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222187 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 353597 Page 1 of 1 ONE CIVIC SQUARE UPS STORE#2587 CHECK AMOUNT: $16.22 CARMEL, INDIANA 46032 484 E CARMEL DRIVE CARMEL IN 46032-2812 CHECK NUMBER: 222187 CHECK DATE: 7117/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4342100 16 . 22 POSTAGE The UPS Store - #2587 484 E. Carmel Dr. Carmel, IN 46032-2812 (317) 574-0570 06%17/13 10:20 AM We are the one stop for all your shipping, postal and business needs. li Illiiilli Iliiili li Illi liillilll II IIIII'tillillllllliillillll I i 001 001045 (001) TO $ 16.22 Ground Residential Tracking4 1Z3E87840317226862 SubTotal $ 16.20 Total $ 16,22 House Account $ 16.22 City Of Carmel Street Department Diana Cordray Thank You Diana Cordray Receipt ID 83276493165382888340 001 Items CSH: Ethan Tran: 9102 Reg: 001 Bring back this receipt and receive 5% off any transaction of $25.00 or more Whatever your business and personal needs, we are here to serve you, ENTER FOR A CHANCE TO- -- WIN $1000 . We value your •feedback To enter please complete the .customer satisfaction survey located at: www.theupsstore.com/survey For official rules and Terms and Conditions go to www.theupsstore.com and click Gn the Customer Experience Survey link VOUCHER NO. WARRANT NO. The UPS Store ALLOWED 20 IN SUM OF $ 484 E. Carmel Drive Carmel, IN 46032 $16.22 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 I 1 43-420.001 $16.22 1 hereby certify that the attached invoice(s), or H N-7-1 DO 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 o We n sd ly 10, 2013 Street Commissi r Stmet CQmmissianeic 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)) 06/17/13 $16.22 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