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219416 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 365242 Page 1 of 1 ONE CIVIC SQUARE MIRAZON GROUP CHECK AMOUNT: $112.50 ss o CARMEL, INDIANA 46032 1640 LYNDON FARM COURT SUITE 102 LOUISVILLE KY 40223 CHECK NUMBER: 219416 CHECK DATE: 4/24/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1202 4341955 14301 112 . 50 INFO SYS MAINT/CONTRA The Mirazon Group 1640 Lyndon Farm Court Suite 102 miraz,-)n Louisville,KY 40223 502-240-0404 0. B T nvoi Ce City of Carmel 03/31/2013 114301 Attn:Terry Crockett Three Civic Square Carmel,IN 46032 City of Carmel 16-uer.'iiii6�,�','-r-..,'.�,-,'�'..-�-TFi6N'u Fm�er:' eference: Net 30 days 3. Amount ount Billable Time&Materials Off-Site Brent Earls 0.75 150-00 $112.50 Total $112.50 Invoice Subtotal: $112.50 Make checks payable to the Mirazon Group. Sales Tax: $0.00 Invoice Total: $112.50 Thank you for your business! \4 `0 \� 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)) 03/31/13 14301 $112.50 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 The Mirazon Group IN SUM OF $ 1640 Lyndon Farm Court, Suite 102 Louisville, KY 40223 $112.50 ON ACCOUNT OF APPROPRIATION FOR IS Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1202 14301 43-419.55 $112.50 I hereby certify that the attached invoice(s), or I 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 Monday, April 22, 2013 �e i^ Director , IS Title Cost distribution ledger classification if claim paid motor vehicle highway fund