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221998 07/17/2013 \yf CITY OF CARMEL, INDIANA VENDOR: 362792 Page 1 of 1 ONE CIVIC SQUARE GLENDALE PARADE STORE.COM CHECK AMOUNT: $716.00 ?o CARMEL, INDIANA 46032 192 PARIS AVE NORTHVALE NJ 07647-2016 CHECK NUMBER: 221998 CHECK DATE: 7117/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4356001 R466888 716 . 00 UNIFORMS Glendale Parade Store, LLC invoice 192 Paris Ave Northvale NJ 07647-2016 www.paradestore.com Date 7/2/2013 Phone: 800-653-5515 Fax: 800-555-9269 Invoice No: R466888 Order#: R341651 Customer#: G186986 Sold To: jreecer @carmel.in.gov Ship To Accounts Payable Jason Reecer City Of Carmel Fire Department City Of Carmel Fire Department 2 Civic Square 2 Civic Square Carmel IN 46032 Carmel IN 46032 Acct#: _ Tax ID: Ship Date: 712/2013 _ PO#. REECER Ship Via: FedEx Ground Term s_: Net 30 Ordr Ship BOed UI Item Desc Sell Ext'd PN 15 15 0 PR 1078SP Honor Guard Gloves with Grips, Sm-Med/Pr 7.25 108.75 PN 5 5 0 PR 1078LP Honor Guard Gloves with Grips, Lg-XL/Pr 7.25 36.25 PT 5 1 4 EA 632BSC Aiguillette/Br, Loop Scarlet 44.75 44.75 PN 5 5 0 . EA 015SC Reg Bib Scarf, Velcro, Scarlet 6.25 31.25 PT 10 10 0 EA 1032BK Wally 2-Pocket Garment Bag, Black, Polyesl 49.50 495.00 Type Date Ref No Exp Auth Amount Subtotal: 716.00 A/R 07/02/13 REECER 716.00 Tax: 0.00 Tax2: 0.00 Shipping 0.00 Hnding 0.00 Total: 716.00 Notes: UNKE Balance Due: 716.00 Thank you! If there are problems with this shipment, keep all boxes and notify us immediately. All returns require an RMA number. Please visit us at WWW.PARADESTORE.COM Date Ph: (317) 571-2667 Fx: (317) 571-2615 10:31 Page: 1 INR466888 2. Wt: 24.3 VOUCHER NO. WARRANT NO. ALLOWED 20 Glendale Parade Store.Com IN SUM OF $ 192 Paris Avenue Northvale, NJ 07647 ( (o $716.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I R466888 I 43-560.01 I $716.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received excePS I1$ 20t3 s 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)) R466888 $716.00 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 5-11-10-1.6 120 Clerk-Treasurer