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216495 01/15/2013 CITY OF CARMEL, INDIANA VENDOR: 366487 Page 1 of 1 ONE CIVIC SQUARE CLAUDIA HERNANDEZ-STENINGER 0 1, CARMEL, INDIANA 46032 12680 N BANDANNA WAY CHECK AMOUNT: $297.50 ORO VALLEY AZ 85755 CHECK NUMBER: 216495 CHECK DATE: 1/15/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4357004 130727 297 . 50 EXTERNAL INSTRUCT FEE INVOICE NO. 1 3,0 7 2 7 INVOICE SOLD TO � SHIPPED TO - VI AE61`IES� �p �'/ Q ADDRESS -` �7 CITY,STATE,-ZIP /, ` { ^ _ j CITY,STATE,ZIP 0 CUSTOMERS ORDER j I SALE PERSON� JTERMS . F.O.B. - DATE': qyE: SCD8740 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)) 130727 Mead-Spanish Class $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 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 h PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I 130727 I 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 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund