169572 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 353634 Page 1 of 1
ONE CIVIC SQUARE PENNWELL CORP
INDIANA 46032 21428 NETWORK PLACE CHECK AMOUNT: $39.00
CARMEL
CHICAGO IL 60673 -1214
CHECK NUMBER: 169572
CHECK DATE: 3/4/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4357001 101000077010 39.00 INTERNAL TRAINING FEE
�y� P.O. Box 21288 Tulsa, OK 74121 �IV VOICE Page 1 of 1
�1 JLL i Well O Customer Service: (918) 831 -9410
Account Information: (918) 832 -9263
Fax: (918) 831 -9123 DATE NUMBER
sales@pennwell.com
22- JAN -09 1010000077010
BILL TO: SHIP TO:
MATT HOFFMAN MATT HOFFMAN
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
Date Shipped Customer Number Purchase Order No. Terms
22- JAN -09 149879 12634 NET 30
ITEM QUANTITY EXTENDED NET
NUMBER ORDERED SHIPPED DESCRIPTION PRICE AMOUNT
9780912212685 1 1 VOLUNTEER TRAINING DRILLS 35.00 35.00
Please Remit to: Payment by Wire Transfer SUBTOTAL 35.00
Pennwell Corporation JPMorgan Chase Bank NA FREIGHT 4.00
21428 Network Place 300 South Riverside, 17th Floor TAX 0.00
Chicago, IL 60673 -1214 Chicago, IL 60606 USA
ACH #071000013 INVOICE TOTAL 39.00
Federal Tax ID 73- 0399210 Account Name: Pennwell Corporation
Candian GST 126813153 Account 1009752
Please State Invoice Number
Payable in U.S. Dollars Only
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))
1010000077010 Book for Training $39.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pennwell
IN SUM OF
P.O. Box 21288
Tulsa, OK 74121
$39.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 1010000077010 43 570.01 $39.00 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
-2
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund