170950 04/16/2009 a CITY OF CARMEL, INDIANA VENDOR: 361926 Page 1 of 1
ONE CIVIC SQUARE DOUG KIZER CHECK AMOUNT: $55.82
CARMEL, INDIANA 46032 13504 E 131 Si
FISHERS IN 46037 CHECK NUMBER: 170950
CHECK DATE: 4/16/2009
DEPARTMENT ACCO P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239020 205782A 55 ".82 FIRE PREVENTION SUPPL
180 FRANKLIN STREET
D Qa 3 FRAMINGHAM, MA 01702
TELEPHONE: 508 875 -8877
COMPANY, ��ce
FAX: 508 879 -3735
NVOCIE
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Q 13504 E. 131ST ST
d FISHERS, IN 46037
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Q la/l_J e_ i US.� D e e l:.lAl�S r1dLw. L°.IA�% LS.' YS�A�1/.°.W
8 0 8 05665 Plush Dalmatian W/ Helmet Toy 5.9900 47.92
02.03.05
MERCHANDISE INVOICE TOTAL 47.92
SHIPPING HANDLING 7.90
INVOICE TOTAL 55.82
CR. CARD: VC, APPR:026383$ -55.82
Doug Kizer
From: Roberts Co. [info @firecatalog.com]
Sent: Thursday, March 26, 2009 11:35 AM
To: Doug Kizer
Subject: Order Process
.Fire Catalog
Order Number: 104973
Detailed Invoice: https: /www.firecatalog.com/ store catalog /account_history info.php?
order_id= 104973
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Date rdered: Thursday 26 March, 2009
Products
8 x Firefighter Dalmatian Plush Toy (05665) $47.92
Sub- Total: $47.92
Shipping Table Rate (Regular (7 -10 business days)): $7.90
Total: $55.82
Delivery Address
doug kizer
13504 E. 131st St
Fishers, IN 46037
United States
Billing Address
doug kizer
13504 E. 131st St
Fishers, IN 46037
United States
Payment Method
Credit Card
i
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))
205782A Supplies for Fire Prevention $55.82
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 NO.
ALLOWED 20
Doug Kizer
IN SUM OF
13504 E. 131st Street
Fishers, IN 46037
$55.82
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 205782A 42- 390.20 $55.82 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
it PQ q
f
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Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund