158788 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 357222 Page 1 of 1
0 ONE CIVIC SQUARE ARMSTRONG MEDICAL
CARMEL, INDIANA 46032 PO BOX 700 CHECK AMOUNT: $366.94
as LINCOLN SHIRE IL 60069 CHECK NUMBER: 158788
CHECK DATE: 4/30/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE N UMBER AMOUNT DESCRIPTION
102 4239011 1287281 366.94 SPECIAL DEPT SUPPLIES
PAGE: 1
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1287281
Atedical
c INDUSTRIES INC. u»/E 04/22/08
o/o Knightsbridge Pkwy. Toll Free: SHIPPED VIA Up
Post Office Box 700 FAX 8471913'8138 TERMS
NET 30 DAYS
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oCITY OF CARMEL FIRE DEPT n CITY OF CARMEL FIRE DEPT
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T 2 CIVIC SQUARE r 2 CIVIC SQUARE
»CARMEL IN 46032 o CARMEL IN 46032
PURCHASE ORDER NO.' ORDER'�RATE SALEsmAW:
MARK 104/18/08 2--- BRETT CASH� 0 A. 21 L0 0435698 D 8,. ADD
4,, STOCWNUMBER DESCRIPTION
RD
BROSELOW MEDICAL. TAPE, S/PKG
Sub Total Tax 00 Freight
360.00 6.94 366.94
SHORTAGES MUST as REPORTED WITHIN 10 DAYS FROM DATE oFINVOICE ORIGINAL
wn RETURNS WITHOUT AUTHORIZATION.
,'e% INTEREST PER MONTH WILL ye CHARGED ow OVERDUE BALANCES.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Armstrong Medical
P.O. Box 700
IN SUM OF
4
575 Knightsbridge Pkwy.
Lincolnshire, IL 60069
$366.94
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
\O'er 1287281 102 390.11 $366.94 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
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))
04/22/08 1287281 EMS Supplies $366.94
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