HomeMy WebLinkAbout239757 12/03/2014 45CITY OF CARMEL, INDIANA VENDOR: 176650
! ONE CIVIC SQUARE WORSEN FIRE&SECURITY CHECK AMOUNT: $*******625.65*
?a CARMEL, INDIANA 46032 2719 N ARLINGTON AVE CHECK NUMBER: 239757
INDIANAPOLIS IN 46216-3322 CHECK DATE: 12/03/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350100 3379096 625.65 BUILDING REPAIRS & MA
: r INVOICE
FIRE .4 SECURITY
3379096 Date of 11/20/2014 cust.
REMIT TO:Koorsen Fire&Security No.: work: order
2719 N Arlington Avenue
Indianapolis,IN 46218-3322 Invoice Date: 11/21/2014 SO#: 2884775 Date 12/16/2014
1-888-KOORSEN Include invoice#on check. Due:
Cust ID 01CAR3111 JOB# SERVICE01 / 0
Sold To: Location:
CARMEL CLAY COMMUNICATION CENT CARMEL CLAY COMMUNICATION CENT
31 1ST AVE NW 31 1ST AVE NW
CARMEL, IN 46032 CARMEL, IN 46032
01-VANAGS / 01-001190 / TK01-68
NOVEMBER FIRE EXTINGUISHER SERV Annual Exp 10/2016
11.00 INSP-FE-A INSPECTION OF FIRE EXTINGUISHER ANNUAL 6.55 72.05
11.00 CIKT000 TAG,INSPECTION-KOORSEN YELLOW P50 NIC .00
11.00 CIKTO03 TAG,OSHA-KOORSEN PAPER MONTHLY INSPECT-BUFF P50 1.35 14.85
7.00 BRKSW SEAL,TAMPER KOORSEN LOGO YEAR 2014 P1000 NIC .00
1.00 EE6F-H EXCHANGE EXTINGUISHER 6# FE36 HYDRO TESTED 78.20 78.20
1.00 EE11HT-H EXCHANGE EXTINGUISHER 11# HALOTRON HYDRO TESTED 111.40 111.40
1.00 EE15HT-H EXCHANGE' EXTINGUISHER 15. 5# HALOTRON HYDRO TESTED 138.20 138.20
1.00 AMB441 EXTINGUISHER 10# ABC WB TALL B-V 4A:80B:C 144.00 144.00
1.00 99MATLGPC SERVICE MATERIALS GEN PROD C 12.00 12.00
1.00 99SCE1 SERVICE CALL FIRE EXTING 1 47.00 47.00
1.00 99FUELSC FUEL CHARGE T 7.95 7.95
TOTAL SALES/SERVICES XMP# 0031201550-020 625.65
TOTAL 625.65
Pay online @ www.koorsen.com. To pay by credit card,please phone or return to us:
Circle:VISA MC AMEX Card Number __------____---_-
Name on Card Expiration Date
Total Sales Taxable Sales Tax Amount Shipping Charge Invoice Total b
625.65 0.00 0.00 625.65
l
VOUCHER NO. WARRANT NO.
ALLOWED 20
Koorsen Fire & Security, Inc.
IN SUM OF $
2719 N. Arlington Avenue
Indianapolis, Indiana 46218
$625.65
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. I ACCT#IrITLE AMOUNT Board Members
1115 3379096 I 43-501.00 $625.65
I 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
i
I
Wednesday November 26, 2014
Director
Title
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))
11/21/14 3379096 $625.65
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
20
Clerk-Treasurer