HomeMy WebLinkAbout232020 04/30/14 9�;� CITY OF CARMEL, INDIANA VENDOR: 368121
;; ® `i'. ONE CIVIC SQUARE JIM COLEMAN LTD CHECK AMOUNT: $****"1,125.25*
�. CARMEL, INDIANA 46032 1500 SOUTH HICKS ROAD,STE.400 CHECK NUMBER: 232020
�,,,�_oN�.r ROLLING MEADOWS IL 60008 CHECK DATE: 04/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4345002 24579 503855 1,125.25 PROMOTIONAL
1
Jim Coleman, Ltd. INVOICE
1500 S. Hicks Rd., Suite 400
Rolling Meadows, IL 60008 503855
Phone: (847) 963-8100 Far: (847) 963-8200 04/14/2014
Bill To: Strip To:
ACCTS PAYABEL RECEIVING DEPARTMENT
CITY OF CARMEL CITY OF CARMEL FIRE DEPT
ONE CIVICS UARE 2 CIVICSQUARE
CARMEL, IN 6032 PO# 2457
CARMEL, IN 46032
P.O. Number Customer Phone Terms
24579 (317) 571-2622 Net 30
Item Code Quantity Item Description Unit Price - Ainouift ""—
EMS17 170 EMS17 Sport Bottle 2014 $5.75 $977.50
SC 1 Screen Charge for Personalization $50.00 $50.00
FREE 1 FREE Sample Kit 2014 $0.00 $0.00
Subtotal $1,027.50
Invoicing Fee $0.00
Shipping $97.75
Tar@9.00% $0.00
TOTAL $1,125.25
**PERSONALIZED WITH FACILITY LOGO AND EMS LOGO**Thank you for your order for EMS Week, May
18-24, 2014. Delivery is 3-4 weeks for most items. Direct inquiries to service@jimcolemanitd.com or call
Customer Service at 847-963-8100.
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'rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
Athom, 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))
503855 $1,125.25
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 NO. WARRANT NO.
ALLOWED 20
Jim Coleman Ltd.
IN SUM OF $
1500 South Hicks Road, Ste. 400
Rolling Meadows, IL 60008
$1,125.25
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
24579 503855 43-450.02 $1,125.25 1 hereby certify that the attached invoice(s), 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
R 2 8 2014
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund