245202 05/13/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 366429
ONE CIVIC SQUARE MID-AMERICA FIRE&SAFETY LLC CHECKAMOUNT: $*******820.82*
CARMEL, INDIANA 46032 4001 N ST JOSEPH STREET CHECK NUMBER: 245202
EVANSVILLE IN 47720 CHECK DATE: 05/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 21644 820.82 OTHER EQUIPMENT
Mid America Fire & Safety LLC
4001 N. St. Joseph Ave.
Evansville, IN 47720
PH 812-423-5505
FX 812-423-5553 �'RF SAF
Carmel Fire Dept.
2 Civic Square
Carmel,IN 46032
Date Invoice# P.O. No. Terms Rep
5/6/2015 21644 L41 Pedal Cutter House
Item Description Qty Rate U/M Amount
2105.0210 Q Cutter Blade 2 404.91 ea 809.82T
In Bound Freight InBound Freight 1 11.00 11.00
Thank You For Business!! Subtotal
o $820.82
Terms&Conditions:All Sums Not Paid Within 30 Days Shall Bear Interest at 1.5%Per
Month Until Paid.
Sales Tax $0.00
www.midamericafire.com Total $820.82
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid-America Fire & Safety LLC i
/� IN SUM OF$
4001 N. St. Joseph Street 'riVEe
Evansville, IN 47720
$820.82
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 21644 102-670.99 $820.82 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
MAY 1 1 2015
Fire Chief
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))
21644 L41 $820.82
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
, 20
Clerk-Treasurer