HomeMy WebLinkAbout195910 03/29/2011 CITY OF CARMEL, INDIANA VENDOR: 364936 Page 1 of 1
ONE CIVIC SQUARE BRUCE FROST CHECK AMOUNT: $161.36
CARMEL, INDIANA 46032 2102 ST CLIFFORD DRIVE
INDIANAPOLIS IN 46239 CHECK NUMBER: 195910
CHECK DATE: 3/29/2011
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356001 161.36 UNIFORMS
THE 3/23/2011
�I FORM SERVICE ORDER Page 1 of 1.
HOUSE, INC. P.O Number: B00346988-
CLERK: Cynthia T.
11711 N. Pennsylvania St
CARMEL, IN 46032
TELE: 317- 9264467 x304
FAX: 317 926 -4460 Work Order. 800346988
Carmel Fire Dept BRUCE FROST
Fire Station 1 CARMEL PICK -UP
2 Carmel Civic Square 317 645 -7960
Carmel„ IN 46032
Part Number Description Ordered Shipped Price TotalTax
4000- NAVW -XL Men's Cargo Pant 2 2 16.99 33.98
105 SLTBL -3X -T Golf Shirt 7oz Poly /Cot Pique 2 0 27.00 54.00
L/F: ST. VINCENT LOGO
,Under EMS EDUCATION
And PARAMEDIC STUDENT
4528- OXFRD -3X Jerzees Half Zip Sweatshirt 1 0 27.98 27.98
IL/F: ST. VINCENT LOGO
;Under EMS EDUCATION
,And PARAMEDIC STUDENT
1961- WH -56 -L MEN'S 30" LAB JKT, 1 0 31.00 31.00
'UF: ST. VINCENT LOGO
Under EMS EDUCATION
And PARAMEDIC STUDENT
Logo -ST. VINCENT EMS LOGO ST. VINCENT EMS EDUCATION 4 0 160 14.40
3/23/2011 Visa xxxxxxxxxxxx6519 000912 $161.36 Sub Total $161.36
IN 7% $0.00
Total $161.36
Paid $161.36
Balance $0.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bruce Frost
IN SUM OF
$161.36
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 J 43- 560.01 f $161.36 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
MAR 2 8 2011
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))
$161.36
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