243154 3 /18/2015 0coq
J�%s ''t� CITY OF CARMEL, INDIANA VENDOR: 00350523
ONE CIVIC SQUARE APPARATUS SERVICE CORP CHECK AMOUNT: $*****3,096.00*
9 ,,+` CARMEL, INDIANA 46032 5546 ELMWOOD CT CHECK NUMBER: 243154
"'iru:; INDIANAPOLIS IN 46203 CHECK DATE: 03/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4463100 26439 3,096.00 COMMUNICATION EQUIPME
4NPP�J��TUS Invoice
V eRfiler
DATE INVOICE
5546 EMLWOOD CT.
INDIANAPOLIS,IN 46203 2/27/2015 26439
BILL TO SHIP TO
CARMEL FIRE DEPT.
2 CARMEL CIVIC SQUARE
CARMEL, IN 46032
P.O. NO. TERMS DUE DATE REP
Bob VanVoorst Net 30 3/29/2015 JJ
ITEM QTY DESCRIPTION U/M RATE AMOUNT
SE-2, 12 SE-2 SIGTRONICS HEADSETS 258.00 3,096.00
Sales Tax (0.00) $0.00
E-MAIL ADDRESS: Total $3,096.00
jbrenner@donleysafety.com
Phone (317) 786-2491
Fax (317) 786-2532
f
VOUCHER NO. WARRANT NO.
ALLOWED 20
Apparatus Service
IN SUM OF$
5546 Elmwood Court
Indianapolis, IN 46203
$3,096.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 26439 102-631.00 $3,096.00 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
which charge is made were ordered and
received except
LIAR 1 6 2015
II
--)L JIM A
n , I
Fire Chiu"
Title
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
'f CITY OF CARMEL
lAn 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))
26439 $3,096.00
I
I
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