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213959 10/23/2012 - CITY OF CARMEL, INDIANA VENDOR: 363911 Page 1 of 1 ONE CIVIC SQUARE HUNTINGTON NATIONAL BANK s CHECK AMOUNT: $40,020.00 CARMEL, INDIANA 46032 EQUIPMENT FINANCE DIVISION PO BOX 701096 CHECK NUMBER: 213959 CINCINNATI OH 45270-1096 CHECK DATE: 10/23/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4467099 381369 40, 020 . 00 OTHER EQUIPMENT 0 INV=E Huntington DATE OF INVOICE 10/12/2012 The Huntington National Bank INVOICE NUMBER 381369 PO Box 701096 Cincinnati,OH 45270-1096 Customer Service is available at 1-866-329-7286 56798-000152-001 CITY OF CARMEL ATTN: DIANA CORDRAY 1 CIVIC SQ CARMEL IN 46032-2584 NV=E SUMMARY Contract Due Contract Sales/Use Late Number Description Date Payment Tax Charges Total Due 101-0073438-010 AMBULANCES 11/01/2012 $40,020.00 $40,020.00 Rental NPORTANT MESSAGES We appreciate your business. U- 0 0 0 0 0 PLEASE DETACH LOWER PORTION AND RETURN WITH THE ENCLOSED ENVELOPE. VOUCHER NO. WARRANT NO. ALLOWED 20 Huntington National Bank IN SUM OF $ P.O. Box 701096 Cincinnati, OH 45270 $40,020.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I 381369 1 102-670.99 I $40,020.00 1 hereby certify that the attached invoice(s), or f 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 OCT 2 2 2012 •� d U 3 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)) 381369 $40,020.00 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