253083 01/11/16 .coq
\• CITY OF CARMEL, INDIANA VENDOR: 365866
ONE CIVIC SQUARE HENDERSON IMPORTS, LTD CHECK AMOUNT:
CARMEL, INDIANA 46032 $4 e■R■i w 607.20'
pro' 2584 GARFIELD ROAD NORTH,STE.43 CHECK NUMBER: 253083
9,;�TON TRAVERSE CITY MI 49686 CHECK DATE: 01/11/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 R4239099 24748 231419 607.20 BAND EQPT
HENDERSON INVOICE ENDERSON 'S
DATE INVOICE# HPIPES • DRUMS • UNIFORMS
12/28/2015 231419 2584 Garfield Road North, Suite 43
Traverse City, MI 49686
BILL TO: SHIP TO:
Carmel Fire Department Carmel Fire Department
Attn:Accounts Payable Attn: Honor Guard
2 Civic Square
Carmel, IN 46032 2 Civic Square
Carmel, IN 46032
ORDER NO. DEL.TYPE SHIPPED VIA CARD TYPE EXP. DATE E-Mail CONTACT NUM...
PO 24748 LL COM 12/28/2015 Priority... Check IReppert@carmel.in.g... 317-571-2600
QUANTITY SHIPPED ITEM CODE DESCRIPTION PRICE EA... AMOUNT
FINAL SHIPMENT OF,PO#24748
2 BSH/7 Deluxe Spats-Size 11-11.5 64.00 128.00T
BD Band Discount -10.00% -12.80
Subtotal 115.20
3 G1-PC G1 Platinum Poly Pipe Chanter 189.00 567.00T
BD Band Discount -75.00 -75.00
Subtotal 492.00
Subtotal 607.20
1 SBO Backorder Shipping-No Charge for Freight 0.00 0.00
Out-of-state sale,exempt from sales tax 0.00% 0.00
Subtotal $607.20
Thank you for choosing Henderson's
Visit us on the web at www.hendersonitd.com payments/Credits $0.00
PH: 1-800-931-5010 Fax: 231-932-7331
Email: info @hendersonitd.com
�, Balance Due $607.20
'rescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
\n 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))
231419 $607.20
1 hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Henderson Imports, Ltd.
IN SUM OF$
2584 Garfield Road North, Ste. 43
Traverse City, MI 49686
$607.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
24748 231419 42-390.99 $607.20 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
�At�f 4 2016
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund