156169 02/06/2008 CITY OF CARMEL, INDIANA VENDOR: 097550 Page 1 of 1
ONE CIVIC SQUARE FITZCO INC CHECK AMOUNT: $47.77
CARMEL, INDIANA 46032 4300 SHORELINE DR
SPRING PARK MN 55384 CHECK NUMBER: 156169
CHECK DATE: 216/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
I
1110 4239099 34986 47.77 OTHER MISCELLANOUS
1
i
CUSTOMER COPY
FITZCO, INC
4300 SHORELINE DRIVE
SPRING PARK, MN 55384 PAGE 1
UNITED STATES OF AMERICA
(952)- 471 -1185
INVOICE DATE 1/17/2008
INVOICE NO 34986
S 4CARML S CARMEL POLICE DEPARTMENT
0 CARMEL POLICE DEPARTMENT H SGT. JOHN ELLIOT
L ACCOUNTS PAYABLE 1 3 CIVIC SQUARE
D 3 CIVIC SQUARE p CARMEL, IN 46032
CARMEL, IN 46032
T T
0 O
NET DUE 47.77
SLS1 SLS2 DUE DATE DISC DUE DATE ORDER NO ORDER DATE SHIP DATE SHIP NO
JH 2/16/2008 1/17/2008 00038002 1/15/2008 1/16/2008 1Z556E750343229072
TERMS DESCRIPTION CUSTOMER PO NUMBER SHIP VIA
0/0,n/30 VERBAL UPS
ITEM ID TX CL UNIT ORDERED SHIPPED UNIT PRICE EXTENSION
21023 1 EACH 100.000 100.000 .4165 41.65
4.5ML 10 X 12 FITZPAK POUCH NTS
FITZCOINC EMBOSSED, REINFORCED LIP, NO TEAR NOTCH
Lot Number
R080003 100.000
21013 1 PK 1.000 .000 35.1000 0.00
4.5ML 12X16 FITZPAK EVID POUCH NTS
500 /CASE, 50 /PACK
Lot Number
1% INTEREST PER MONTH ON PAST DUE INVOICES.
TAXABLE NONTAXABLE FREIGHT SALES TAX MISC TOTAL
0.00 41.65 6.12 0.00 0.00 47.77
PRIOR INVOICES 0.00 PREPAYMENT 0.00 NET DUE 47.77
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
Fitzco Inc. Purchase Order No.
4300 Shoreline Drive Terms
-Spring Park, 14N 55384 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1 34986 for lab supplies 47.77
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
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
F r'ro, Tnc IN SUM OF
4300 Shoreline Drive
Spring Partk, MN 55384
47 -77
ON ACCOUNT OF APPROPRIATION FOR
police generalf and
Board Members
PO# INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 '14q86 390-99 47.77 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
JannarV 29 20 08
J-) ^A72-
Signature
Chief of POlice
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund