HomeMy WebLinkAbout240348 12/16/14 al.��qy
J�% ,�. CITY OF CARMEL, INDIANA VENDOR. 178450
.�; 1• ONE CIVIC SQUARE KUSSMAUL ELECTRONICS CO IN
CHECK AMOUNT: $*******128.55*
0 2 170 CHERRY AVE CHECK NUMBER: 240348
f. ,�, CARMEL, INDIANA 4603
.y�«oN„�, WEST SAYVILLE NY 11796-1221 CHECK DATE. 12/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 42287 128.55 OTHER CONT SERVICES
MKUSSMAUL Invoice No 0000042287
Remit To:
Phone:800-346-0857 170 Cherry Ave. Sales Order No 032824-00
Fax:631-567-5826 West Sayville,
E-Mail:sales@kussmaul.com NY 11796
Packing List No 036197
Bill to : CAR033 Ship to :
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
United States United States
Phone(317)571-2600 '
Customer PO Number Invoice Date Terms FOB Ship Via Coordinator
VERBAL JASON 12/03/2014 NET 30 DAYS WEST SAYVILLE,NY FED-EX GROUND RESIDENTIAL CST
Item Part/Description Serial Number Quantity Unit Price Extended Price
000010 REPAIR OF 091-18WP-120 1.00 113.00000 113.00
S/N:W21001610 REPAIR M AC37278
000020 RETURN OF 1.00 0.00000 0.00
091-55-20-120 S/N:S25006142 REPAIR M AC37279
000030 SHIPPING 1.00 15.55000 15.55
Shipping/Freight Charge,Ref Shipper No 036197
Shipped on 12/03/2014
Thank you for your order. Total Item Price 113.00
Tracking# 023887570035097 Shipping 15.55
Sales Tax 0.00
Total Inv Price US$ 128.55
Please pay balance due by Friday January 2 2015.
CUSTOMER COPY
Page 1 Authorized Signature
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kussmaul Electronics
IN SUM OF$
170 Cherry Avenue
West Sayville, NY 11796
$128.55
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 42287 43-509.00 $128.55 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 DEG
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
42287 $128.55
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