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223422 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 362650 Page 1 of 1 ONE CIVIC SQUARE CENTER FOR PUBLIC SAFETY EXCELL�y� i CHECK AMOUNT: $477.95 CARMEL, INDIANA 46032 4501 SINGER COURT#180 CHANTILLY VA 20151 CHECK NUMBER: 223422 CHECK DATE: 8/2712013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4239099 477 . 95 OTHER MISCELLANOUS Center for 4501 Singer Court, Suite 180 �o� Public Safe{' Chantilly,VA 20151 `] (866)866-2324 T Excellence (703)961-0113 F ® F www.puublicsafetyexcellence.ors MERCHANDISE OFFERINGS AND ORDER FORM . . s e Fire&Emergency The basic document to the self-assessment and Member Services Self- accreditation process,this manual serves as the Assessment tool for effectively assessing and evaluating Non-member Manual, 81h Ed. today's fire service organizations. $75.00 The manual to guide emergency services Member w CFAI,Standards of $50.00 Cover manual, 5th agencies through the process of identifying and analyzing community risk,and standards of Non-member Ed. cover for deployment of resources. $75.00 o- CFAI Accredited This special order lapel pin features accredited Agency Lapel Pin agency status and agency name at the bottom. $7.99 Quantities of minimum 100 pieces. CFO Uniform Insignia Collar Bronze 1"round CFO uniform insignia collar $12.50 Buttons buttons(2 per set) CFAI Lapel Pin $4.99 CFO Lapel Pin $4.99 c 'F o 0 CFO Uniform Bar $10.00 ce�aR l CEMSO Uniform $10.00 Bar F �e FM Uniform Bar $10.00 013 FO Uniform Bar $10.00 �, CFAI Uniform Bar $10.00 2013-2018 heavy duty,indoor/outdoor 3" $7.50 decal,available in three sizes. Also available: Decal 6" $10.50 2�,­ ❑2012-2017, ❑2011-2016, ❑2010-2015, 02009-2014, ❑ 2008-2013, 10" $14.00 3Q_ i Vansport Omega Solid Mesh Tech Polo, 100%polyester, moisture management,UV S: $39 protection,and tagless neck. Men's sizes S- M: $39 XXXL.Available in red,white,and navy L: $39 with logos: CFAI,CFO,FO,CTO. `� Polo Shirt XL: $39 Uecify color and logo: XXL: $42 XXXL: $45 Color: Logo: 'SHIPPING Standard (Ground) 2-3 Day(Air Merchandise Total Next Day Air Service Service US Only Up to$10.00 $5.95 $13.95 $10.01 -$20.00 $6.95 $14.95 $20.01-$30.00 $8.95 $16.95 $30.01 -$50.00 $10.95 $18.95 $50.01 -$70.00 $14.95 $22.95 $70.01 -$100.00 $16.95 $24.95 Call CPSE for rate $100.01 -$150.00 $19.95 $27.95 $150.01 -$200.00 $24.95 $32.95 $200.01-$400.00 $29.95 $400.01 -$600.00 $36.95 Call CPSE for rate $600.01 -$800.00 $40.95 $800.01 + Call CPSE for rate The above rates apply for Continental U.S. only. Please call CPSE for International rates. TOTALS Merchandise Total VA residents add 5% sales tax CA residents add 7.25% sales tax Shipping& Handling(UPS Ground unless otherwise specified) 3\a .v5 TOTAL ENCLOSED PAYMENT. 1 ' 1 Check (enclosed) ❑Cash ❑Visa ❑MasterCard ❑AMEX ❑Discover Name on card: Credit Card# Exp.Date: Signature: Billing Address CUSTOMER SHIPPING'INFORMATION(no PO Box) Name: �� ©mot Title: Organization: Address: �- City: ���«�� State: Zip: Phone: Fax: Email: VOUCHER NO. WARRANT NO. ALLOWED 20 Center for Public Safety Excellence IN SUM OF $ 4501 Singer Court, #180 Chantilly, VA 20151 $477.95 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I I 42-390.99 I $477.95 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except AUG 2$ ,20,13 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund 3rescribed 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 ✓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)) $477.95 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 5-11-10-1.6 120 Clerk-Treasurer