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214542 11/19/2012 CITY OF CARMEL, INDIANA VENDOR: T362076 Page 1 of 1 ONE CIVIC SQUARE ATLAIR PROMOTIONS LLC CARMEL, INDIANA 46032 2018 WINTON AVENUE CHECK AMOUNT: $1,600.00 SPEEDWAY IN 43224 CHECK NUMBER: 214542 CHECK DATE: 11/19/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4239011 255 1, 600 . 00 SPECIAL DEPT SUPPLIES Altair Promotions LLC ��►�` t--\C�� ��SS Invoice 2018 Winton Ave Date Invoice# Speedway, IN 46224 11/9/2012 255 Bill To Ship To City of Carmel City of Carmel 3400 W. 131 st Street 3400 W. 131 st Street Carmel, IN 47074 Carmel, IN 47074 P.O. Number Terms Rep Ship Via F.O.B. Project Due on receipt DS 11/9/2012 Quantity Item Code Description Price Each Amount 100 USFLAG US Flags 3'x5'Nylglo 16.00 1.600.00 Out-of-state sale,exempt from sales tax 0.00% 0.00 Thank you for your business. Total $1.600.00 VOUCHER NO. WARRANT NO. Altair Promotions, LLC ALLOWED 20 IN SUM OF $ 2018 Winton Ave Speedway, IN 46224 $1,600.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 I 255 I 42-390.11 j $1,600.00 1 hereby certify that the attached invoice(s), or I 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 /o U—W--4 Thurs 012 Street Commissioner 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)) 11/09/12 255 $1,600.00 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