HomeMy WebLinkAbout333424 12/14/18 `� �,qM° CITY OF CARMEL, INDIANA VENDOR: 358924
J� 9.
.1z ONE CIVIC SQUARE ANDREW YOUNG CHECK AMOUNT: $********99.50*
:9� j�Q; CARMEL, INDIANA 46032 11678 ROSEMEADE DR CHECK NUMBER: 333424
.(,��TON�, CARMEL IN 46032 CHECK DATE: 12/14/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4230200 39.50 OFFICE SUPPLIES .
1120 4239099 60.00 OTHER MISCELLANOUS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 358924
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
ANDREW YOUNG IN SUM OF$ CITY OF CARMEL
11678 ROSEMEADE DR 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.
CARMEL, IN 46032
Payee
$99.50
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
0 42-302.00 $39.50 1 hereby certify that the attached invoice(s),or 12/7/18 0 CFD Pens $39.50
1120 101 1120 101
0 42-390.99 $60.00 bill(s)is(are)true and correct and that the 12/7/18 0 Cards $60.00
1120 101 1 materials or services itemized thereon for 1120 1 101
which charge is made were ordered and
received except
Tuesday, December 11,2018
David Haboush
Fire Chief
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
.'20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund.
Clerk-Treasurer
AMERICAN EDUGATIO
LUNG
ASSOCIATIOIiI® :B PROGRAM
ASSOCIATION. .
Oil! V 6 ji 11 OR
You can type your information directly into this form. You will not be able to save;print before'closing_-
Ship to Credit Card Billing Information
James. R. Ginder
Instructor Name(required) Name.and address as it appears on credit card
Hamilton County. Health Departmetn
Address 1 Address 1
18030 Foundation Drive
Address 2 Address 2
Noblesville IN 46060
.City State Zip City State Zip
james.ginder@hamiltoncounty.in.gov
Email.(required) Phone
Payment Credit Card-Number
El Enclosedis my check for$ payable to the
American Lung Association .in Indiana.No purchase orders please. _
Mail completed roster,order form and payment to:
(all.three must be submitted at the some time)
American Lung:Association:in Indiana Exp Date CVV
115-W Washington St,Ste 1180-S
Indianapolis,IN 46204 Signature
Phone 317-21078553 I Fax 317-819-1187
Email of Cardholder(receipt will be emailed to cardholder)
Email TB-IN@Lung.org
7Descriptlon Unit Price Quantity Total
ency Validation Cards $10.00 6 $60.00
TB Instructor-Course Validation Cards for New Instructors(for.T6 trainers only) $10.00 $ .
Instructor/Trainer Renewal(only available November-March) $55.00(Nov-Dec) $
Renewal Late.Fee +$15.00(Jan) $
Renewal Late Fee +$20.00(Feb-Mar) $
Instructor'smanual available online at s__3&w Ind'an TS d L ation-orQ
in Forms and Resources.
TOTAL .$60.00
Charge from National Pen Co paid via Firefighters Credit Union
Dec 03 POS PURCH NATIONAL PEN CO 5989 CA 85875-3000 NATIONAL PEN CO LLCUS $-83.93
Wrong amount charged. Called and confirmed wrong amount charged(12/6)and they are going to refund'and fix.
Service ticket:28741005.The$42.27 is the correct amount.
Itemized Summa :
D• Quantity:
Alpha Soft-Touch Pen with Stylus:LNS- 50 S.79 S39.50
XXX-J4LCX-CB-C.
Trim:Chrome
Barrel.Black
Ink(Not Imprint):Black
Point Type.Ballpoint
ClipOptron:With Clip
Setup Charge 1 $.00 $.00
Logo Charge, 1 $.00 S.130
Imprint and Design:
Our team of expert artists will
make-sure your logo apears
perfectly on this pro uct.
Subtotal: $39.50
Shipping: $12.99
Discount: $-12.99
Tax: $2.77
Total: $42.27
Q NATIONAL PEN
ftt unsays is our business!
Dear Andrew,
Your order has been received and will be started right away.
Thank you for shopping with usl
Order Number.041774182551 Customer Number:#423806151
Order Date:11-21-2018 Freight Carrier UPS GROUND
PO Number. Promotion.Code:
Shipping Address: Billing Address:
Andrew Young Andrew Young
11678 Rosemeade Or 11678 Rosemeade Or
Carmel,IN Carmel,IN
46032.2578-- 46032-2578
us us
317-797-1412 317,7797-1412-