HomeMy WebLinkAbout301373 07/28/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 00351734
ONE CIVIC SQUARE FIREHOUSE MAGAZINE CHECK AMOUNT: $**"*""*130.00*
CARMEL, INDIANA 46032 PO BOX 3258 CHECK NUMBER: 301373
NORTIHBROOK IL 60065 CHECK DATE: 07/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355200 1104680804 130.00 SUBSCRIPTIONS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
FIREHOUSE MAGAZINE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 3258 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
NORTH BROOK, IL 60065 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$130.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
1104680804 43-552.00 $130.00 1 hereby certify that the attached invoice(s),or 7/26/16 1104680804 $130.00
1120 101 1120 101
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
Tuesday,July 26,2016
David Haboush
Fire Chief
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
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Payment Options:
■
(Payment must be made in US Dollars and drawn on a US Bank.Canada orders please add GST tax.)
PO BOX 3258,NORTHBROOK,I1L,60065-3258Charge foc. O V/Sa ❑ ❑ El Payment Enclosed:
nclosed'
lJ;, ❑Bill Me
Credit Card#:' Expiration Date:
(Signature(Required): Date:.
IName(Please print)::'
(Title I Rank:
(Dept I Agency: .
1104680804/3566 (Address:
DENISE SNYDER ICity; State I Province:
CARMEL FIRE DEPT (zip I Postal Code: Country'
2 CIVIC SQ
46032
CARMEL IN (Phone:
UNITED STATES IE-mail(Required):
I❑Would you like to receive Product and Service information from our industry Partners via e-mail.
❑Department Address ❑Home Address(Please check one)
Please make any name,title or address changes as necessary. 564-9453
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STATION 46 CARMEL, IN 46.032
CARMEL, IN 46032
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CARMEL FIRE DEPT STA 42 CARMEL FIRE DEPT STA 44
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
UNITED STATES UNITED-STATES
❑ Renew ❑'Change ❑ Delete Title ❑ Renew ❑Change ❑ Delete Title
1104064761 B6081610010002 7/01/2017 8807087 B6081610010002 7/01/2017
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(Additional new names can-be written on the back of this form.) .-
Visit us at: www.firehouse.com • : 11 :4 564-9453
Priority Code:GRPRNL