242077 2 /10/2015 CITY OF CARMEL, INDIANA VENDOR: 360759
ONE CIVIC SQUARE RELIABLE TRANSMISSION SERVICE CHECK AMOUNT: $.....**128.16*
CARMEL, INDIANA 46032 MIDWEST INC CHECK NUMBER: 242077
M, PO BOX 377 CHECK DATE: 02/10/15
t *ori BRANDON FL 33509-0377
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 44258 128.16 REPAIR PARTS
Reliable Transmission Service Midwest, Inc.
RTS 325 E. Stop 18 Road Greenwood, IN 46143
317-889-8130 Fax 317-889-5228 Toll Free 877-542-0506
IMPORTANTI REMIT TO:
s Reliable Transmission Service Midwest, Inc.
D CARMEL FIRE DEPT P.O. Box 377
D 2 CIVIC SQUARE Brandon, FL 33509-0377
T INVOICE NUMBER: 1 - 44258
0 CARMEL, IN 46032
INVOICE DATE: 1/30/2015
CUSTOMER COPY
s
H CARMEL FIRE DEPT NOTE: A Late charge of 1 1/2%per month(18%per
I anum)will be assessed on all past due amounts. In the
P 2 CIVIC SQUARE event that legal action is required to collect any amounts
owing from this sale,buyer hereby agrees to pay all court
T costs and reasonable attorney's fees in connection with
0 CARMEL, IN 46032 such action.
CUSTOMER PHONE 317-571-2600 CUSTOMER NUMBER 2196
ORDERED BY TERMS OF SALE CUSTOMER P.O.NUMBER SHIPPED VIA
NET 30 2 CIVIC SQUAR PU
QTY QTY QTY ITEM NUMBER DESCRIPTION PRICE AMOUNT
ORDER SHIP BIO
1 1 TIK00106 BLOCK 46.58 46.58
1 1 VD408074 CONN.BLOCKASSY. 76.95 76.95
1 1 VD402730 FUSES 4.63 4.63
NOTICE: PAID CORE DEPOSITS WILL BE CREDITED TOWARDS FUTURE PURCHASES ONLY.
SHIPPING IS F.O.B.ORIGIN.
ALL RETURNS REQUIRE PRIOR APPROVAL AND MUST BEACCOMPANIED BY THIS INVOICE. SUBTOTAL 128.16
15%RESTOCKING CHARGE ON ALL PARTS. SALES TAX .00
ALL PARTS INCLUDING CORES MUST BE RETURNED WITHIN 30 DAYS FOR CREDIT. FREIGHT .00
NO RETURNS ON ELECTRICAL OR SPECIAL ORDER ITEMS.
Received in good order by: X TOTAL AMOUNT 128.16
VOUCHER NO. WARRANT NO.
ALLOWED 20
Reliable Transmission Service Midwest, Inc.
IN SUM OF$
i
P.O. Box 377
Brandon, FL 33509-0377
$128.16
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 44258 42-370.00 $128.16 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
Fe9 ._. o M5
r.
Fire Chief
I
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))
44258 $128.16
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