HomeMy WebLinkAbout231760 04/23/14 v!
°"% CITY OF CARMEL, INDIANA VENDOR: 178450
;; ® 'sl ONE CIVIC SQUARE KUSSMAUL ELECTRONICS CO IN CHECK AMOUNT: $ ...'*508.73"`
:. a° CARMEL, INDIANA 46032 170 CHERRY AVE CHECK NUMBER: 231760
9,;,. WEST SAYVILLE NY 11796-1221 CHECK DATE: 04/23/14
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 28091 508.73 REPAIR PARTS
EDUSSMAUL invoice No 0000028091
ELECTRONICS
Remit To..
Phone:800-346-0857 170 Cherry Ave. Sales Order No 018598-00
Fax:631-567-5826 West Sayville,
E-Mail:sales@kussmaul.com NY 11796
Packing List No 020667
Bill to : CAR033 Ship to
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
United States United States
Phone(317)571-2600
Customer PO Number Invoice Date Terms FOB Ship Via Coordinator
BAP4 03/31/2014 NET 30 DAYS WEST SAYVILLE,NY UPS GROUND LL
Item Part/Description Serial Number Quantity Unit Price Extended Price
000010 091-55-20-120-BW-YW 1.00 322.00000 322.00
SUPER AUTO EJECT 120 VOLT AC 20 AMP
000020 091-55-20-120-BW 1.00 0.00000 0.00
SUPER AUTO EJECT 120 VOLT AC 20 AMP 320140199 1
Kit Item
000030 091-55YW 1.00 0.00000 0.00
WEATHERPROOF COVER,YELLOW
Kit Item
000040 5-20P-H 6.00 29.00000 174.00
CONNECTOR, 120 VOLT,20 AMP HUBBELL
000050 SHIPPING 1.00 12.73000 12.73
Shipping/Freight Charge, Ref Shipper No 020667
—-- '-Shipped on 03/3112014- ^—
Thank you for your order. Total Item Price 496.00
Tracking# 1Z1335780322034372 Shipping 12.73
Sales Tax 0.00
Total Inv Price US$ 508.73
Please pay balance due by Wednesday April 30 2014.
CUSTOMER COPY
Page 1 Authorized Signature
i
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))
28091 $508.73
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
Kussmaul Electronics
IN SUM OF $
170 Cherry Avenue
West Sayville, NY 11796
$508.73
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 28091 42-370.00 $508.73 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
APR 2 1 2014
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund