320432 01/11/18 o Coq •,
CITY OF CARMEL, INDIANA VENDOR: 364752
C; ai ONE CIVIC SQUARE FIRE SAFETY EDUCATION CHECK AMOUNT: $*****3,150.00*
CARMEL, INDIANA-46032 69185 SKYBROOK ROAD CHECK NUMBER: 320432
MANDEVILLE LA 70471 CHECK DATE: 01/11/18
DEPARTMENT ACCOUNT PO'NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 R4239020 100955 254833 3,150.00 FIRE HELMETS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20
Vendor# 364752 ACCOUNTS PAYABLE VOUCHER
FIRE SAFETY EDUCATION IN SUM OF$ CITY OF CARMEL
69185 SKYBROOK ROAD 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.
MANDEVILLE, LA 70471
Payee
$3,150.00
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
100955 254833 42-390.20 $3,150.00 1 hereby certify that the attached invoice(s),or 12/15/17 254833 $3,150.00
1120 Encumbered 101 Prior Year 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
Friday,January 05,2018
David Haboush
Fire Chief
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
• 254833
}&- Fire ucarlan
Invoice.
69185 Skybrook Rd.•Mandeville,LA•70471 CUSt NO: CFD172
877-329-0575 toll-free
877-329-0573 fax
Bill To: Ship To:
Carmel Fire Department Carmel Fire Department
Keith Freer Keith Freer
2 Civic Square 2 Civic Square
Carmel, IN 46032 Carmel, IN 46032
USA USA
r
317-571-4245
Invoice Date =-Purchase Order#.- Salesperson: ;` .Our Order# Terms :.
1-2/1-5/20-11 __— 'fOD95 JAW -- �SSg —Net 30
Quantity ;Ifem Number;, Description Unit Price. ' Extended Price
5,000 FH01-CS Red Childrens Fire Hat with Chin Strap 0.69 3,450.00T
5,000 LABEL-A-PERS Fire Chief Hat Shield - PERSONALIZED 0.00 O.00T
1 DISCOUNT Discount -300.00 -300.00T
1 NOTE Order per Keith Freer 0.00 O.00T
FREE SHIPPING
Out-of-state sale, exempt from sales tax 0.00% 0.00
Total �. $3,150 00
Payments/Credits $0.00
.Balance:Due , :$3,150:00