223554 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 364924 Page 1 of 1
_. ONE CIVIC SQUARE LEGEND DATA SYSTEMS CHECK AMOUNT: $66.43
�a CARMEL, INDIANA 46032 PO BOX 88787
SEATTLE WA 98138 CHECK NUMBER: 223554
CHECK DATE: 8/27/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 96210 66 . 43 OTHER MISCELLANOUS
LEGEND DATA SYSTEMS, INC.
dba IMS Alliance voice
P.O. Box 88787
Seattle, WA 98138
www.IMSAiliance.com
Customer No.: CARMEL
Phone: (425) 251-1670 Invoice No.: 96210
Fax: (425) 251-1894
Bill To: Carmel Fire Department Ship To: Carmel Fire Department
Attn: Safety Committee Attn: Ian Reppert
2 Civic Square 2 Civic Square
Carmel, IN 46032 Carmel, IN 46032
Date Tracking Number F.O.B. s Terms
08/09/13 lZ3330X30349609620 Origin Net 30
Purchase Order Number Order Date Sales Order Number
Ian Reppert 08/06/13 42862
Quantity
Ordered Shipped B.O. Item Number Description Unit Price Amount
4 4 IMS-600-001-C Name Tag, 3/8", White/Black 1.35 5.40
Custom
6 6 IMS-630-009-C Passport Collector, Red 4.25 25.50
Flexible Custom
2 2 IMS-630-004-C Passport Collector, Blue 4.25 8.50
Flexible Custom
1 1 IMS-630-008-C Passport Collector, Black 4.25 4.25
Flexible Custom
4 4 IMS-630-006-C Passport Collector, Green 4.25 17.00
Flexible Custom
Invoice subtotal 60.65
Freight charges 11.18
Invoice total (U.S. $) 71.83
i
Make Checks Payable To: Legend Data Systems, Inc.
'rescribed 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))
96210 $66.43
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
Legend Data Systems
IN SUM OF $
PO Box 88787
Seattle, WA 98138
$66.43
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 96210 I 42-390.99 I $66.43 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 6 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund