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220309 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 00350176 Page 1 of 1 ONE CIVIC SQUARE POSITIVE PROMOTIONS INC CHECK AMOUNT: $1,079.92 ,`. CARMEL, INDIANA 46032 15 GILPIN AVE HAUPPAUGE NY 11788 CHECK NUMBER: 220309 CHECK DATE: 5/21/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4239020 24446 04734223 1, 079 . 92 PREVENTION SUPPLIES i Positive Promotions, Inc. INVOICE 15 Gilpin Avenue; Hauppauge, NY 11788 Phone: 800-635-2666; Fax: 631-486-2269 www.positivepromotions.com Federal Tax I.D.#13-1968593 Customer 00319681 01 Your Purchase 24446 Our Reference 45062180 BPP9256 INVOICE NUMBER - Number Order Number Numbers BILL TO: SHIP TO: 04734223 ATTN: ACCOUNTS PAYABLE DEPT. KEITH FREER CITY OF CARMEL FIRE DEPARTMENT CITY OF CARMEL FIRE DEPARTMENT INVOICE DATE 2 CIVIC SQ 2 CIVIC SQ 5/10/13 CARMEL IN 46032-7543 CARMEL IN 46032-7543 QUANTITY ITEM NO. DESCRIPTION UNIT PRICE AMOUNT 1 KHS124P GN13 :REFLECTIVE STICKER CHILD 52 . 00 52 .00 1 KHS126P GN13 :REFLECTIVE STICKER PET 52 . 00 52 .00 500 ITP-98 GN13 :GUIDE: EMERGENCY PREPARED 1. 14 570.00 1 PR PROOF CHARGE — PAPER PROOF 0 . 00 .00 133 868—SL FC13 :SLIDE GUIDE:FIRE SAFETY I 0 . 85 113 .05 67 868—SL FC13 :SLIDE GUIDE:FIRE SAFETY I FREE FREE 20 GB-103E EF13 :GOODY BAG DO YOUR PART BE 7.25 145.00 PRESS SET UP 1.I7.ARGE 50 . 00 TERMS:NET-CASH,F.O.B.HAUPPAUGE,NY Sub-Total 982 .05 Shipping& Handling 97 .87 Sales Tax .00 Invoice Total 1, 079.92 Amount Prepaid .00 Balance Due 1, 079.92 1387 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)) 04734223 Fire Prevention Supplies $1,079.92 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 Positive Promotions IN SUM OF $ 15 Gilpin Avenue Hauppauge, NY 11788 $1,079.92 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 24446 I 04734223 I 42-390.20 I $1,079.92 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 2 0 2013 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund