305748 12/07/16 M1a d ,pMf
CITY OF CARMEL, INDIANA VENDOR: 357074
® , ONE CIVIC SQUARE AACTION PROMOTION CHECK AMOUNT: $*****4,670.00*
f• =Q CARMEL, INDIANA 46032 2847 BRIDGESTONE CIRCLE CHECK NUMBER: 305748
93;;•...... KOKOMO IN 46902 CHECK DATE: 12/07/16
ON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239020 16013 728.63 FIRE PREVENTION SUPPL
1120 4239020 16014 983.02 FIRE PREVENTION SUPPL
1120 4239020 16015 616.97 FIRE PREVENTION SUPPL
1120 4239020 16016 632.17 FIRE PREVENTION SUPPL
1120 4239020 16017 1,372.75 FIRE PREVENTION SUPPL
1.120 4239020 16018 336.46 FIRE PREVENTION SUPPL
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
AACTION PROMOTION ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
n G R 0 X 77 7Z_ �o1� l W
�o-" IN SUM OF$ CITY OF CARMEL
'L/ p �1 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
KOKOMO, IN A&904- `f tO-`OX rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$4,670.00 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
16017 42-390.20 $1,372.75 1 hereby certify that the attached invoice(s),or 11/17/16 16018 $336.46
1120 101 1120 101
16016 42-390.20 $632.17 bill(s)is(are)true and correct and that the 11/17/16 16013 $728.63
1120 101 materials or services itemized thereon for 1120 101
16018 42-390.20 $336.46 11/17/16 16014 $983.02
1120 . 101 which charge is made were ordered and 1120 101
16015 42-390.20 $616.97 received except 11/17/16 16015 $616.97
1120 101 1120 101
16014 42-390.20 $983.02 11/17/16 16017 $1,372.75
1120 101 1120 101
16013 42-390.20 $728.63 11/17/16 16016 $632.17
1120 101 1120 101
Friday, November 18,2016
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
PO Box 7075 "Quality Products At Quality Pricing'
Kokomo, IN 46904 Promotional Products
Ph: 317-281-9681 Corporate Apparel
aaactionpromo@yahoo.com' %
Bill To Keith Freer Invoice# 16013
Carmel Fire Department
2 Civic Center
Carmel, IN 46032
Invoice
ALL PAST DUE INVOICES ARE SUBJECT TO A 10% PENALTY
,Date Invoiced ,Invoice Duey Date Customer PO#
11/15/2016 Upon Receipt
QTY Description Unit Price Total
1000 Round Tape Measures 0.63 630.00
1 Reset Charge 30.00 30.00
Item Total 660.00
Shipping ft Handling 68.63
Sub Total 728.63
Sales Tax0.00
Total 728.63
PO Box 7075 "Quality Products At Quality Pricing"
Kokomo, IN 46904 Promotional Products
Ph: 317-281-9681 Corporate Apparel
aaactionpromo@yahoo.com
Bill To Keith Freer Invoice# 16014
Carmel Fire Department
2 Civic Center
Carmel, IN 46032
Invoice
ALL PAST DUE INVOICES ARE SUBJECT TO A 10% PENALTY
Date Invoiced Invoice Due Date Customer PO#
11/15/2016 Upon Receipt
QTY Description Unit Price Total
1000 BIC Pens 0.95 950.00
Item Total 950.00
Shipping£t Handling 33.02
Sub Total 983.02
Sales Tax 0.00
Total 983.02
PO Box 7075 "Quality Products At Quality Pricing'
Kokomo, IN 46904 Promotional Products
Ph: 317-281-9681 Corporate Apparel
aactionpromo@yahoo.com
Bill To Keith Freer Invoice# 16015
Carmel Fire Department
2 Civic Center
Carmel, IN 46032
Invoice
ALL PAST DUE INVOICES ARE SUBJECT TO A 10% PENALTY
Date Invoiced Invoice Due Date Customer PO#
11/15/2016 Upon Receipt
QTY Description Unit Price Total
250 Night lights 2.33 582.50
Item Total 582.50
Shipping£t Handling 34.47
Sub Total 616.97
Sales Tax 0.00
Total F77T16.97
PO Box 7075 "Quality Products At Quality Pricing'
Kokomo, IN 46904 Promotional Products
Ph: 317-281-9681 Corporate Apparel
aactionpromo@yahoo.com
Bill To Keith Freer Invoice# 16016
Carmel Fire Department
2 Civic Center
Carmel, IN 46032
Invoice
ALL PAST DUE INVOICES ARE SUBJECT TO A 10% PENALTY
Date InvoicedInvoice Due Date Customer PO# m
11/15/2016 Upon Receipt
QTY Description Unit Price Total
2500 Mood Pencils 0.24 600.00
Item Total 600.00
Shipping£t Handling 32.17
Sub Total 632.17
Sales Tax 0.00
Total 632.17
PO Box 7075 "Quality Products At Quality Pricing"
Kokomo, IN 46904 Promotional Products
Ph: 317-281-9681 Corporate Apparel
aactionpromo@yahoo.com
Bill To Keith Freer Invoice# 16017
Carmel Fire Department
2 Civic Center
Carmel, IN 46032
Invoice
ALL PAST DUE INVOICES ARE SUBJECT TO A 10% PENALTY
Date Invoiced Invoice Due Date Customer PO#
11/15/2016 Upon Receipt
QTY Description Unit Price Total
2500 Bandage Dispenser 0.48 1200.00
1 Reset Charge 24.00 24.00
Item Total 1224.00
Shipping Et Handling 148.75
Sub Total 1372.75
Sales Tax 0.00
Total 1372.75
PO Box 7075 "Quality Products At Quality Pricing"
Kokomo, IN 46904 Promotional Products
Ph: 317-281-9681 Corporate Apparel
aaactionpromo@yahoo.com
Bill To Keith Freer Invoice# 16018
Carmel Fire Department
2 Civic Center
Carmel, IN 46032
Invoice
ALL PAST DUE INVOICES ARE SUBJECT TO A 10% PENALTY
Date Invoiced Invoice Due Date Customer PO#
11/15/2016 Upon Receipt
QTY Description, Unit Price Total
2000 Firefighter Erasers 0.15 300.00
Item Total 300.00
Shipping & Handling 36.46
Sub Total 336.46
Sales Tax 1 0.00
Total 1 336.46