206843 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 00350735 Page 1 of 1
t ONE CIVIC SQUARE BOB VANVOORST
CARMEL, INDIANA 46032 23402 MULE BARN ROAD CHECK AMOUNT: $666.27
SHERIDAN IN 46069 CHECK NUMBER: 206843
CHECK DATE: 2/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 666.27 REPAIR PARTS
M MALGOLITE I nvoice
lighting efficiency simplified
Remit To Address: e
1918 Raymond Drive MC 105650 2/20/2012 IN413659
Northbrook, IL 60062
800 527 -5777
1 q
Carmel Fire Dept Carmel Fire Dept
2 Civic Square 2 Civic Square
Carmel IN 46032 Carmel IN 46032
Bob CC Bob CIA /CC 2/20/2012
i tle .r i
PPD /ADD Monterey Park, CA 286783815071301 Email
M 22
Custom 60 Custom Diffuser Clear Prism 18 33.58 604.44
Acrylic
Freight Est. Shipping Charge 1 61.83 61.83
NOTE Thank you for your credit card 1 0.00 0.00
order.
Subtotal 666.27
Shipping Cost (Fed Ex Ground) 0.00
Total $666.27
Amount Paid 666.27
All damages /shortage must be reported within 7 days to be considered for a credit. All Return Requests
must be submitted in writing.
Please pay by this invoice and include your Customer and Invoice number to insure proper
posting of your payment to your account. Thank you for your prompt payment!
Payment Due Date New Balance Past Due Amount Minimum Payment
03105112 $ $0.00 $
Account nurnber
Make your check payable to:
Chase Card Services.
Please write amount enclosed.
New address or e-mail? Print on back.
42668410825258800000250000146641000000000000002
ROBERT VANVOORST II 'I 1r11r11 1111 1111111111'I 111 1 11 11 1 11 1 11 1 111 1 1 1111 1 1 1 1 11 1
LEANNA K VANVOORST
23402 MULEBARN RD CARDMEMBER SERVICE
SHERIDAN IN 46069 -8718 PO BOX 94014
PALATINE IL 60094 -4014
rr1111rr1111 mill 111111111
CHASE d
f reedo m Manage your account online: Customer Service Additional contact
www.chase.com/creditcards 1- 8400 9452000 information on back
ACCOUNT SUMMARY PAYMENT INFORMATION
Account Number: 4266 8410 8252 5880 New Balance $
payment
$49 3years $1,761
(Savings =$448)
If you would like information about credit counseling services, call
1- 866 -797 -2885.
CHASE FREEDOM REWARDS SUMMARY
Previous Points Balance
As a Chase Checking sM customer, you earn more cash back for all your spending! You get 1 point for every $1 you spend, plus
you will receive 10% bonus points per $1 spent and 10 bonus points on every purchase. Redeeming your points for cash back is
easy! You can receive a check, statement credit, or even direct deposit into your Chase Checking account.
ACCOUNT ACTIVITY
Date of
Transaction Merchant Name or Transaction Description Amount
PAYMENTS AND OTHER CREDITS
01111 REDEMPTION CREDIT 129.25
01111 Payment Thank You 500.00
()1117 Pavment Thank You 350.00
Statement Date, 01/09/12 02/08/12
Account Number: 4266 8410 8252 5880
Page 2 of 4
9
ACCOUNT ACTIVITY CONTINUED
Date of
Transaction Merchant Name or Transaction Description Amount
MALCOLITE 800- 527 -5777 1L 666.27
2012 Totals Ye o-Date
Total fees charged in 2012 $3.00
Total interest charged in 2012 $0.00
Year -to -date totals reflect all charges minus any refunds
applied to your account.
INTEREST CHARGES
Your Annual Percentage Rate (APR) is the annual interest rate on your account.
Annual Balance
Balance Percentage Subject To Interest
Type Rate (APR) Interest Rate Charges
PURCHASES
Purchases 12.24% (v) 0- -0-
CASH ADVANCES
Cash advances 19.24% (v) -0- -0-
BALANCE TRANSFERS
Balance transfers 12.24% (v) -0- -0-
OVERI]RAFTS
Overdrafts 19.24% (v) $6.55 -0-
(v) Variable Rate 31 Days in Billing Period
Please see Information About Your Account section for the Calculation of Balance Subject to Interest Rate, Annual Renewal Notice,
How to Avoid Interest on Purchases, and other important information, as applicable.
VOUCHER NO. WARRA NO.
ALLOWED 20
Bob VanVoorst
IN SUM OF
$666.27
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE I AMOUNT
Board Members
1120 I I 42- 370.00 I $666.27 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
FEB 2 4 2012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
$666.27
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