243698 03/31/15 CITY OF CARMEL, INDIANA VENDOR: 079150
ONE CIVIC SQUARE DONLEY SAFETY CHECKAMOUNT: $*******137.02*
CARMEL, INDIANA 46032 5546 ELMWOOD AVE CHECK NUMBER: 243698
(9,
INDIANAPOLIS IN 46203 CHECK DATE: 03/31/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 1870 137.02 REPAIR PARTS
DONLEY SAFETY
5546 ELMWOOD COURT Dlffw
INDIANAPOLIS, IN 46203-
317-786-2268
6203317-786-2268 / fax: 317-786-2532
ACCT# INVOICE # 1870 03/20/15 TL$0 DUE$137.02
Work 317-571-2600 *NONE
Fax 317-571-2615
. CARMELFD
2 CIVIC SQUARE
CARMEL, IN 46032 PARTS SALE
ORDER 2 NEW TECNIQ FLUORESCENT - LED CONVERTERS
GENERAL WORK Group Total 127.02
E39-L000-1 *FLUORESCENT LED KIT, WAR 2@ 63.51 127.02
Parts Sub-Total 127.02
SUBLET 10.00 Group Total
SHIPPING SHIPPING 1. 00 10. 00 10 . 00
27/)4
�l✓`, J L/�/
G.t
PARTS 127 . 02
Sublet 10 . 00
<< NO TAX >>
TOTAL WORK ORDER 137 . 02
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
Donley Safety IN SUM OF $
i
5546 Elmwood Court
Indianapolis, IN 46203
$137.02
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 1870 42-370.00 $137.02 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
i
materials or services itemized thereon for
which charge is made were ordered and
received except
MAR 3 0 2015
'P.1 6)p NAA
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
iPrescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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))
1870 A341 $137.02
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