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224598 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 363378 Page 1 of 1 ONE CIVIC SQUARE NAME DROPPERS INC s 0 CARMEL, INDIANA 46032 11416 FOREST KNOLL CIRCLE CHECK AMOUNT: $170.28 c�6� FISHERS IN 46037 CHECK NUMBER: 224598 CHECK DATE: 9/25/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 211 4462838 1632 170 . 28 STORM WATER PHASE II 10528 Courageous Drive ROPPE ;C Invoice Indianapolis, IN 46236 t1� 317-585-1815 WIN Date Invoice# 9/13/2013 1632 Embroidery,Screen Printing Ad Specialties Bill To Engineering Dept. Attn:Katie Neville One Civic Square Carmel, IN 46032 Terms Quantity Description Rate Amount 12 White River Clean Up Tee Shirts. Screen printed on yellow shirt in three 9.59 115.08T locations: left chest,right sleeve and full back in navy ink. Sizes 4-M.3-L, 5-XL 5 Same as above in sizes 3-2XL.2-3XL 11.04 55.20T Thanks for your continued business and support! Sales Tax (0.0%) $0.00 E-mail Balanced Due $170.28 namedroppers a comcast.net 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 Name Droppers Purchase Order No. 11416 Forest Knoll Circle Terms Fishers, IN Date Due Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s) Amount 9/13/2013 1632 shrits for white river clean up $ 170.28 Total $ 170.28 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. Name Droppers ALLOWED 20 -1116 FeFesle�� circle 1'b IN SUM OF$ LW37_1?5Z. $ 170.28 ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITL AMOUNT DEPT# I hereby certify that the attached invoice(s), 0 1632 211-4462838 s 170.28 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 1- AAZ 9/23/2013 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund