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215875 12/25/2012 CITY OF CARMEL, INDIANA VENDOR: 00350277 Page 1 of 1 ONE CIVIC SQUARE DEERING CLEANERS CARMEL, INDIANA 46032 602 N CAPITOL AVE CHECK AMOUNT: $634.06 o� INDIANAPOLIS IN 46204-1206 CHECK NUMBER: 215875 CHECK DATE: 12/25/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350600 634 . 06 CLEANING SERVICES STATEMENT Deering Cleaners Page: 1 602 N.Capitol Ave. Closing Date: 12/01/2012 Indianapolis,IN 46204 (317)251-6740 Due Date: 12/31/2012 Account#: DE109 Carmel Fire Dept. Gary Carter Remit To: Deering Cleaners Two Civic Square 602 N.Capitol Ave. Carmel, IN 46032 Indianapolis,IN 46204 DATE REFERENCE DESCRIPTION AMOUNT Carmel Fire Dept. 11/05/12 DE-11-100238 Drycleaning 196.04 11/05/12 DE-11-100239 Drycleaning 155.28 11/05/12 DE-11-100240 Drycleaning 107.74 Subtotal: 459.06 Carmel,Cummins F 11/05/12 DE-11-100512 Drycleaning 32.00 Carmel,Heavner,J 11/05/12 DE-11-100513 Drycleaning 32.00 11/05/12 DE-11-100520 Drycleaning 5.50 Subtotal: 37.50 Carmel,Keaton T 11/19/12 DE-11-104238 Drycleaning 28.00 11/19/12 DE-11-104241 Drycleaning 3.00 Subtotal: 31.00 Carmel,Lenze 11/19/12 DE-1 1-104230 Drycleaning 32.00 11/19/12 DE-11-104236 Drycleaning 9.00 Subtotal: 41.00 Carmel,Tierney S 11/23/12 DE-11-106031 Drycleaning 28.00 11/23/12 DE-11-106038 Drycleaning 2.50 11/23/12 DE-1 1-1 06040 Drycleaning 3.00 Subtotal: 33.50 * indicates a paid invoice Previous Balance: 4,030.85 Total Payments: 0.00 New Charges: 634.06 CURRENT 30 DAYS 60 DAYS 90 DAYS BALANCE DUE 634.06 4,030.85 0.00 0.00 4,664.91 VOUCHER NO. WARRANT NO. ALLOWED 20 Deering Cleaners IN SUM OF $ 602 North Capitol Avenue Indianapolis, IN 46204 $634.06 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I 43-506.00 I $634.06 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 t Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Irescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 4n 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)) $634.06 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