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214345 11/07/2012 CITY OF CARMEL, INDIANA VENDOR. 363387 Page 1 of 1 ONE CIVIC SQUARE KATALYST CORPORATION i CHECK AMOUNT $500.00 ,.�.�. CARMEL, INDIANA 46032 176 SCRAPE ST BEECH GROVE IN 46107 1923 CHECK NUMBER. 214345 CHECK DATE. 11/7/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236400 15000 500 00 PAINT KATALYST Tel (317)783.6500 Invoice Fax. (317)783-6565 CORPORATION Date Invoice# INDUSTRIAL COATINGS DISTRIBUTOR 176 Schaff Street 10/26/2012 15000 Beech Grove, IN 46107 Bill To Ship To City of Carmel Street Dept City of Carmel Street Dept 3400 W. 131st St. 3400 W. 131st St. Westfield, IN 46074 Westfield, IN 46074 P O Number Terms Rep Ship Via Clerk Net 30 GKB 10/26/2012 Customer P/U GC Quantity UOM Item Code Description Price Each Amount 4 5 GAL AEX72WA042/05 WHITE JET DRY WB TRAFFIC AEXCEL 12500 50000 Subtotal $50000 Thank vou! Sales Tax $000 Received bv- Total $50000 UNLESS OTHERWISE NOTED Terms: NET 30 DAYS FINANCE CHARGE OF 1.5%PER MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%CHARGED ON ALL PAST DUE ACCOUNTS PAST DUE ACCOUNTS ARE SUBJECT TO ALL COLLECTION COSTS INCLUDING ATTORNEY FEES AND COURT COSTS 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)) 10/26/12 15000 $50000 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 Katalyst Corporation IN SUM OF $ 176 Schaff Street ` Beech Grove, IN 46107 - $50000 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO I ACCT#/TITLE I AMOUNT Board Members 2201 I 15000 I 42-364 00I $50000 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 Thursday, November 01, 2012 V Street Commissioner c` z + / n.miccinncr ✓ Title Cost distribution ledger classification if claim paid motor vehicle highway fund