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215680 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 356295 Page 1 of 1 ONE CIVIC SQUARE INTERNATIONAL CODE COUNCIL INC CHECK AMOUNT: $52.00 CARMEL, INDIANA 46032 25442 NETWORK PLACE roe , CHICAGO IL 60673-1254 CHECK NUMBER: 215680 CHECK DATE: 12/18/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4239002 0226776 52 . 00 REFERENCE MANUALS N Attend a Code Council Institute or Invoice No Webinar. For Details, go to INVO226776 www.iccsafe.org/training. Invoice Date CODECOUNCIr CUSTOMER COPY 12/6/2012 International Code Council Due Date 4051 W. Flossmoor Rd. INVOICE 12/6/2012 Country Club Hills IL 60478 888-422-7233 x33816 708-799-2300 x33816 Collections@iccsafe.org Bill To: City of Carmel Ship To: City of Carmel William Hohlt William Hohlt 1 Civic Sq 1 Civic Sq Carmel IN 46032-2584 Carmel IN 46032-2584 United States Order No Customer ID Purchase Order No. 'I'Shippine Method .Entered By Payment Terms ; 100148919 5066197 FEDEX NOCHG dbo UPONRECEIPT Item Number Description Shipped Unit Price Ext:'Price 8720PIN06 EC-06 INDIANA IPC PL'F Net Invoice Sales Tax Freight/SEtH Total Payments Total Amount Due $52.00 $0.00 $0.00 $52.00 $0.00 $52.00 ® ICC MERCHANDISE RETURN FORM ®®® INTERNATIONAL — IMPORTANT INSTRUCTIONS — CODE COUNCIL Call (800) 786-4452 to receive your RMA # (Return Merchandise Authorization) and enter number below. Products may be returned in new, resalable condition within 30 days. Claims for shortages or damage must be made within 5 days of receipt of merchandise.All returns must include an ICC Return Authorization number.A copy of a paid invoice, a canceled check for the amount of purchase, or other proof of purchase must accompany the shipment of all returns. Unauthorized returns will be delayed in processing and may not be accepted for credit and/or may get returned to the customer. All returns are subject to a 20 percent restocking fee of the original selling price. No refund will be issued on overpayments less than$5. Returned merchandise must be shipped prepaid to the ICC Distribution Center at the address below: ICC Distribution Center 1171 i W 85th Street Lenexa, KS 66214 It is strongly recommended that returned merchandise be shipped through UPS to ensure prompt and efficient delivery because materials shipped at book rate are not traceable through the USPS. No refunds are made for software, audio or video products. Defective software, audio or video items may be exchanged only for the same titles or editions as the defective item. If you have any questions on these policies, please call 1-800-786-4452 and ask for a customer service representative. Customers returning merchandise must complete this form and include with returned merchandise (information can be found on other side of this packing list) RMA# CONTACT NAME ICC INVOICE/ORDER# SHIP TO NAME MEMBERSHIP# CITY/STATE CUSTOMER PO# PHONE# ITEM# DESCRIPTION QTY REASON FOR RETURN G�c Ca)�--C'A VOUCHER NO. WARRANT NO. ALLOWED 20 ICC As L f C.f 2- ,t+wjc� p6--p— IN SUM OF $ ossmoor oa $52.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE N0. I ACCT#/TITLE AMOUNT Board Members I hereby certify that the attached invoice(s), or 1192 inv0226776 42-390.02 I $52.00 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 Friday, December 14, 2012 Direar 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)) 12/06/12 inv0226776 EC 06 Indiana IPC $52.00 I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 120 Clerk-Treasurer