217724 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 364924 Page 1 of 1
0 ONE CIVIC SQUARE LEGEND DATA SYSTEMS CHECK AMOUNT: $19.20
CARMEL, INDIANA 46032 PO BOX 88787
SEATTLE WA 98138 CHECK NUMBER: 217724
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 93482 19 . 20 OTHER MISCELLANOUS
LEGEND DATA SYSTEMS, INC. Invoice
dba IMS Alliance
P.O. Box 88787
Seattle, WA 98138
www.IMSAiliance.com
Customer No.: CARMEL
Phone: (425) 251-1670 Invoice No.: 93482
Fax: (425) 251-1894
Bill To: Carmel Fire Department Ship To: Carmel Fire Department
Attn: Safety Committee Attn: Gary Carter
2 Civic Square 2 Civic Square
Carmel, IN 46032 Carmel, IN 46032
,Date,' Tracking Number,,.,_ F.O.B. . Terms
02/11/13 112699350000418617 Origin Net 30
Purchase Order Number Order Date Sales Order Number
Ian Reppert 02/07/13 40571
Quantity
Ordered Shipped B.O. Item Number Description . Unit Price Amount
12 12 IMS-600-001-C Name Tag, 3/8", White/Black 1.35 16.20
Custom
Invoice subtotal 16.20
Freight charges 3.00 -
Invoice total (U.S. $) 19.20
Make Checks Payable To: Legend Data Systems, Inc.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Legend Data Systems
IN SUM OF $
PO Box 88787
Seattle, WA 98138
$19.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 93482 I 42-390.99 I $19.20 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
t=EB 2 5 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Drescribed by State Board of Accounts City Form No 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n 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))
93482 Accountability Supplies $19.20
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