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222530 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 359282 Page 1 of 1 wF ONE CIVIC SQUARE PAVER'S INC CARMEL,INDIANA 46032 2900 NORTH 900 EAST CHECK AMOUNT: $712.30 v ? BROWNSBURG IN 46112 CHECK NUMBER: 222530 CHECK DATE: 7/30/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4235000 13208 216 . 30 BUILDING MATERIAL 2201 4235000 13233 496 . 00 BUILDING MATERIAL PAVERS, Inc. Invoice 2900 North 900 East Date Invoice# Brownsburg, IN 46112 7/14/2013 13208 Bill To Ship To City Of Carmel Street Dept City Of Carmel Street Dept 3400 West 131st Street 3400 West 131st Street Westfield,IN 46074 Westfield,IN 46074 P.O. Number Terms Rep Ship Via F.O.B. Project Boyd Due on receipt BER 7/14/2013 Will Call BB Quantity Item Code Description Price Each Amount 103 Misc Mad Euro Dominion 2.10 216.30T 0.00% 0.00 Thank you for your business. Total $216.30 PAVERS, Inc. Invoice 2900 North 900 East Brownsburg, IN 46112 Date Invoice# 7/23/2013 13233 Bill To Ship To City Of Carmel Street Dept City Of Carmel Street Dept 3400 West 131st Street 3400 West 131st Street Westfield,IN 46074 Westfield,IN 46074 P.O. Number Terms Rep Ship Via F.O.B. Project Boyd Due on receipt BER 7/23/2013 Will Call BB Quantity Item Code Description Price Each Amount 160 Mission 8 CM Mission 8 CM 3.10 496.00T 0.00% 0.00 Thank you for your business. Total $496.00 VOUCHER NO. WARRANT NO. ALLOWED 20 Pavers, Inc. IN SUM OF $ 2900 North 900 East Brownsburg, IN 46112 $712.30 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 13208 42-350.00 $216.30 1 hereby certify that the attached invoice(s), or 2201 13233 42-350.00 $496.00 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 rid J 13 §Kww 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)) 07/14/13 13208 $216.30 07/23/13 13233 $496.00 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