179272 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 363579 Page 1 of 1
4 ONE CIVIC SQUARE JENSEN BEACH MARKETING INC CHECK AMOUNT: $404.87
*f,r CARMEL, INDIANA 46032 PO BOX 228
oX `o JENSEN BEACH FL 34958 CHECK NUMBER: 179272
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
-,120 4239020 2532801 404,87 FIRE PREVENTION SUPPL
Jensen° Beach Marketing Inc. 6
PO BOX 228
fTn Beach, FL 34958 �7 Invoice Number: 2532801
1 ID#65- 1026004 v Invoice Date: Oct 26, 2009
Page: 1
Voice: (877) 713 -2883
Fax: (772) 232 -2884
Bill To: Ship to:
CARMEL FIRE DEPT.
I.
2 CIVIC SQUARE
CARMEL, IN 46032
f
Customer ID Customer -PO.
Payment Terms
FI)46032 _Net 15
Sales Rep SF ippinEk Wthod Due Date.
p
#169 Best Way 10/20/09 I 11/10/09
E Quantity Item 'Description unit Price'. Amount
j 300.00 IMPRINTED FIRE SAFETY SLIDECHARTS 1.29 387.Ofl
1.00 i $10.00 WALMART GIFT CARD;
I
I
t
Subtotal —W.00
Sales Tax
Freight 17.87
Total Invoice Amount 404.87
Check /Credit Memo No: j P ayment/C r e di t App lie d
TOTAL' 404:$7
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))
2532801 $404.87
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
2a
Clerk- Treasurer
VOUCHER NO. WARRANT N
ALLOWED 20
Jensen Beach Marketing, Inc.
IN SUM OF
P.O. Box 228
Jensen Beach, FL 34958
$404.87
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members
1120 2532801 42- 390.20 $404.87 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
Nnv
d
v
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund