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209521 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00350277 Page 1 of 1 ONE CIVIC SQUARE DEERING CLEANERS CHECK AMOUNT: $254.00 CARMEL, INDIANA 46032 602 N CAPITOL AVE INDIANAPOLIS IN 46204 -1206 CHECK NUMBER: 209521 CHECK DATE: 6/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350600 254.00 CLEANING SERVICES STATEMENT Deering Cleaners Page: 1 602 N. Capitol Ave. Closing Date: 06/01/2012 Indianapolis, IN 46204 (317) 251 -6740 Due Date: 06/30/2012 Account DE109 Carmel Fire Dept. Gary Carter Remit To: Deering Cleaners Two Civic Square 602 N. Capitol Ave. Carmel, IN 46032 Indianapolis, IN 46204 DATE REFEREN D ESCRIPTION AMOUNT Payments 05/23/12 Check 208661 556.63 Carmel, BUTTLER J 05/29/12 DE -05- 108980 Drycleaning 31.00 Carmel, Cox J 05/29/12 DE -05- 108929 Drycleaning 28.00 05/29/12 DE -05- 108934 Drycleaning 12.00 Subtotal: 40.00 Carmel, Frye S 05/29/12 DE -05- 108899 Drycleaning 28.00 05/29/12 DE- 05- 108919 Drycleaning 4.50 Subtotal: 32.50 Carmel, Harrington A 05/29/12 DE -05- 108959 Drycleaning 28.00 05/29/12 DE -05- 108966 Drycleaning 9.00 Subtotal: 37.00 Carmel, Medlen M 05/01/12 DE -04- 107284 Drycleaning 31.00 Carmel, Moriarty J 05/15/12 DE- 05- 105194 Drycleaning 28.00 05/15/12 DE -05- 105195 Drycleaning 8.50 Subtotal: 36.50 Carmel, Reeves N 05/13/12 DE- 05- 103382 Drycleaning 32.00 indicates a paid invoice Previous Balance: 556.63 Total Payments: 556.63 New Charges: 254.00 CURRENT 30 DAYS 60 DAYS 90 DAYS BALANCE DUE 254.00 0.00 0.00 0.00 254.00 STATEMENT Deering Cleaners Page: 2 602 N. Capitol Ave. Closing Date: 06/01/2012 Indianapolis, IN 46204 (317) 251 -6740 Due Date: 06/30/2012 Account DE109 Carmel Fire Dept. Gary Carter Remit To: Deering Cleaners Two Civic Square 602 N. Capitol Ave. Carmel, IN 46032 Indianapolis, IN 46204 DATE REFER DESCRIPT AMOUNT Carmel, Thordarson E. 05/21/12 DE -05- 105197 Drycleaning 14.00 indicates a paid invoice Previous Balance: 556.63 Total Payments: 556.63 New Charges: 254.00 CURRENT 30 DAYS 60 DAYS 90 DAYS BALANC DUE 254.00 0.00 0.00 0.00 254.00 VOUCHER NO. WARRANT NO. ALLOWED 20 Deering Cleaners IN SUM OF 602 North Capitol Avenue Indianapolis, IN 46204 $254.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 I I 43- 506.00 I $254.00 I 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 BB iAl 202 .c �JL8 I Fire Chief 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)) $254.00 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