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219669 05/07/2013 CITY OF CARMEL, INDIANA VENDOR: 360714 Page 1 of 1 0 ` ONE CIVIC SQUARE BUD'S ENGRAVING _ CHECK AMOUNT: $1,346.00 CARMEL, INDIANA 46032 13482 GYPSUM WAY FISHERS IN 46038 CHECK NUMBER: 219669 CHECK DATE: 5/7/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 131401 1, 346 . 00 OTHER EXPENSES I Bud's Engraving Invoice 13482 Gypsum Way Fishers, IN 46038 Date Invoice# Phone: (888) 736-7687 Federal 1D9 26-1668271 4/3/2013 131401 Fax: (888) 381-0710 Bill To Ship To Carmel Water Utilities Carmel Water Utilities Plant#5 Attn: Aects. Payable 4915 E. 106th St 3450 W. 131 st Street Attn: Ken Rhodes/Plt#I Tags Carmel, IN 46074 Carmel,IN 46033 I P.O. Number Terms Rep Ship Via F.O.B. Project W09798 Net 30 MY 4/3/2013 US Mail Quantity Item Code Description Price Each Amount 1 One Lot Engraved plates 1,346.00 1,346.00T I Shipping&Handling Shipping&Handling. Sales Tar 0.00% 0.00 Please Note: Our address has changed. The new address is: Buds Engraving 13482 Gypsum Way Fishers, IN 46038 Remember,you can email us Bud @BudsEngraving.com Total $1,346.00 , r�'', �,:a5r �<�>�:�� a• _ 1. 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 004400 BUD'S ENGRAVING Purchase Order No. 13482 GYPSUM WAY Terms FISHERS, IN 46038 Due Date 4/30/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/30/2013 131401 $1,346.00 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 Date Officer VOUCHER # 131482 WARRANT # ALLOWED 004400 IN SUM OF $ BUD'S ENGRAVING 13482 GYPSUM WAY FISHERS, IN 46038 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 131401 01-6200-04 $1,346.00 I Voucher Total $1,346.00 Cost distribution ledger classification if claim paid under vehicle highway fund