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330588 10/02/18 `%��,q,,f� CITY OF CARMEL, INDIANA VENDOR: 372701 c.. �, ONE CIVIC SQUARE FILE OF LIFE FOUNDATION, INC. CHECK AMOUNT: $*****1,007.00* %aux mo=o; CARMEL, INDIANA 46032 P.O.BOX G CHECK WEST SU FIELD CT 06093 CHECK DATE: 10/02/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4239099 101872 H29023 1,007.00 EMERGENCY CARD VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts city Form No.201(Rev.1995) Vendor# 372701 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER FILE OF LIFE FOUNDATION, INC. IN SUM OF$ CITY OF CARMEL P.O. BOX G 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. WEST SUFFIELD, CT 06093 Payee $1,007.00 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 101872 H29023 42-390.99 $1,007.00 1 hereby certify that the attached invoice(s),or 9/25/18 H29023 Supplies $1,007.00 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 Thursday, September 27,2018 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 5-11-10-1.6 120- Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer FILE OF LIFE FOUNDATION, INC. 0 FM 'PROMOTING LIFE SAVING IDEAS SINCE 1995' @ PO BOX G WEST SUFFIELD, CT 06093 Invoice #:H29023 (800) 814-1788 SALESPERSON DATE OF INVOICE SHIP TO Carmel Fire Department Carmel.Fire Department c/o Keith Freer c/o Keith Freer 2 Civic Square 2 Civic Square Carmel, IH 46032 Carmel, 603 ACCOUNT NO. DATE SHIPPED I SHIPPED VIA ICOLI P.P.I F.O.B.POINT TERMS YOUR ORDER NUMBER H18326 DPS Ground Net 15 Days 101872 QUANTITY DESCRIPTION UNIT PRICE AMOUNT 1,000 FOL-RN File of Life Refrigerator Ragnet .960 960.00 Custom Card with 2 Additional Colors Freight 47.00 Sales Tax .00 Deposit ( .00) roraL 1,007.00