192952 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 354833 Page 1 of 1
ONE CIVIC SQUARE THE YOUTH SAFETY COMPANY CHECK AMOUNT: $699.00
CARMEL, INDIANA 46032 7154 N UNIVERSITY DRIVE #322
0.'�6 TAMARAC FL 33321 CHECK NUMBER: 192952
CHECK DATE: 12/15/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239020 118355 699.00 FIRE PREVENTION SUPPL
9
REMIT TO:
THE YOUTH SpFF` 7154 N. University Drive
Suite #322
AMERICA'S FIRE SAFETY STORE SINCE 1960 Tamarac, FL 33321
7154 N. University Drive, Suite #322, Tamarac, FL 33321 (800) 243 -0020 FAX (800) 862 -3957
CUSTOMER NO
Same
O CARMEL FIRE DEPT
35097538 ATTN: KEITH FREER 4
JOB NO. 2 CIVIC SQUARE
CARMEL IN 46032 -0000
118355 1 PB UPS GROUND SERVICE
UNIT CUSTOMER P.O N ORDEREDATE INVOICE DATE DATE SHIPPED INVOICE NO,
20 I 11 05_10 i 11_22- O -12 -10 118355
(J UAN. ORA. OUAN. Si-IP. GTUA I TEM N UMBER D —PRICE MOUNT
10000 10000 3CBP3 CUSTOM CHILDRENS BADGES VINY 6.730 CYS 673.00
30000 10000 GOLDVINYL ON GOLD VINYL STOCK .000 EYS
1 1 RE RE -ORDER .000 EYS
RE -ORDER JOB #436163 DATED
8/10109, W/ "VINYL COLOR"
CHANGE.
3 1 SP *'""SPECIAL INSTRUCTIONS .000 E
RED INK ON "GOLD FOIL VINYL"
setup on file
1 1 GL510017 SALES FRT YOUTH SAFETY 26.000 E 26.00
(AREA 1) JUNIOR FIREFIGHTER
(AREA 2) (SCRAMBLE)
i
�t- n:r_ i!nishsl [v sapper€
N A F of iiwoice.
David J. Ross
TERMS NET 10 DAYS 699.00 0.00 G 1 LCGJ
0.00 IvymD 699.00
SUB- TOTAL INS. FRTIHANDLING SALES TAX TOTAL
r r We appreciate your business
i41 ORIGINAL COPY
VOUCHER NO. WARRANT NO.
ALLOWED 20
The Youths Safety Company
IN SUM OF
7154 N. University Drive
Tamarac, FL 33321
$699.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #(TITLE AMOUNT Board Members
1120 118355 42- 390.20 $699.00 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
DEC 13 2010
d
a o
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))
118355 $699.00
1 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