164701 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 361176 Page 1 of 1
ONE CIVIC SQUARE FIRE SAFETY MEDIA
CARMEL, INDIANA 46032 PO BOX 41047 CHECK AMOUNT: $587.40
BATON ROUGE LA 70835 CHECK NUMBER: 164701
CHECK DATE: 10/16/2008
j DEPARTME ACC PO NUMBER I NUMB AMOUNT DESCRIPTION
1120 4239020 112846 587.40 FIRE PREVENTION SUPPL
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Invoice 112846
AFire Saf et Customer CFD172
ME DIA Invoice Date 1 a /07JO8
w otris �av or Po. P nce�a. i�.,
5801 River Road Please Remit to:
trla rah an, Louisiana 70123
866 -503 -3473 toll -free P. O. Box 41047
888-2 5 9 8992 fax Baton Rouge, LA 70835
Bill To: Ship To:
Carmel Fire Department Carmel Fire Department
2 Civic Square Keith Freer
Carmel, IN 46032 2 Civic Square
Carmel, IN 46032
Date Ship Via F.O.B. Terms
10102M UPS Ground Our Dock Net 15
Purchase Order Number Order Date I Salesperson I Our Order Number
09/30/08 1 SM 97316
Q uantitv Item Number Description Tax Unit PrIcE Amount
Rea. Ship B.O.
1 1 0 RUSH NO WO ONE INVOICE PLEASE N 0.00000 0.00
1 1 0 RUSH MUST SHIP 10/1/08 N 0.00000 0.00
6.000 6.000 0.000 PB -FP144 -BAN Ifs Fire Prevention Week- Prevent Home Fires N 89.00000 534.00
Banner
1 1 0 SHIP Shipping and Handling N 53.40000 53.40
1 1 0 NOTE Order per Keith Freer N 0.00000 0.00
1 1 0 FREIGHT SHIPPED UPS IZ7072800352285686 N 0.00000 0.00
NonTaxable Subtotal 687.40
Net due on 10/17/08 Taxable Subtotal 0.00
Tax 0.00
Total Invoice 587.40
Customer Original Page 1
VOUCHER NO. WARRANT NO.
Fire Safety Media ALLOWED 20
Commercial Capital Lending, LLC.
IN SUM OF
P.O. Box 41047
Baton Rouge, LA 70835
$587.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 112846 42- 390.20 $587.40 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
PICT 13 2008
l
Title IQ
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))
112846 Fire Prevention Banner $587.40
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