HomeMy WebLinkAbout171076 04/16/2009 a CITY OF CARMEL, INDIANA VENDOR: 00352545 Page 1 of 1
ONE CIVIC SQUARE SHAFTON INC
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CARMEL, INDIANA 46032 ssszTUJuNCAAVE CHECK AMOUNT: $1,026.43
NORTH HOLLYWOOD CA 91605 CHECK NUMBER: 171076
CHECK DATE: 4/16/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 5311 1,026.43 OTHER EXPENSES
Shaft ®n Inc. Invoice
6932 Tujunga Ave.
Date Invoice
North Hollywood CA. 91605
4/3/2009 5311
4 Bill To Ship To
Carmel Fire Department Carmet Fire Department
2 Civic Square 2 Civic Square
Carmel, IN 46032 Carmel, IN 46032
Attn: Keith Freer
P.O. No. Terms Due Date Ship Date Ship Via Tax I.D. #95- 3310742
Due on receipt 5/3/2009 4/3/2009 UPS
Description Qty Rate Amount
Sparky the Fire Dog Costume (without visor and without storage. 990.00 990.00T
case)
Shipping Handling l 36.43 36.43
WE APPRECIATE YOUR BUSINESS! THANK YOU
Subtotal $1,026.43
Sales Tax (0.00) $0.
SHAFTON INC. WILL NOT BE RESPONISBALE FOR S &H
Phone Fax E -mail Total $1,026.43
818985 -5025 818- 985 -5332 infctshaftoninc.com Payments /Credits $0.00
www.shaftoninc.com Web Site Balance Due
$1,426.43
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Prisc ri6ed L�jy State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
Total
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
IN SUM OF
r c
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
APR i Vin,
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund