158278 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 357222 Page 1 of 1
ONE CIVIC SQUARE ARMSTRONG MEDICAL
I? CHECK AMOUNT: $141.47
CARMEL, INDIANA 46032 Po eox goo
LINCOLN SHIRE IL 60069
CHECK NUMBER: 158278
CHECK DATE: 4/15/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 1284086 141.47 SPECIAL DEPT SUPPLIES
C
PAGE: 1.
ArmzrrunU INVOICE
Wedirc
al NO. 128013
46
E
INDUSTRIES INC. DATE 04/04/0e
575 Knightsbridge Pkwy. Toll Free: 8001323-4220 SHIPPED VIA UPS RED
Post Office Box 700 FAX 8471913-0138 TERMS NET 30 DAYS
Lincolnshire, IL 60069-0700 FEIN #36-2592084 CUST. CODE INOIS42
CUST TYPE 13
0
S S CITY OF CARMEL FIRE DEPT CITY OF CARMEL FIRE DEPT
H
_L I
D T
2 CIVIC SQUARE p 2 CIVIC SQUARE
T
0 CARMEL IN 46032 o CARMEL IN 46032
PURCHASE ORDER, No.
ER, DATE
MARK 04/03/08
BRETT CASH 4/03/08 0407548 PPD ADD
QUANTITY
UNIT"
STOCK. NUMBER �DESCRIPTION
PRICE..
lam=
Yc
1 0 AF 4800 120.00 PKG 120.00
BROSELOW MEDICAL TAPE, S/PKG
Sub Total 120.00 Tax 00 Freight 21.47 141.47
SHORTAGES MUST BE REPORTED WITHIN 10 DAYS FROM DATE OF INVOICE ORIGINAL
NO RETURNS WITHOUT AUTHORIZATION.
1 INTEREST PER MONTH WILL BE CHARGED ON OVERDUE BALANCES. =:J 4 421-9:1111:14 111V i" E:A k d: 1:7!YA 1:1 111
VOUCHER NO. WARRANT NO.
ALLOWED 20
Armstrong Medical
P.O. Box 700 IN SUM OF
575 Knightsbridge Pkwy.
Lincolnshire, IL 60069
$141.47
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1284086 102 390.11 $141.47 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
Q
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))
04/04/08 1284086 EMS Supplies $141.47
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