332659 11/21/18 CITY OF CARMEL, INDIANA VENDOR: 372701
ONE CIVIC SQUARE FILE OF LIFE FOUNDATION, INC. CHECK AMOUNT: $*****2,006.00*
r ?�, CARMEL, INDIANA 46032 P.D..Box G CHECK NUMBER: 332659
WEST SUFFIELD CT 06093 CHECK DATE: 11/21/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239020 102069 H29320 2,006.00 REFRIGERATOR MAGNETS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 372701 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
FILE OF LIFE FOUNDATION, INC. IN SUM OF$ 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
$2,006.00
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
102069 H29320 42-390.20 $2,006.00 1 hereby certify that the attached invoice(s),or 11/18/18 H29320 Refrigerator Magnets $2,006.00
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
Sunday, November 18,2018
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
I
nvo i ce
File Of Life Foundation, Inc.
P.O. Box G
West Suffield, CT 06093
(800) 814-1788, Fax: (877) 248-5431
E-Mail: folife@folife.org , Website: www.folife.org
Invoice #: H29320
Invoice Date: 11/09/18 Terms: Net 15 Days
Customer #: H18326 Customer PO#: 102069
Page: 1 Of 1
Bill To: Ship To:
Fire Dept (Same)
c/o Keith Freer
2 Civic Square
Carmel IN 46032
Quantity Item # Description Unit Price Total
2,000 FOL-RM File Of Life Refrigerator Magnet Pouch $0.96 $1,920.00
With Custom 3-Color Imprint Card
Order Total: $1,920.00
Shipping & Handling (UPS Ground): $86.00
Overall Total: $2,006.00