243994 04/08/15 �,,•.c,gMe _
> CITY OF CARMEL, INDIANA VENDOR: 368121
ONE CIVIC SQUARE JIM COLEMAN LTD CHECK AMOUNT: $*****2,996.13*
4 CARMEL, INDIANA 46032 1500 SOUTH HICKS ROAD,STE.400 CHECK NUMBER: 243994
�,;,�_oN.�.? ROLLING MEADOWS IL 60008 CHECK DATE: 04/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4345002 24699 529453 2,996.13 EMS WEEK SUPPLIES
Jim Coleman, Ltd. INVOICE
1500 S. Hicks Rd., Suite 400
Rolling Meadows, IL 60008 529453
Phone: (847) 963-8100 Fax: (847) 963-8200 03/23/2015
Bill To: Ship To:
ACCTS PAYABEL THOMAS SMALL
CITY OF CARMEL CARMEL FIRE DEPT
ONE CIVICS UARE 2 CIVICSQUARE
CARMEL, IN 6032 PO# 2469
CARMEL, IN 46032
P.O. Number Customer Phone Terms
24699 (317) 571-2622 Net 30
Item Code Quantity Item Description Unit Price Amount
EMS14 160 EMS14 Deluxe Sling Pack 2015 $14.55 $2,328.00
EMS31 350 EMS31 Dual Ballpoint Stylus 2015 $1.20 $420.00
SC 1 Screen Charge for Personalization $50.00 $50.00
Sc 1 Screen Charge for Personalization $0.00 $0.00
Subtotal $2,798.00
Invoicing Fee $0.00
Shippilrg $198.13
Tax @ 9.00% $0.00
TOTAL $2,996.13
**PERSONALIZED BAGS WITH EMS LOGO AND CARMEL LOGO, STYLUS TO HAVE CARMEL LOGO
ONLY**Thank you for your order for EMS Week, May 17-23, 2015. Delivery is 2-3 weeks for most in
stock items. Direct inquiries to service@jimcolemanitd.com or call Customer Service at 847-963-8100.
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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))
529453 $2,996.13
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
$2,996.13
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
24699 529453 43-450.02 $2,996.13 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
APR - 6 2095
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund