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220703 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 365203 Page 1 of 1 ONE CIVIC SQUARE MAILBOX SOLUTIONS CARMEL, INDIANA 46032 10087 ALLISONVILLE ROAD,STE A CHECK AMOUNT: $30.00 FISHERS IN 46038 CHECK NUMBER: 220703 CHECK DATE: 6/412013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4239099 2790 30 . 00 OTHER MISCELLANOUS Mailbox Solutions BS Invoice 10087 Allisonville Rd Ste A Fishers, IN 46038 Date Invoice No. 317.460.1010 05/21/13 2790 Bill`To: Installation Address City of Carmel 870 Enclave Circle Dept 920 #447040 Carmel, IN 46032 One Civic Square ENCLAVE OF CARMEL Carmel, IN 46074 P.O. Number Terms Balance Due $30.001 Project Description Quantity Price Each Amount FCaulkand Paint Cedar Post - 30.00 30.00 �161718 � 1920 I ti Aj Total $30.00 Payment is due at order placement Please verify that the"Ship To"address is I00`Yoaccurate. Mailboxes produced with inaccurate information may incur additional charges. Customer is responsible foraccurately marking the location ofany irrigation systems or pet containment systems prior to post installation. Mailbox Solutions cannot be responsible for damage to these systems. Mailbox Solutions is not responsible for natural cracking of cedar posts 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 Mailbox Solutions Purchase Order No. 10087 Allisonville Rd Ste A Terms Fishers, IN 46038 Date Due Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s) Amount 5/21/2013 2790 Enclave Mailbox repair $ 30.00 Total $ 30.00 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 NC WARRANT NO. Mailbox Solutions ALLOWED 20 10087 Allisonville Rd Ste A IN SUM OF $ Fishers, IN 46038 $ 30.00 ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or DEP INVOICE NO. ACCT#/TITL AMOUNT EP T# I hereby certify that the attached invoice(s), 0 2790 2200-4239099 $ 30.00 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 ` 6/3/2013 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund