193229 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 364768 Page 1 of 1
0 ONE CIVIC SQUARE SYMBOL ARTS CHECK AMOUNT: $2,767.20
CARMEL, INDIANA 46032 6083 SOUTH 1153 EAST
OGDENUT 84405 CHECK NUMBER: 193229
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356002 0139065 -IN 2,767.20 UNIFORM ACCESSORIES
III III!lIIIfIIIIIIIIIlII
lt. r:.Jw p 6 0 1 3 9 0 6 5+
K INVOICE
JEWELRY QUALITY RADCES AND tvSrCNIA CUSTOMER NO: 00 CAR071
6083 South 1550 East INVOICE NUMBER: 0139065 -IN
Ogden, UT 84405 INVOICE DATE: 12/7/20 t 0
Tracking Number:
(801) 475 6000 ORDER NUMBER: 0109143
1Z59E99W0364681165 ORDER DATE: 11/1/2010
SALESPERSON: BRRO
SOLD TO:
SHIP TO:
Carmel Fire Department Carmel Fire Department
2 Civic Square
Carmel, IN 46032 2 Civic Square
Carmel. IN 46032
CUSTOMER P.O. Ship VIA F.O.B. TERMS
24142 UPS GROUND DEST NO TERMS
ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
XMC9141 EACH 141 141 0 5.95 838.95
COIN, 1.5" Carmel Fire Dept. Core Values
C -XXXXX /32861
XMC9141 EACH 159 159 0 11.75 1,868.25
COIN, 1.5" Carmel Fire Dept Core Values
CUSTOM ENGRAVING
We appreciate your business!
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Credit Card Payment Information Net Invoice: 2,707.20
Card Type: Less Discount: 0.00
Credit Card (Last 4): Freight: 60.00
Expiration Date: Sales Tax: 0.00
Amount: 2,767.20 Invoice Total: 2,767.20
VOUCHER NO. WARRANT NO.
Symbol Arts ALLOWED 20
IN SUM OF
6083 South 1153 East
Ogden, UT 84405
$2,767.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
f
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
24142 0139065 -IN 43- 560.02 $2,767.20 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 C 0 LULU
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))
0139065-IN $2,767.20
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