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210586 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 361278 Page 1 of 1 ONE CIVIC SQUARE WEBB EFFECTS LLC CHECK AMOUNT: $550.00 CARMEL, INDIANA 46032 1804 BROOKVIEW CIRCLE GREENFIELD IN 46140 CHECK NUMBER: 210586 CHECK DATE: 7/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 2010 -122 350.00 AUTO REPAIR MAINTEN 1120 4351000 2010 -124 200.00 AUTO REPAIR MAINTEN Webb Effects, LLC Invoice 1804 Brookview Cir. Date Invoice Greenfield, IN 46140 6/18/2012 2010 -124 Bill To Ship To Carmel Fire Department 2 Civic Square Carmel, In 46032 P.O. Number Terms Rep Ship Via F.O.B. Project 6/18/2012 Quantity Item Code Description Price Each Amount 1 Vinyl EMS -2 golf cart decals 200.00 200.00 Tax Free 0.00% 0.00 Total $200.00 Webb Effects, LLC Invoice 1804 Brookview Cir. Date Invoice Greenfield, IN 46140 6/18/2012 2010 -122 Bill To Ship To Carmel Fire Department 2 Civic Square Carmel, in 46032 P.O. Number Terms Rep Ship Via F.O.B. Project 6/18/2012 Quantity Item Code Description Price Each Amount 1 Vinyl Station 41 signs for apparatus doors 350.00 350.00 Tax Free 0.00% 0.00 Total $350.00 VO NO. WAR NO. ALLOWED 20 Webb Effects, LLC IN SUM OF 1804 Brookview Court Greenfield, IN 46140 $550.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members r 1120 2010 -122 43- 501.00 $350.00 1 hereby certify that the attached invoice(s), or 1120 2010 -124 43- 510.00 $200.00 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 29,2012 A V 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)) 2010 -122 $350.00 2010 -124 Cart $200.00 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