177550 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00350493 Page 1 of 1
ONE CIVIC SQUARE ADVERTISING SPECIALTIES CHECK AMOUNT: $87.77
CARMEL, INDIANA 46032 5257NTACOMA AVE, SUITE G
INDIANAPOLIS IN s220 CHECK NUMBER: 177550
CHECK DATE: 9/2912009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 36085 87.77 OTHER MISCELLANOUS
Ph:317 -255 -5690 Fx:317- 2555694
Advertising Specialties Co. INVOICE
5257 N. Tacoma Ave., Suite 6
Indianapolis IN 46220
Customer# Ph :571 -4245 H
s I Carmel Fire Department
11595 0 Carmel Fire Department. P Attn: Mark Hulett
Attn: Mark Hulett T 2 Civic Square
Job# T 2 Civic Square o Carmel IN 46032
21714 o Carmel IN 46032 Via UPS Ground
I
Unit Customer po Salesperson Order date Invoice date Date shipped Invoice
0 09/10/09 09/15/09 09/11/09 36085
Ordered Shipped Backordered Item Description Price Per Amount
2 2 RedCr Red Cross Flag, 3x5' 38.100 EA 76.20
We appreciate your business!!
Ship directly to customer.
DEADLINE ORDER: MUST HAVE IN HAND 9/17
Terms Net 15 PLEASE PAY
76.20 0.00 11.57 0.00 $7.77
THIS AMOUNT
Sub -total Insurance Shpg /Hdlg Sales tax Total
Balances more than 30 days old are subject to finance charges of 1.5% permonth or 18% per annum. Collectible with attorney's fees and court Costs. CUSTOMER I N VOI C C C
rA
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))
36085 $87.77
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 N WARRANT N
A_ dvertising Specialties Co. ALLOWED 20
IN SUM OF
5257 N. Tacoma Avenue, Ste. 6
Indianapolis, IN 46220
$87.77
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 36085 42- 390.99 $87.77 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
f
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund