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226486 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 367631 Page 1 of 1 ONE CIVIC SQUARE THE TARP DEPOT CARMEL, INDIANA 46032 1103 CENTER STREET CHECK AMOUNT: $482.00 PASADENA TX 77506 CHECK NUMBER: 226486 CHECK DATE: 11/19/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 22239 482 . 00 MATERIALS & SUPPLIES T The Tarp Depot, Inc. Invoice r A K 13 e 1103 Center Street Pasadena, TX 77506 Date Invoice# 10/24/2013 22239 www.thetarpdepot.com BIII TO Ship To City of Carmel Waste Water Treatment Carmel Waste Water Treatment - Attn: Paul Arnone Attn: Blaine Mallaber 9609 Hazel Dell Parkway 9609 Hazel Dell Parkway Indianapolis, IN 46280 Indianapolis, IN 46280 Ship Date P.O. No. Due Date Project 10/24/2013 Dumpster 11/23/2013 Quantity Description Rate Amount 5 FB-20-30yd 3.5oz. Dewatering Liners 100 Micron 75.00 375.00 1 Freight 107.00 107.00 THANK YOU FOR YOUR BUSINESS. Sales Tax (0.0%) $0.00 c. Balance Due $482.00 Past due invoices are subject to interest charges of 1.5%per month. it Phone# Fax# E-mail. Web Site 713-477-4141 713-477-0005 lauren @thetarpdepot.coin www.thetarpdepot.com VOUCHER # 136789 WARRANT # ALLOWED 367631 ! IN SUM OF $ THE TARP DEPOT, INC 1103 CENTER STREET PASADENA, TX 77506 I Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR t Board members PO# INV# ACCT# AMOUNT Audit Trail Code 22239 01-7202-06 $482.00 I' c Voucher Total $482.00 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 367631 THE TARP DEPOT, INC Purchase Order No. 1103 CENTER STREET Terms PASADENA, TX 77506 Due Date 11/13/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/13/201, 22239 $482.00 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 it Date Officer