238532 10/21/14 CITY OF CARMEL, INDIANA VENDOR: 368795
ONE CIVIC SQUARE VENTAMATIC LTD CHECK AMOUNT: $*****2,090.94*
:�. CARMEL, INDIANA 46032 PO BOX 728 CHECK NUMBER: 238532
100 WASHINGTON CHECK DATE: 10/21/14
MINERAL WELLS TX 76068
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467006 0255477-IN 2,090.94 EMS EQUIP
Page: 1
Invoice
VENTAMATIC LTD. Invoice Number: 0255477-IN
PO BOX 728 Invoice Date: 10/7/2014
100 WASHINGTON
MINERAL WELLS,TX 76068
(940)325-7887 Order Number: 0169766
Order Date 10/7/2014
Salesperson: 0002
Customer Number: 02-0004148
Sold To: Ship To:
CITY OF CARMEL FD CITY OF CARMEL FD
[317]571-2600/G CARTER 2 CIVIC SQ
2 CIVIC SQUARE CARMEL,IN 460322584
CARMEL,IN 46032
Confirm To:
Customer P.O. Ship VIA F.O.B. Terms
CARMELFD-2 FDXG PREPAID/ADD NET 30 DAYS
Item Number Unit Ordered Shipped Back Ordered Price Amount
CDHP1840GRY EACH 1.000 1.000 0.000 999.000 999.00
COOL DRAFT 18"HIGH PRESSURE F Whse: 000
*CDHP1840GRY EACH 1.000 1.000 0.000 999.000 999.00
Net Invoice: 1,998.00
Less Discount: 0.00
Freight: 92.94
Sales Tax: 0.00
Invoice Total: 2,090.94
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ventamatic Ltd.
i IN SUM OF $
PO Box 728
Mineral Wells, TX 76068
$2,090.94
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 0255477-IN 102-670.06 $2,090.94 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
OCT 2 0 2614
Fire Chief
Title
I
1 I
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
0255477-IN Rehab Fans $2,090.94
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
20Clerk-Treasurer