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214647 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 359084 Page 1 of 1 0 ` ONE CIVIC SQUARE GENERAL ALARM CHECK AMOUNT: $60.00 CARMEL, INDIANA 46032 39592 TREASURY CIRCLE CHICAGO IL 60694-9500 CHECK NUMBER: 214647 CHECK DATE: 11/20/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350100 108629 60 . 00 BUILDING REPAIRS & MA C4 QUARTERLY MONITORING INVOICE GENERAL ALARM Date invoice # A Division of Mulhaupt's Inc. 8227 Northwest Boulevard #270 11/1/2012 108629 Indianapolis, IN 46278 (317) 925-8915 Account # P.O. No. Due Date Bill To 004129 12/1/20 12 Ship To Brookshire Golf Club Brookshire Golf Club 12120 Brookshire Pkwy 12120 Brookshire Pkwy Carmel, IN 46033-3314 Carmel, IN 46033-3314 Description — - -Amount--l - Quarterly Monitoring Service December January&February 60.00 NOTICE: Telephone services installed by digital phone providers may not work with your security system. Please contact your local General Alarm office for more information. Thank you PLEASE REMEMBER TO TEST YOUR SYSTEM For your convenience we can schedule automatic WITH THE CENTRAL STATION ON A payments with a c re—d i f card. REGULAR BASIS. IF YOU NEED ASSISTANCE If you are interested please call Donna at PLEASE CALL THE SERVICE DEPARTMENT. 317-925-8915. THANK YOU. Detach on perforation below VOUCHER NO. WARRANT NO. ALLOWED 20 General Alarm Accounts Receivable IN SUM OF $ 39592 Treasury Center Chicago, IL 60694-9500 $60.00 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 I 108629 I 43-501.00 I $60.00 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 Wednesday, November 07, 2012 Z" A Director, Brooks ire Golf Club 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)) 11/01/12 I 108629 I Alarm Monitoring Service I $60.00 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