208703 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 00351374 Page 1 of 1
ONE CIVIC SQUARE GODBY HOME FURNISHINGS
CARMEL, INDIANA 46032 17828 US 31 NORTH CHECK AMOUNT: $815.92
"tiyo c� WESTFIELD IN 46074 CHECK NUMBER: 208703
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4463000 24336 6051470 815.92
"Quality Furniture, Affordable Prices"
odby
HOME FURNISHINGS CUSTOMER ID SALES {NO. SALE DATE PAGE(
3175712600 6051470 03/23/2012 l
Family Owned Since 1974
13610 N. Meridian St.
Carmel, IN 46032 t t
317- 566 -8720 J I, I o 1 I J I I'
Store Original 1 I� I V o I C,
SOLDT ?'ARMEL FIRE DEPARTMENT DELIV��EL FIRE DEPARTMENT
5032 E. MAIN ST 5032 E. MAIN ST
317 571 -2632
CARMEL, IN 46032 CARMEL, IN 46032
317- 459 -5635 STATION 44
SLSPRSN DELIVERY PAYMENT TERMS
Cd1soLD wf not in service ASAP PAID BEFORE DELIVERY
STATUS ITEM ID ITEM DESCRIPTION UNIT PRICE EXTENDED PRICE
1 EA LRR5146 LAZBOY 10 -515 D865146 479.95 407.96
RKR RECLINER (PROMO 5/4) 71.99 DISCOUNT
PKG 08800
Godby Group: Recliners
1 EA LRR5146 LAZBOY 10 -515 D865146 479.95 407.96
B/0 RKR RECLINER (PROMO 5/4) 71.99 DISCOUNT
PKG 08800
Godby Group: Recliners
PAYMENTS RECEIVED ON SALE:
CREDIT CARD 128. TOTAL PAYMENTS:
I
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i
l
i
i
SALE TOTAL
No refund or exchanges beyond five (S) days of receipt or delivery of running line merchandise. TAXABLE MISC. CHARGES 815.92
Special Orders and Lay -a -ways require a 25% non refundable deposit. SALES TAX 0 00
Seller is not responsible for damages caused by customer's transportation, assembly, or o
maintenance of any type of merchandise. 0 0 0 10( -TAX MISC. CHARGES 0.00
GRAND TOTAL 0.00 815.92
Customer Signature PAYMENT RECEIVED
12.8. BALANCE DUE
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))
6051470 $815.92
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Godby Home Furnishings
IN SUM OF
17828 US 31 North
Westfield, IN 46074
$815.92
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
24336 I 6051470 1 102 630.00 I $815.92 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 7 2012
Y 1 e
e
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund