209078 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 362999 Page 1 of 1
ONE CIVIC SQUARE C V S WHOLESALE FLAGS
CARMEL, INDIANA 46032 1139 S BALDWIN AVE CHECK AMOUNT: $49.00
o� MARION IN 46953 CHECK NUMBER: 209078
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 I00866601 49.00 REPAIR PARTS
�0
WSRagscom Invoice 100866601
Date 5/3/2012
Wholesale Dependable quality. Original 000687853
1139 S Baldwin Ave. Marion IN 46953 1- 866 -691 -0308
A Division of CVS Systems Inc. Ship Phone (317) 571 -2667
City Of Carmel IN Fire Dept. City Of Carmel IN Fire Dept.
2 Civic Square 2 Civic Square
Carmel, IN 46032 Attn: Gary Carter
Carmel, IN 46032
PO Number Customer No. Salesperson ID Shipping Method Pavment Terms Master No.
GARY CARTER F1200685 030 DROP SHIP Net 30 822,265
Ordered Shipped B/O Item Number Description warehous Unit Price Ext Price
s 'C Cop
ustom y
1 1 0 230360178 7 inch Beaded Retainer Ring Drop Ship, 40.00 40.00
Attn: Gary Carter 40.00
Thank You! 0.00
9.00
0.00
0 0.00
Credit Card Payment Received: 0.00 49.00
CVS Systems Inc. 1139 S Baldwin Ave Marion, IN 46953
TEL: 765.662.0037 Fax 765.662.9959
8:38:29AM
VOUCHER NO. WARRANT N
ALLOWED 20
,CVS Wholesale Flags
IN SUM OF
1139 S. Baldwin Avenue
Marion, IN 46953
$49.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE I AMOUNT Board Members
1120 I 100866601 I 42- 370.00 I $49.00 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 2.1 2012
9
o 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))
100866601 I I $49.00
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