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217642 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 00350328 Page 1 of 1 I€ 0 ONE CIVIC SQUARE GLIDDEN FENCE CO,INC. CARMEL, INDIANA 46032 P.O.BOX 481 CHECK AMOUNT: $535.00 WESTFIELD IN 46074 CHECK NUMBER: 217642 CHECK DATE: 2/26/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350100 74574 535 . 00 BUILDING REPAIRS & MA INVOICE 74574 Glidden Fence Co., Inc. Invoice Date: Finished By: Salesman: 2/7/2013 Jeff P.O. Box 481 Home Phone: Work Phone: Cell Phone: Westfield, IN 46074 317-753-8868 Phone:(317)867-5140 or(317)844-5657 Contact Name: Contact Phone: Fax: Fax:(317)896-3941 Subdivision: PO#: Fence Type: 0 Repair Carmel Fire Dept Station 5032 E Main St Carmel,IN 46032 DUE UPON RECEIPT Work was completed on: 2/6/2013 Work Location: Station#44 Base Bid: $ 535.00 Work Done: Adjustments: remove&replace (4) 4x4 posts with treated 4x4's Adjustments: Rehang 7 panels of Shadowbox fence Deposit: If balance is not paid in full within 10 business days, a 2%finance charge will be added to the remaining balance that will be compounded monthly thereafter. Balance Remaining: $ 535.00 Please detach and include with payment. Be sure to include your estimate /invoice #on your check! BELOW ITEMS TO BE FILLED IN BY GLIDDEN FENCE ACCTS.REC.DEPARTMENT Invoice# : 74574 Amount Paid: Date Paid: PNF or % Check Number: Pay Early Discount: YES NO N/A Due Date: Total Due: $ 535. VOUCHER NO. WARRANT NO. ALLOWED 20 Glidden Fence Co., Inc. IN SUM OF $ P.O. Box 481 Westfield, IN 46074 $535.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1120 I 74574 I 43-501.00 I $535.00 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 FEB 2 5 2013 Fire Chief 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)) 74574 $535.00 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 , 20 Clerk-Treasurer