HomeMy WebLinkAbout159909 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 361361 Page 1 of 1
ONE CIVIC SQUARE HELMETS R US CHECK AMOUNT: $957.00
CARMEL, INDIANA 46032 2705 PACIFIC AVE
TACOMA WA 98402 CHECK NUMBER: 159909
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4239099 22332 957.00 OTHER MISCELLANOUS
%f
H RECEIVED
almets �R Us Inc
l Invoice
2705 Pacific Avenue i MAY 1 2 2008
Tacoma, WA 98402
Date Invoice
Ph:(253- 627 -2121) FAX:(253) 572 -4225 DocS
Federal ID#: 91-2009438 5/7/2008 22332
Bill To Ship To
City of Carmel City of Carmel
David Littlejohn Clr
David Littlejohn i Civic Square y Of CaF(11e1
1 Civic Square Carmel, IN 46032 G/Nf�L
Carmel IN 46032 Dept, o f Ce�r�cjnitY S �JI
efl es
S.O. No. P.O. Number Terms Rep/ PROMO Ship
17821 Due on receipt 5/7/2008
Quantity Item Code Description Price Each Amount
56 8MDBL 08 Medium Blue Helmets 4.95 277.20
56 8MDRD 08 Medium Red Helmets 4.95 277.20
48 8LGRD 08 Large Red Helmets 4.95 237.60
160 S hipping cost Shipping Charges 1.00 160.00
Handling Handling 5.00 5.00
UPS Tracking: 1 Z4 OEF80340120344
Tota $957.00
SEE US AT www.helmetsrus.net
NOTICE: RETURNS Subject to a MINIMUM 15% restocking fee. Must have "RMA" =FINANCE is subject to 1.5 per month
Authorizadion Number for Returns. DAMAGED or MISSING items must be reported arges, 30 days from invoice date
within 20 days of shipment.
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
a8 i a 457. o0
Total 5 7 O O
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.
ALLOWED 20
7 b 7 IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
,Z) OCS
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
0 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
3 2005F&
L /X/
"ignat
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund