160352 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 361176 Page 1 of 1
ONE CIVIC SQUARE FIRE SAFETY MEDIA
CARMEL, INDIANA 46032 CHECK AMOUNT: $650.00
PO BOX 41047
BATON ROUGE LA 70835 CHECK NUMBER: 160352
CHECK DATE: 6/10/2008
DEPARTMENT 1 ACCOUNT PO NUM INV NUMBER AMOUNT DESCRIPTION
1120 4239020 111206 650.00 FIRE PREVENTION SUPPL.
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Date Ship Via F.O.B.� Terms
05/28/08 UPS Ground Our Dock Net 15
Purchase Order Number Order Date Salesperson Our Order Number
05/28108 JAW 95320
Q uan6tv Item Number Description Tax Unit Price Amount
Rec. ShiD 8.
'*t
:1 1 0 PB -FP112 Fire Extinguishers Pamphlet N 0.00000 0.00
1.000 1.000 0.000 DISCOUNT Quanity Discount N 130.00000 130.00
1 1 0 SHIP FREE Shipping and Handling N 0.00000 0.00
1 1 0 NOTE Order per Keith Freer N 0.00000 0.00
1 1 0 FREIGHT shipped UPS IMA1T880347280712 N 0.00000 0.00
NonTaxable Subtotal 650.00
Net due on 06/12/08 Taxable Subtotal 0.00
Tax 0.00
Total Invoice 650.00
Duplicate Page 2
Invoice 111206
re Saf et Customer CFD172
E 9 A
of for Pra M..". I Invoice Date 05/28/08
A Oiv.app
5801 River Road
Harahan, Louisiana 70123 Please Remit to:
866 -503 -3473 toll -free P. O. Box 41047
888-259-8992 t a x 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 $hip Via F.O.B. Terms
05128/08 UPS Ground Our Dock Net 15
Purchase Order Number Order Date I Salesperson Our Order Number
05/28/08 1 JAW 95320
Ouantitv Item Number Description Tax Unit Price Amount
Rea. Ship B_O.
1 i 0 RUSH SHIP 612108 OR BEFORE N 0.00000 0.00
1 1 0 FP19D The Birthday Gift That Beeped DVD N 0.00000 0.00
1 1 0 FP81D Emer- Gen-Cy! Call 9 -1 -1 DVD N 0.00000 0.D0
1 1 0 FP141 D Prevent Kitchen Fires DVD N 0.00000 0.00
1 1 0 FP56D Watch What You Heat DVD N 0.00000 0.00
1 1 0 FP62D Carbon Monoxide: Silent Killer DVD N 0.00000 000
1 1 0 FP82D The Great Escape DVD N 0.00000 000
1 1 0 NOTE Owed Mr. Freer 6 DVD's see N 0.00000 0.00
1 1 0 NOTE Order 93043 notes on 3119108 N 0.00000 0.00
1 1 0 FP390 In A Flash: DVD N 195.00000 195.00
50 50 0 PB -FP39 Don't Get Burned Pamphlet N 0.00000 0.00
1 1 0 FP 101 D Striking Out with Matches DVD N 195.00000 195.00
25 25 0 PB- FP101 -TZ Striking Out with Matches Teen N 0.00000 0.00
25 25 0 PB -FP101 -ACT Fire Safe Friends Activity Sheet N 0.00000 0.00
1 1 0 FP110D Smoke Alarms: Wake Up DVD N 195.00000 195.00
50 50 0 P5-FP110 Smoke Alarms Pamphlet N 0.00000 0.00
1 1 0 FP112D Fire Extinguishers DVD N 195.00000 195.00
Net due on 06112/08
(Continued) Customer Original Page 1
VOUCHER NO. WARRANT NO.
�4w ALLOWED 20
Fire Safety Media
Commercial Capital Lending, LLC. IN SUM OF
P.O. Box.41047
Baton Rouge, LA 70835
$650.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 111206 42- 390.20 $650.00 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
V d
Title N IJ
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))
05/28/08 111206 Fire Prevention Videos $650.00
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