209912 06/20/2012 \,f CITY OF CARMEL, INDIANA VENC,OR: 363609 Page 1 of 1
ONE CIVIC SQUARE AMAZON.COM CHECK AMOUNT: $151.77
CARMEL, INDIANA 46032 PO BOX 530958
ATLANTA GA 30353 CHECK NUMBER: 209912
CHECK DATE: 6/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 604578781019 151.77 60457878101934942
amazon.com
Account: 60457 8781 019394 2 Statement Date: 06/10/12 Page: 1 of 2
Remember, you can buy both Used and Marketplace
items as well as items sold by Amazon.com
with your Credit Line.
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CARMEL FIRE DEPARTME
ATTN: DENISE SNYDER
2 CIVIC SQUARE
CARMEL, IN 46032 -2584
Customer Service Online at amazon.com /creditline
This account is already registered.
See your Online Admin to get a User ID Password
Current Invoices (Details for Current Month's Invoices E
Date Invoice Original Due Date Reference
Amount
06/07/12 272270943510 121.57 08105/12 102 8553911 -63
06/07/12 241354242582 30.20 08/05/12 102 2269345 -92
Current Invoices: $151.77 Send payments to:
Previously Billed P.O. Box 530958
Invoices: 0.00 Atlanta GA 30353 -0958
Unapplied Payments Send inquiries (not payments) to:
N Credits: 0.00 O
tvL P.O. Box 29168
Shawnee Mission KS 66201
AFM For Customer Service:
Call 1- 866 634 -8381
Retain left hand portion for your records, send right hand portion noting items paid by a [Z
with your payment. If not sending stub, note account number, invoice number and amounts
being paid on your check.
Continue-
7828 0004 001 07 PAGE 1 of 2
amazon.cow
Account: 60457 8781 019394 2 Statement Date: 06/10/12 Page: 2 of 2
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Current Invoice Details
AMAZON
PO BOX 530958
ATLANTA, GA 30353 -0958
CARMEL FIRE DEPARTME Date of Sale: 06/07/12
Account: 8781019394 2 Invoice: 272270943510
Location: 0002 P.O.: 102 8553911 6352224
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
B004YTRZFQ Skiva PowerFlow 2.1Amp Mat 3.000 EA 14.9900 44.97
B005SUHRH6 Olterbox Defender Series Hybri 3.000 EA 23.4400 70.32
MISC SHIPPING AND TAX 1.000 EA 6.2800 6.28
V Subtotal: 121.57 Tax: 0.00 Balance Due: 121.57
AMAZON
PO BOX 530958
ATLANTA, GA 30353 -0958
CARMEL FIRE DEPARTME Date of Sale: 06/07/12
Account: 8781 019394 2 Invoice: 241354242582
Location: 0002 P.O.: 1 102- 2269345 9265806
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
B0052MILZ2 Apple 3.5mm Earphones with Rem 4.000 EA 7.5500 30.20
Subtotal: 30.20 Tax: 0.00 Balance Due: 30.20
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7828 0004 001 07 PAGE 2 of 2 i COLR0813 3472
VOUCHER NO. WARRANT NO.
ALLOWED 20
Amazon
IN SUM OF
P.O. Box 530958
Atlanta, GA 30353
$151.77
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 241354242582 42- 370.00 $30.20 1 hereby certify that the attached invoice(s), or
110 272270943510 42- 370.00 $121.57 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
JUN "1 2012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Irescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
kn invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
vhom, 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))
241354242582 $30.20
272270943510 $121.57
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