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181202 01/13/2010 f CITY OF CARMEL, INDIANA VENDOR: 355466 Page 1 of 1 ONE CIVIC SQUARE KEITH FREER CARMEL, INDIANA 46032 1413 N, FAIRVIEW STREET CHECK AMOUNT: $465.50 7 a o ALEXANDRIA IN 46001 CHECK NUMBER: 181202 CHECK DATE: 1/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4359000 465.50 SPECIAL PROJECTS INVOICE FINE PROMOTIONS, INC. Date Invoice No. 8156 ZIONSVILLE ROAD INDIANAPOLIS IN 46268 12/07/2009 35690 PH (317) 298 -3100 FX (317) 290 -0973 info @finepromotions.com SOLD TO SHIP TO Keith Freer Keith Freer CARMEL FIRE DEPT CARMEL FIRE DEPT 2 Civic Square 2 Civic Square Carmel IN 46032 Carmel IN 46032 Cust. No. Cust. Order No. DATE SHIP SHIPPED VIA /Tracking Terms SLSPRSN CAR00021 12/07/2009 UPS GROUND NET 30 JH Ordered Shipped Item No. Description Price Amount 25 EA 25 SPCM Personalized White Coffee Mug 9.50 237.50 24 EA 24 SPCM White Coffee Mug with Fire Dept. logo only 9.50 228.00 1.5% PER MONTH ADDED TO PAFT DUE ACCTS. FULL PAYMEN WITHIN 30 DAYS OF INVOIC FINE PST 1TIt 8155 E iIMILL.E RD IN?IAPPOLIS, IN. 45268 Order Total TE IK 1.D.: 8054N7 15; 697 465.50 INVOICE TOTAL 465.50 315789897 SALE PECOR 3 INS: DATE: 3 i a4= 10 TIE: 14:21 rCH: 3i i JTH: 814812 ALIS FS?O z 5 DIGIT 2iP IIHTCWS, A.-I fSS DOES NOT Fax: 317 571 -2615 Phone: 317 571 -4245 TOTAL $445F 5D FOR PROPER CREDIT, PLEASE RETURN Si Customer: CAR00021 Invoice: 35690 Invoice Balance 465.50 t, r I AERE TO MI TOTf1'v 411111 617 ,�I TO C4 I HER OMIT FINE PROMOTIONS, INC. rn1:t1{ dT AGREEMENT IF CREDIT RUED R) 8156 ZIONSVILLE ROAD f.ITr1. iffy INDIANAPOLIS IN 46268 THANK YOU FOR YOUR BUSINESS VOUCHER NO. WARRANT NO. ALLOWED 20 Keith, Freer IN SUM OF$ $465.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 43- 590.00 $465.50 I hereby certify that the attached invoice(s), or 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 JAN 11 2010 I o r Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) $465.50 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 Clerk- Treasurer