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198521 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 362792 Page 1 of 1 ONE CIVIC SQUARE GLENDALE PARADE STORE.COM +I' CHECK AMOUNT: $4.25 CARMEL, INDIANA 46032 192 PARIS AVE NORTHVALE NJ 07647 CHECK NUMBER: 198521 CHECK DATE: 6/22/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4356002 B414515 4.25 UNIFORM ACCESSORIES Catalog Marketplace Inc. dba Glendale Invoice 192 Paris Ave Northvale NJ 07647 -2016 www.paradestore.com Date 5/27/2011 Phone: 800 653 -5515 Fax: 800 555 -9269 Invoice No: B414515 Order H294308 Sold To: bgipson @carmel.in.gov Ship To Customer G186986 F2Civ unts Payable Gary Carter Of Carmel Fire Department City Of Carmel Fire Department Square 2 Civic Square el IN 46032 Carmel IN 46032 Sales Rep: 320 Acct Tax ID: Ship Date: 5/27/2011 PO 24227 Ship Via: US Mail Terms: Net 30 Ordr Ship BOed UI Item Desc Sell Ext'd PTI 5 1 5 0 EA RBN16RY Ribbon, Royal (21) 0.85 4.25 Type Date Ref No Exp Auth Amount Subtotal: 4.25 A/R 05/27/11 24227 4.25 Tax: 0.00 Tax2: 0.00 Shipping 0.00 Hnding 0.00 Total: 4.25 Notes: A10109 Balance Due: 4.25 5/24/2011 12:23 irene Rbn16RY 2 to 3 weeks. Thank you! If there are problems with this shipment, keep all boxes and notify us immediately. All returns require an RMA number. Please visit us at WWW.PARADESTORE.COM Date Ph: (317) 571 -3622 Fx: (317) 571 -2615 16:10 Page: 1 IN8414515 2 Wt: 0.03 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)) 8414515 $4.25 1 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. Glendale Parade Store.Com ALLOWED 20 IN SUM OF 192 Paris Avenue Northvale, NJ 07647 $4.25 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 I B414515 I 43- 560.02 I $4.25 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 JUN 2._0 2011 f Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund