXX8533 AMOUNT :168.99 142738 13.29 INVOICE 96085 SUBTOTAL: 168.y9 KEYED REFID: 04105/12 10:13:12 3 -70AY GROUND SHIPCHRG 31 SUBTOTAL: 168.99 LAR PO: H0002779 13.99 DISCOUNT EACH -030 TAX: 0.00 ACCOUNT NAME: [PICK UP LATER] BALANCE DUE: 68.99 CARREL CLAY PARKS E RECREA INVOICE 98087 SUBTOTAL: 160.54 LAR: 168.99 RUTH BUYER: ROEPPEft DAUN XXXXXXXXXXXX8533 AMOUNT: 16 01118 STORE: 1191 TERMINAL: 01 04/05/12 10:13:12 KEYED REFID: 04/05/12 10:01:19 INVOICE 98086 SUBTOTAL: 0.00 LAR PO: MC002779 STORE MANAGER: JOHN LANHAM l AccoUllr LAME: INUOICrc -98087 SUBTOTAL: 160.54 SUBTOTAL: 160.54 CARREL CLAY PARKS d RECREA TAX: 0.00 491H BUYER: K,OEPPER DAUN •:,Y Yt= .y... >x....... BALANCE DUE: Lao- 54 YOUR OPIIITONS COUNT! r LAR' 160.54' I VILL BE BILLED UPON MERCHANDISE TRANSACTION REGISTER TO YIN A $5,000 LOVE'S GIFT CARD! T D I S C 0 U N T: iR SIOCK MERCHANDISE AND NU LATER THAN 90 .DAYS GIStRESE PARA GANAR OUR TARJETA DE REGALO LOUE•S! LAR:XXXXXXXXXXXX8533 AMOUtJT:160.54 AUTHCD:001110 TRANSACTION DATE FOR SOS OR DIRECT DELIVERY KEYED REFTO: 04 /05/12 10:11:36 MERCHANDISE. GISIER BY COMPLETING A GUEST SATISFACTION SURVEY LRR P0: MC002779 VITHIM ONE UEEK A1: uuu.loues.con /survey ACCOUNT HAKE: HE: 1191 TERMINAL: 01 04/05/12 10:01:26 Y O U A I D a 01720 1191 095 CARREL CLAY PARKS 4 RECREA F ITEMS PURCHASED: 1 1 AUIH BUYER: KOEPPER DAUII ODES FEES, SERVICES AND SPECIAL ORDER ITEMS NO PURCHASE NECESSARY TD ENTER OR UIN. UHERE PROHIBITED. MUST BE 18 OR OLDER TD ENTER. x ACCOUNT UILL BE BILLED UPON MERCHANDISE TRANSACTIO! IL'IAL RULES b DINNERS AT: uuu.Taues.cor. /survey DATE FUR STUCK MERCHANDISE AND NO LATER THAN 90 DA' *'Y' FROM TRANSACTION OATS FOR SUS OR DIRECT DELIVERY THANK, YOU FOR SHOPPING LOVE'S. STORE: 1191 IERMINIL: 01 04/05/12 10:13:12 MERCHANDISE. SEE REVERSE SIDE FOR RETURN POLICY. STORE MANAGER: JOHN LANHAM •.I �L�` 1 i S1 ORE: 1191 TERMINAL: 01 04/05/12 10:11:42 GA A CtQ OF ITEMS PURCHASED: H HAVE THE L011EST PRICES. GUARANTEED! J 1 FIND A LUVER PRICE, UE Il1lL BEAT It 8Y 10 �C� r\ lC EXCLUDES FEES, SERVICES AND SPECIAL ORDER ITEM5 SEE STORE FOR DETAILS. Ci C'.C..(:%L�.il� 1 .0 C 1 :.1 A 7 "`r THAHK YOU FOR SHOPPING LOVE'S. SEE REVERSE SIDE FOR RETURN POLICY. STORE MANAGER: JOHN LANHAM Lowe's I F und 101 I IFund 109 1 1 I 1 V# 00352387 Invoi 4235000 42390 4239031 I 42 39099 1 4 4238000 42390391 B l d g. General Building Street Repairs Small Program supplies Misc signs Other Maint Tools supplies 1125 11251 11251 1093 10931 1094 -4 1 3/26/2012 1310 3 3.62 4/5/2012 98087 1 160.54 4/9/2012 2310 93.94 l 4/6/2012 9868 1_ 240.61 I 4/16/2012 1193 _i 2.83 4/19/2012 19941 30.91 4/24/2012 1730 208.42 4/23/2012 1602 7. 1 4/23/2012 123691 12.93 1 4/23/2012 12370 31.56 1 4/17/2012 122971_ 1 1 1 55.041 1 1 1 33.62 30.91 93.94 7 .10 102.36 449.03 160.54 877.50 f 1 TOTAL �I Lowe's jFund 101 1 1Fun 10 9_ 1 1 1 V# 00352387 1Invoice 1 4235000 42390001 4239031 1 4239099 4350100 4238000 4239039 (Bldg. General Building Street Repairs Small Program I supplies Misc signs Othe M Tools supplies 1125 11251 11251 10931 1093 1094 1096 -41 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. 00352387 Lowe's Date Due P.O. Box 530954 Atlanta, GA 30353 -0954 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 4/25/12 98002018533 Building supplies 33.62 4/25/12 98002018533 Misc 30.91 4/25/12 98002018533 Street signs 93.94 4/25/12 98002018533 Other 7.10 4/25/12 98002018533 Bldg repairs maint 102.36 4/25/12 98002018533 Small tools 449.03 4/25/12 98002018533 General program supplies 160.54 Total 877.50 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 Voucher No. Warrant No. Allowed 20 00352387 Lowe's P.O. Box 530954 Atlanta, GA 30353 -0954 In Sum of 877.50 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund n 109 Monon Center q O� �(Jl�� PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 98002018533 4235000 33.62 1 hereby certify that the attached invoice(s), or 1125 98002018533 4239000 30.91 bill(s) is (are) true and correct and that the 1125 98002018533 4239031 93.94 materials or services itemized thereon for 1093 98002018533 4239099 7.10 which charge is made were ordered and 1093 98002018533 4350100 102.36 received except 1094 98002018533 4238000 449.03 1096 -41 98002018533 4239039 160.54 17 -May 2012 Signature 877.50 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund