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164125 09/30/2008 =A� CITY OF CARMEL, INDIANA VENDOR: 357074 Page 1 of 1 ONE CIVIC SQUARE AACTION PROMOTION s O CARMEL, INDIANA 46032 Po eox 7075 CHECK AMOUNT: $378.22 <�oN,�a�o KOKOMOfN 46904 CHECK NUMBER: 164125 CHECK DATE: 9/30/2008 DEPARTM ACCOUNT PO NU INVOICE NUMBER AM OUNT DESCRIPTION T 851 5023990 2815 378.22 OTHER EXPENSES PO Box 7075 "Quality Products At Quality Pricing" Kokomo, IN 46904 Promotional Products Ph: 317 281 -9681 Corporate Apparel aactionpromoCyahoo.com Bill To Carmel Fire Department Invoice 2815 Keith Freer 2 Civic Center Carmel, IN 46032 Invoice ALL PAST DUE INVOICES ARE SUBJECT TO A 10% PENALTY ADate Invoiced rr Invoice. Due" Date r Customer P.0 9/25/2008 10/2 0/2008 QTY Description Uhit Pnce Totah w Yr, 7 Orange Safety Day T -Shirt SM 4.25 29.75 10 Orange Safety Day T -Shirt MD 4.25 42.50 26 Orange Safety Day T -Shirt LG 4.25 110.50 25 Orange Safety Day T -Shirt XL 4.25 106.25 4 Orange Safety Day T -Shirt XXL 6.50 26.00 3 Orange Safety Day T -Shirt XXXL 6.50 19.50 Item Total 334.50 Shipping r± Handling 43.72 Sub Total 378.22 Sales Tax 0.00 Total 378.22 _r 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)) Total 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 VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT /TITLE AMOUNT DEPT. I 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 SEP 2 9 2008 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund