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215908 12/25/2012 CITY OF CARMEL, INDIANA VENDOR: 366487 Page 1 of 1 ONE CIVIC SQUARE CLAUDIA HERNANDEZ-STENINGER CARMEL, INDIANA 46032 12680 N BANDANNA WAY CHECK AMOUNT: $297.50 ORO VALLEY AZ 85755 CHECK NUMBER: 215908 CHECK DATE: 12125/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4357004 130725 297 . 50 EXTERNAL INSTRUCT FEE INVOICE NO. 130725 INVOICE SOLD TO I� - SHIPPED TO � VIA ' ADDRE S ADDR SS 0 i/Jj �v� CITY,STATE, I IP- CITY,STATE ZIP CUSTOMER'S;ORDER. ,H. SALESPERSON_ T •. DATE 9 , 3 G�1r—f -z Z5 z .050 ,1 A-0 j" L .adarrw -- - --- SCD8740 VOUCHER NO. WARRANT NO. ALLOWED 20 Claudia Steninger IN SUM OF $ 12680 N. Bandanna Way Oro Valley, AZ 85755 $297.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I 130725 43-570.04 I $297.50 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 DEC 17 2012 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund i 3rescribed 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 mhom, 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)) 130725 $297.50 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