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218173 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 366745 Page 1 of 1 ONE CIVIC SQUARE NEW DEAL DEICING CARMEL, INDIANA 46032 2172 ACACIA CLUB ROAD CHECK AMOUNT: $5,697.00 HOLLISTER MO 65672 CHECK NUMBER: 218173 CHECK DATE: 3/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4236500 030813 5, 697 . 00 SALT & CALCIUM NEW DEAL DEICING Invoice No.1 030813 2172 Acacia Club Road Hollister, MO 65672 Tel/Fax:417-671-9891 p INVOICE Customer Misc Company: Carmel Street Department (Date: 3/8/2013 Address: 3400 W.131st St. 0rderNo: Deicer per Jeff City: Carmel State: IN ZAP.- 46074 Wyp: Laura (Phone: 317-733-2001 Due Date: 4/8/2013 Qty Unit Description Unit Price TOTAL 3 1000 kg NEWDEAL Solid Airfield Deicer $ 1,899.00 $ 5,697.00 Sodium Formate/Acetate Blend Pallet 25kg (551b) per bag; 40 bags per pallet Premium NEWDEAL-BLUE Su67otal $ 5,697.00 Shipping FREE Payment Discount 7a.)c W2ate(s) Comments: TOTAL T$ 5,697.00 Office Use Only PLEASE MAKE CHECK PAYABLE TO NEW DEAL DEICING BALANCE DUE IN FULL 30 DAYS FROM INVOICE DATE. A LATE CHARGE OF 1 1/2%PER MONTH WILL BE IMPOSED ON ALL OVERDUE AMOUNTS. Thank you for choosing NEWDEAL! 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)) 03/08/13 030813 $5,697.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 New Deal Deicing IN SUM OF $ 2172 Acacia Club Road Hollister, MO 65672 $5,697.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 I 030813 I 42-365.001 $5,697.00 I 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 N d 11, 2013 S� t( Title Cost distribution ledger classification if claim paid motor vehicle highway fund