186281 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 361230 Page 1 of 1
ONE CIVIC SQUARE ELIZABETH A DRULEY
li CHECK AMOUNT: $130.95
CARMEL, INDIANA 46032 10122 CARROLLTON AVENUE
o INDIANAPOLIS IN 46280 CHECK NUMBER: 186281
CHECK DATE: 6/912010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4356001 130.95 UNIFORMS
Order Invoice Page 1 of I
Public Safety Superstore a
I www.FireStoreOnline.com phone 866 -699 -8084 Invoice
Order Information Customer Information
Order Number: 921337 Customer: Elizabeth Druley
t
Date: 5/26/2010 8:30 AM Email: edruley @carmel.in.gov
Status: Payment Received f
I
Shipping Method: Ground -ECONOMY
Sates Rep:
Ship To Bill To
Elizabeth Druley Elizabeth Druley a DT s
The City of Carmel 10122 Carrollton Ave.
One civic square DOCS 1 st FI Indianapolis, IN 46280
Carmel, IN 46032 United States
United States Phone: 3175712449
Phone: 3175712449
Payment Information
Payment Method: Credit card payment
l Card Type:
First Name: Elizabeth
Last Name: Druley
f Expiration Date:
Additional Information
I have reviewed and agree to the terms of service and return policy. Yes, I agree f
Product Information
Product Name Part No. Quantity Item Price Total Price
Boston Leather NECK CHAIN /BELT CLIP Badge Holder (SHIELD) 5888CH 2 $17.99 $35.98
i
Hookfast Badge QS -B2916 (3 "h x 2 1 /8 "w) QS -B2916 1 $42.99 $42.99 i
Choose center seal: Indiana State Seal
Choose badge color: SILVER (Rhodium) t
j Choose lettering color: BLACK enamel lettering
Choose badge attachment: Wallet clip j
Enter TOP LINE engraving:
Answer: CODE ENFORCEMENT
j Enter TOP CENTER LINE engraving: r
Answer: CITY OF j
Enter BOTTOM CENER LINE engraving:
Answer: CARMEL I
i Enter BOTTOM LINE engraving (max 3 characters):
Answer: 797
Hookfast Badge QS -B2916 (3 "h x 21 /8 "w) QS -82916 1 $42.99 $42.99
Choose center seal: Indiana State Seal
Choose badge color: SILVER (Rhodium)
Choose lettering color: BLACK enamel lettering
I Choose badge attachment: Wallet clip PARTIA
Enter TOP LINE engraving: SHIPMEN
Answer: CODE ENFORCEMENT F!�
Enter TOP CENTER LINE engraving: This package contains partial shipment.
Answer: CITY OF The remainder of your order will arrive
I=nter BOTTOM CENER LINE engraving:
Answer. CARMEL separately from another warehouse.
Enter BOTTOM LINE engraving (max 3 characters):
r Answer: 913
Subtotal: $121.96 r
Shipping 8 Handling: $8.99
Tax: $0.00
Order Total: $130.95
https /www.firestoreonline,com/MCP /sales /orders /invoice. aspx ?print- 152017 &layout =l 5/26/2010
Page 1 of 2
Bank At Work Checkin
Account Details
Account Number: xxxx -xxxx - Nickname: Bank At Work Checkin
Current Balance: $ Available Balance: $
As of Date: 06/01/2010 Interest Rate: 0.01%
Interest Paid YTD: $0.09 Interest Paid Previous Year: $0.00
Pending Transactions
Date Description Debit Credit
06/01/2010
Transaction Histor
Check Running
pate Trans..act!Qn_Ty r
Nu _pe Desci tion Debit Credit
m ber .p Balance
05/27/2010 Card Purchase
05/_.2.7/_20:1.0. 'Card,;Pucch`ase' FIRESTOREQN LINE. C IN'386 -409- '130x95
X887 5_85:20
05/27/2010 1012 ACH Withdrawal
https /ebanking.oldnational.com /Accounts /AccountDetails.asp 6/1/2010
VOUCHER NO. WARRANT NO.
ALLOWED 20
Elizabeth Druley
IN SUM OF
c/o One Civic Square
Carmel, IN 46032
i
$130.
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO #1 Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members
1192 43- 560.01 $130 ,06 1 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
Friday, June 04, 2010
Director CS
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
a
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))
06/01/10 Badges Code Enforcement $130.00
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