242259 02/17/15 "F CITY OF CARMEL, INDIANA VENDOR: 093500
® ONE CIVIC SQUARE FEDERAL SIGNAL CORP CHECK AMOUNT: S""""369.00'
CARMEL, INDIANA 46032 75 REMITTANCE DRIVE CHECK NUMBER: 242259
SUITE 3257 CHECK DATE: 02/17/15
CHICAGO IL 60675-3257
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 5960404 369.00 REPAIR PARTS
Federal Signal Corporation INVOICE Invoice Number: 5960404
2645 Federal Signal Drive Invoice Date/Page No:1 2/5/2015 1 of 1
University Park, IL 60484 USA Order Number-I 2955026 SO
Public Safety Systems -Please note our Payment Options^
Phone: 800-264-3578 WIRE PAYMENT: OVERNIGHT PAYMENT: MAIL PAYMENT:
Fax: 800-682-8022
Federal Signal Corporation Federal Signal Corporation Federal Signal Corporation
C/O Wells Fargo Bank N.A. 350 N.Orleans St.,FI 8 75 Remittance Or,Suite 3257
230 W.Monroe St.Ste 2900 Suite 3257 Chicago,IL 60675-3257
Chlcago,It.60606 Chicago,IL 60654-1529
PHONE:312-845-4613
SWIFT:WFBIUS6S
Routing#: 248
SOLD TO:84102884
Account#:441222/122213390
ACCOUNTS PAYABLE
CARMEL FIRE DEPT
2 CIVIC SQUARE SHIP TO:84102884
CARMEL IN 46032 ACCOUNTS PAYABLE
United States CARMEL FIRE DEPT
2 CIVIC SQUARE
CARMEL IN 46032
United States
Bill To Customer PO Freight/Inco Terms Ship Via
84102884 E42 FREE UPS TODAY
Payment Terms ShID Date Shipper Rep/Region
NET 30 2/5/2015 FOB- Origin S.A. CROUCH-CROUCH
Line Quantitv Item No. Description Unit Total
No Ord_ered_ B_O Shi ed Price Amount
------- I ------- ---------------
1.000 1 i 1 ADSV-25-Z SPEAKER,25 WATT,WNOLUME 369.00 369.00
CONTROL
I j
RMA 2942508-SA-THIS REPLACES THE ADSV-25 1999 DATE CODE-� � WATERII DAMAGE Pm- - .----- - - -- - - - --- -----------r ---------- ------------------
I
I i i i
I I
Applicant agrees to pay service charges of 1 1/2%interest per month on any invoice amount past SUB-TOTAL : 369.00
due until paid, both before and after judgment, and further agrees to pay all costs incurred in
collection of past due amounts, including reasonable attorney's fees in the event this account is TAXES : 0.00
placed for collection,whether suit is filed thereon or not. INVOICE TOTAL : 369.00
SEND PAYMENT DETAILS TO :fscar@federalsignal.com CURRENCY: USD
R5542565C_SSG.ctp6 (SSG2000PS/15205146) (RI/810N/121) ORIGINAL
)rescribed 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
vhom, 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))
5960404 E42 $369.00
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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Federal Signal
IN SUM OF $
75 Remittance Drive, Suite 3257
Chicago, IL 60675-3257
$369.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 5960404 42-370.00 $369.00 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
i
which charge is made were ordered and
received except
FEB 1 6 2015
1
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund