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243773 03/31/15 �.' CITY OF CARMEL, INDIANA VENDOR: 358990 ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES CHECK AMOUNT: $**.....196.00* CARMEL, INDIANA 46032 DEPOSITORY ACCOUNT CHECK NUMBER: 243773 M��oiico• 75 REMITTANCE DR STE 3135 CHICAGO IL 60675 CHECK DATE: 03/31/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4356003 613168 114.50 SAFETY ACCESSORIES 1120 4356003 613170 81.50 SAFETY ACCESSORIES Invoice MES-Indiana Number ......:00613170_SNV 6975 Hillsdale Court Date .........:3/19/2015 Indianapolis, IN 46250 Page .........:1 of 2 K,'ASales order ..:SO_526183 x�unm�aieaaEairtcikc. Requisition ... Your ref. ...... Telephone :(888)322-8402 Our ref. ......:kschulthei Fax ........:317-596-1701 Payment .....:Net 30 ' Sales Rep ...:kschulthei Inv Acct ......:30195 Bill To: Ship To: CARMEL FD CARMEL FD 2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE CARMEL,IN 46032 CARMEL,IN 46032 Denise Snyder Item number Size Color Description Quantity Unit Unit price Amount 6"PASSPORT 6"Passport Shield w/Passport 1.00 EA 49.00 49.00 Passport only passport for 6"2 panel shield 1.00 EA 18.00 18.00 White with Red Raised Letters "421" Merchandise Restocking Fee S&H Sales tax Discount Total due 67.00 0.00 14.50 0.00 0.00 81.50 USD Thank You For Your Order ! All reftims must be pracesaed%*h/n 30 days of mce/pt and reWlm a retum au/hortrmt/on number and are subject to a restocking fee. cuatom amWm are not retumab/e.EfA cdw tax rate will be appl/cable at the time of Invoke. Invoice MES-Indiana Number ......:00613168 SNV 6975 Hillsdale Court Date .........:3/19/2015 Indianapolis, IN 46250 Page .........:1 of 2 '&ESales order ..:SO 532398 eau"iceu�Exsxnainc.' Requisition ... Your ref. ...... Telephone :(888)322-8402 Our ref. ......:AUlrich Fax ........:317-596-1701 Payment .....:Net 30 Sales Rep ...:kschulthei Inv Acct ......:30195 Bill To: Ship To: CARMEL FD CARMEL FD 2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE CARMEL,IN 46032 CARMEL,IN 46032 Denise Snyder Item number Size Color Description Quantity Unit Unit price Amount 6-2PP 6"passport front with holes 1.00 EA 50.00 50.00 drilled for 880 and bracket added HS1 Shield Style:6-2PP Shield Material:Standard Leather Shield Material Color:White Panel Material:Standard Text Material:Standard Stitching Color:White Bracket Added:Yes Panel 1 Text:CHIEF Panel 1 Text Color:Gold Panel 1 Color:Red Panel 2 Text:CARMEL Panel 2 Text Color:Gold Panel 2 Color:Red Passport Material:Standard Leather Passport Material Color:Gold Center Option Text:Sewn COT Color:Red COT Line 1:41 6PP PASSPORT ONLY FOR 6" 1.00 EA 18.00 18.00 PASSPORT FRONT -GOLD WITH RED NUMBERS SEWN ON"41" RUSH FEE FEE TO HAVE ABOVE 1.00 EA 30.00 30.00 SHIELD SHIPPED ASAP Merchandise Restocking Fee S&H Sales tax Discount Total due 98.00 0.00 16.50 0.00 0.00 114.50 USD Thank You For Your Order ! All retume must be proosased*thin 30 days of rece/pt and require a return auf wdotlon number and are subfed to a reafoddng flee. Custom orders are not retumab/e.EHbcdve tax rete xdll be applkab/e at ft time of/nvokm VOUCHER NO. WARRANT NO. ALLOWED 20 Municipal Emergency Services j IN SUM OF$ 75 Remittance Drive, Suite 3135 Chicago, IL 60675 $196.00 ON ACCOUNT OF APPROPRIATION FOR j Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 613168 43-560.03 $114.50 1 hereby certify that the attached invoice(s), or 1120 613170 43-560.03 $81.50 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 I MAR 3 2015 woo �3r Fire Chief Title I 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)) 613168 $114.50 613170 $81.50 P 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