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Home My WebLink About177657 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 355466 Page 1 of 1 ONE CIVIC SQUARE KEITH FREER CARMEL, INDIANA 46032 1413 N. FAIRVIEW STREET CHECK AMOUNT: $1,012.42 ALEXANDRIA IN 46001 CHECK NUMBER: 177657 CHECK DATE: 9/29/2009 DEPA RTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOUNT DE SCRIPT ION 1120 4239020 REIMB 957.47 FIRE PREVENTION SUPPL 851 5023990 REIMB 54.95 OTHER EXPENSES E Victory Corps 2730 Nevada Avenue N New Hope, MN 55427 USA (800) 328 -6120 Order Number Order Status Expiration Date Expected Ship Ship By Date Date Placed Purchase Order 248506 Closed 09/08/2009 09/10/2009 09/16/2009 09/10/2009 KEITH 9/08/09 Customer Number Title Name 1251827 FREER KEITH Ship To Name Source of Name Preferred Shipper Restrictions Name Class Credit Limit VC Internet/ Web Source of C: <none> Not Restricted VC Customer $.00 Customer Number Title Name 1251827 FREER KEITH Bill /Sold To Name Source of Name Preferred Shipper Restrictions Name Class Credit Limit VC Internet/ Web Source of C; <none> Not Restricted VC Customer $.00 Co. Id /Acct. No. Company Name Credit Limit Phone Number Phone Type 2247713 CARMEL FIRE DEPARTMENT $.00 (317) 571 -4245 Direct Line Terms Tax Exempt Number Service Charge (317) 571 -4245 Direct Line .00 Payment Type Credit Card Number Date Card Holder Name Amount Distributed Prepaid Full Cr Card 00 /00 /00 $957.47 Status Line Product Information Amount Ordered Total K 1 01200120: DELUXE 2 -SIDED RETRACTABLE BANNER STAND 36" $209.99 2.00 $419.98 Name: 1251827 FREER, KEITH Address: 5420164 CARMEL FIRE DEPARTMENT /2 CIVIC SQUARE /CARMEL, IN 46032 IS 2 BSD1142: DELUXE 2 SIDED 36" RETRACTOR $209.99 2.00 $419.98 Name: 1251827 FREER, KEITH Address: 5420164 CARMEL FIRE DEPARTMENT /2 CIVIC SQUARE /CARMEL, IN 46032 IS 3 CB10B: 10 oz Custom Banner 10 -20 square feet $72.49 2.00 $144.98 Name: 1251827 FREER, KEITH Address: 5420164 CARMEL FIRE DEPARTMENT /2 CIVIC SQUARE /CARMEL, IN 46032 IS 4 CB10B: 10 oz Custom Banner 10 -20 square feet $72.49 1.00 $72.49 Name: 1251827 FREER, KEITH Address: 5420164 CARMEL FIRE DEPARTMENT /2 CIVIC SQUARE /CARMEL, IN 46032 IS 5 CB10B: 10 oz Custom Banner 10 -20 square feet $72.49 1.00 $72.49 Name: 1251827 FREER, KEITH Address: 5420164 CARMEL FIRE DEPARTMENT /2 CIVIC SQUARE /CARMEL, IN 46032 IS 6 IMP4C: Imprint 4 color $30.00 1.00 $30.00 Name: 1251827 FREER, KEITH Address: 5420164 CARMEL FIRE DEPARTMENT /2 CIVIC SQUARE /CARMEL, IN 46032 IS 7 IMP4C: Imprint 4 color $30.00 1.00 $30.00 Name: 1251827 FREER, KEITH Address: 5420164 CARMEL FIRE DEPARTMENT /2 CIVIC SQUARE /CARMEL, IN 46032 IS 8 IMP4C: Imprint 4 color $30.00 1.00 $30.00 Name: 1251827 FREER, KEITH Address: 5420164 CARMEL FIRE DEPARTMENT /2 CIVIC SQUARE /CARMEL, IN 46032 IS 9 ACINSTALL: RETRACTOR INSTALLATION FEE $0.00 4.00 $0.00 Name: 1251827 FREER, KEITH Address: 5420164 CARMEL FIRE DEPARTMENT 12 CIVIC SQUARE /CARMEL, IN 46032 IS 10 NEWCUSTVC: NEW CUSTOMER PACK, VICTORY CORPS $0.00 1.00 $0.00 Name: 1251827 FREER, KEITH Address: 5420164 CARMEL FIRE DEPARTMENT /2 CIVIC SQUARE /CARMEL, IN 46032 Printed: 09/25/2009 Page 1 of 2 Victory Corps 2730 Nevada Avenue N New Hope, MN 55427 USA (800) 328 -6120 Order Number Order Status Expiration Date Expected Ship Ship By Date Date Placed Purchase Order Status Line Product Information Amount Ordered Total IS 11 ACINS: SHIPPING INSURANCE $0.50 8.00 $4.00 Name: 1251827 FREER, KEITH Address: 5420164 CARMEL FIRE DEPARTMENT /2 CIVIC SQUARE CARMEL, IN 46032 Line Item Discount COD Shipping Handling Local Tax County Tax State T< Country Tax Additional $803.94 $0.00+ $0.00 $153.53+ $0.00+ $0.00+ $0.00 $0.00 $.00 $0.00 Order Total 957.47 Printed: 09/25/2009 Page 2 of 2 VOUCHER NO. WARRANT NO. ALLOWED 20 Keith Freer IN SUM OF $957.47 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 42- 390.20 $957.47 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 SEP 2 9 2009 r- Fire Chief Title 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)) $957.47 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 1 PARTV`TREE -1111 1.1613 E 1' -TN c-4'R L'ARMEL:ri "�SU "3. '3 17 8 -1.700 IERMURL 1D,: /2819572 I•IERCRII 4 UGUOG81U�1U1 SALE SAID; Ou;j695 r FIU 0000 0 -DW: Sep 14, U9 ME 15 RRW 9251192011433 AU *j N 013717 AUS: 2 10TAL $58.80 HAVE A MICE UA4 ..USIOPIER COPY The Party Tree at Merchants Square Mall 2160 East 116th Street L'armeI, IN 46032 (317) 848 -1700 Fax: (317) 848 -0500 SALE 00100200706435037921 Description SKU 4 Amount BALLOONS 00002.8 79.95 Iran DiscOU t 25: II L 54.95 Sales Tax 7.000% 3.85 T O T A L S A L E 58.80 58.80 T O T A L T E N D E R 58.80 9/14/2009 3:26:42 PM 002- 037921 Assoc: Mandi NO RETURNS OR EXCHANGES ON COSTUMES, MASKS, WIGS, OR HATS ALL 50% OFF RED SLASHED ITEMS FINAL SALE! NO RETURNS ON PLUSH OR WEBKINZ OR UNPACKAGED MERCHANDISE. 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)) vS 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 VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR Nk Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I 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 gFp 2 9 2009 0` Si nature Cost distribution ledger classification if Title claim paid motor vehicle highway fund