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211939 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00350944 Page 1 of 1 ONE CIVIC SQUARE SCOTT POOLS, INC CHECK AMOUNT: $39.85 0 ,CARMEL INDIANA 46032 904 W MAIN ST CARMEL IN 46032 CHECK NUMBER: 211939 CHECK DATE: 8/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 120838 39 . 85 REPAIR PARTS Scott Pools, Inc. 0 H 1W(a U RIF 904 W. Main Street Carmel, IN 46032 Invoice Number: 120838 Invoice Date: Jul 30, 2012 www.scottpoolsinc.com Page: 1 Voice: (317) 846-5576 Fax: (317)846-4763 Email: scottpools2 @gmail.com Bill To: —� Ship,to: ---- — CITY OF CARMEL STREET DEPT. 3400 W. 131ST STREET I I CARMEL, IN 46032 Customer PO Payment.Terms r , _ Due Date ------ - Net 30 Days---_— I 8129112 — Quantrty ( Description Unit Price Amount 1.00 1 STORE SALES-7125/12 39.851 39.85 1 I I I i ' I i � I i I - I { We're on Facebook! subtotal 39.85� Sales Tax www.facebook.com/scottpools I ! ! Total Invoice 39.85 i Keep up with all the latest news, in-store �— — specials, sales and more!!!! (A 1-1/2%late fee will be charged on all Accounts 30 days past due) Payments Accepted: Visa,Mastercard, T®TAL ®�1E_'--_ _ 39.85 Discover, AMEX, Check or Cash. Thank you for your continued business! __..t-,____._.____-_____ S i l t i Scott Pools''` I 904 W;. Main;Stree+:-::': . R Carprel; TN ��b032 `' II E "317.84b-557b,, E Account # ; : .CTfY".GAR. 'STREE ._ 3400 NEST 1315 C ST EE 'CARMEL, IN 46a3 UesCr.iption nt: . Price .E:;:3 'Extended �.. i Leisure, Time 1 -y11.95, 1"1 95 Nat. Chem. Cl 1 16.95 :' 15u35" DRAIN. PLUG .1 10.:95' 1t1.e95 -_ Sub Tonal 39, 51 Salves ;Lax Total.;: 0;'00 j Total .A'm,t . .. •39:05: Paid By Chargirig To Accounf'•: 39.85 Change: .0.00 :.By,Charging'To f Alith: Amount.- 39:85:" f l Customer Signature Wednesday, lul.Y 25; 20i2—.2.17, N1 .T_rnsr0.Q 0044369 j VOUCHER NO. WARRANT NO. Scott Pools ALLOWED 20 IN SUM OF $ 904 W. Main Street Carmel, IN 46032 $39.85 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 I 120838 I 42-370.001 $39.85 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 r tar/sday,�August 09, 2012 T Street Commissioner vLl 1,l:.L l.iVi l II!IIJJIV!ICI 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)) 07/30/12 120838 $39.85 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