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172279 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 362863 Page 1 of 1 `l. ONE CIVIC SQUARE CRESTMARK COMM CAP LENDING LLC i CHECK AMOUNT: $4,124.00 PO BOX 41047 CARMEL, INDIANA 46032 BATON ROUGE LA 70835 CHECK NUMBER: 172279 CHECK DATE: 5113/2009 DEPARTMENT T ACCOUNT PO NUMBER INVOICE NUMBE AM OUN T DESCRIPTION 1120 4239020 12659 114992 4,124.00 FIRE PREVENTION SUPPL �c It Invoice 114992 r AF Customer CFD 172 MEDI Invoice Date 04124109 A Ciri lion of Po■ P.o ai�61a. Inc. 5801 River Road Please Remit to: Harahan, Louisiana 70123 866 -SO3 -3473 toil free P.O. Box 41Q47 888 -299 -6942 fax Baton Rouge, LA 70835 J AM To: Ship To: Carmel Fire Department Carmel Fire Department 2 Civic Square Keith Freer Carmel, IN 46032 2 Civic Square Carmel, IN 46032 erm 4 F.O.B. T 04/24109 Con -way Our Dock Net 15 ��_,n s r 'Pu S "Ofde� -N m'ber �,s� a z� r r30n LQUR4rd@rNUmb 12659 44 JAW 100213 'sr pan ,Item Number Description z Tax UnitPn AmounE ,Xr�s x A �ff. emu: 1.004 1.000 0.000 URGENT SHIP 5115109 OR BEFORE N 0.00000 0.00 5000 5000 0 FH01 -AP Fire Hat Red with Fire Chief PERS N 0.54000 2700.00 300 300 0 PB -FP01 Red's Safe Esc Activity Book N 0.56000 168.00 150 150 0 PB -FP01 Red's Safe E=sc Activity Book Free N 0.00000 0.00 300 300 0 PB -FP3" Sam's Fire Safety Book Kinder N 0.56000 168.00 150.000 150.000 0.000 PB -FP144 -ACT Stretch's Home Fire Preven Act Bk Free N 0.00000 0.00 1 1 0 FP73D Practice for Life: DVD N 195.00000 195.00 50 50 0 PB -FP73 Practice For Life Pamphlet N 0.00000 0.00 1 1 0 FP123D Workplace Fire Safety DVD N 195.00000 195.00 50 50 0 PB -FP118 Office Fire Safety Pamphlet N 0.00000 0.00 1.000 1.000 0.000 FP121D When Fire Strikes: Adult DVD Free N 0.00000 0.00 50.000 50.000 0.000 PB3 FP121 When Fire Strikes: Get OW Stay Out! Pamphlet N 0.00000 0.00 1 1 0 FP83D School Fire Drills DVD N 165.00000 165.00 50 50 0 PB -FP304 Sam's Activity Book Inter N 0.00000 0.00 1 1 0 FP14DD Candies: Tiny Flame DVD N 145.00000 145.00 50 50 0 PB -FP140 Use Candles with Cane Adult Pamphlet N 0.00000 0.00 1 1 0 FP45D Holiday Fire Safety DVD Free N 0.00400 0.00 NOTICE rpk accouN lot be8n &GfM W 14 perw air tG• CRESTMARK COMMERCIAL CAf ITAL LENDING LLC P0, BOX 410 BATON ROUGE, LA 1083 Net due on 05/09/09 aome+ianma��aaonen 01 fm (Continued) Customer Original Page 1 Invoice 1 14992 ARre Customer CFFD172 ME DI A Invoice Date 04/24/09 A D'""" ai Fea Pra Medit. Inc. Har 58 01 e ase PleaSG Remit to: Louisiana 70123 866 5 9 3 -3473 tall -free P. 0. Box 41047 888 -2S9 -8992 fax Baton Rouge, LA 70835 bill To: Ship To: Carmel Fire Department Carmel Fire Department 2 Civic Square Keith Freer Carmel, IN 46032 2 Civic Square Carmel, IN 46032 Daterb r Ship Vfa. b. _Te s h t k 04r24r09 Cori-way Our Dods mPurdi r umber FiA3: �u:Ord te...' is x 4 Sales e n Net 15 r rder =Num r 12659 ()4/ 9 JAW 100213 IJa r m x r Item Numfler Desuiption Tax Und rice Amount -a' ,ra, B. 50 50 0 PE3.FP45 Holiday Fire Safety Pamphlet N 0.00000 0,00 100 100 0 PB -FP110 Smoke Alarms Pamphlet N 0.20000 20.1)0 50 5D 0 PB -FP73 Practice For Life Pamphlet Free N 0.00000 0.00 100 100 0 PB -FP115 Home Fire Drills Pamphlet N 0.20000 20.00 50 50 0 PB -FP116 home Fire Prevention Pamphlet N 0.00000 0.00 100 100 0 PB -FP11 t Kitchen Fire Prevention Pamphlet N 0.20000 20.00 50 50 0 PB -FP39 Don't Get Burned Pamphlet Free N 0.00000 0.00 1 1 0 NOTE Buy 2 Get 1 Free Special N 0.00000 0.00 1 1 0 SHIP Shipping and Handling N 328.00000 328.00 1 1 0 NOTE Order per Keith Freer N 0.00000 0.00 1 1 0 FREIGHT UPS 1ZV317210343389400 N 0.00000 0.00 NOTICE aroant rau been COMMERCIAL C IW LENDING uC P0. BOX 41017 aAT, 'OUGE, L4 70835 ft a ft phft. NonTaxable Subtotal 4124.00 Net due on 05109109 Taxable Subtotal 0.00 Tax 0.00 Total Invoice 4124:00 Customer Original Page 2 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)) 114992 $4,124.00 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 N ALLOWED 20 Fire�S Commercial Capital Lending, LLC, IN SUM OF P.O. Box 41047 Baton Rouge, LA 70835 $4,124.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 12659 114992 42- 390.20 $4,124.00 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 MAY 11 2009 4 ��-i"7 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund