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179981 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 354357 Page 1 of 1 ONE CIVIC SQUARE ADVANTAGE BRANDS CHECK AMOUNT: $387.50 CARMEL, INDIANA 46032 5435 HAMPTOM AVE ST LOUIS MO 63109 CHECK NUMBER: 179981 CHECK DATE: 12/8/2009 DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION 1120 4239011 46330 387.50 SPECIAL DEPT SUPPLIES ADVANTAGE BRANDS INVOICE 5435 HAMPTON AVE ST LOUIS, MO 63109 DATE INVOICE 11/19/2009 46330 BILL TO SHIP TO CARMEL. CITY 01 CARMEL FIRE DEPARTMENT FIRE DEPARTMENT ATTN: GARY CAR'T'ER TWO CIVIC SQUARE "TWO CIVIC SQUARE CARMEL IND 46032 -2584 CARMEL IN 46032 -2584 P.O. NO. TERMS DUE DATE SHIP DATE SHIP VIA FOB ORDERED BY VERBAL Net 30 12/19/2009 11/19/2009 UPS ST LOUIS ITEM DESCRIPTION QTY RATE AMOUNT 11 159 STOPLINE X -10 PREMIUM BARRICADE "TAPE BLK 50 6.95 347.50 PRINT ON YELLOW 3" X 1000" "FIRE LINE DO NOT CROSS" 99999 SHIPPING CHARGES 1 40.00 40.00 THANK YOU FOR YOUR ORDER GARY CARTER PROUDLY SERVING OUR CUSTOMERS SINC13 1980 Total $387.50 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)) 46330 $387.50 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. WAR RANT N ALLOWED 20 Advantage Brands IN SUM OF 5435 Hampton Avenue St. Louis, MO 63109 $387.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 46330 42- 390.11 $387.50 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 DEC 7 '!lq Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund