245566 05/20/15 0-11
CITY OF CARMEL, INDIANA VENDOR: 358990
ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES CHECK AMOUNT: S*******830.34*
CARMEL, INDIANA 46032 DEPOSITORY ACCOUNT CHECK NUMBER: 245566
75 REMITTANCE DR STE 3135 CHECK DATE: 05/20/15
CHICAGO IL 60675
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 628868 70.91 OTHER MISCELLANOUS
1120 4356003 628893 759.43 SAFETY ACCESSORIES
I nvoice
MES- Indiana Number ......:00628868_SNV
6975 Hillsdale Court Date .........:5/6/2015
Indianapolis, IN 46250 Page .........: 1 of 2
KAES_� Sales order ..:SO_546374
�auNrcreaim�ma�asEanc�s inc. 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
31001876 Wescodyne Plus,16 oz(6 3.00 EA 20.00 60.00
Bottles/case purchase,Sold by
Ea)
Merchandise Restocking Fee S&H Sales tax Discount Total due
60.00 0.00 10.91 0.00 0.00 70.91 USD
Thank You For Your Order !
All returns must be processed wNhln 30 days of recelpt and require a return audwrizetlon number and are subject to a restocidng fee.
Custom orders are not retumable.EHfecdw tax retie will be app/kable at the time of invoke.
I nvoice
MES- Indiana Number ......:00628893_SNV
6975 Hillsdale Court Date .........:5/6/2015
Indianapolis, IN 46250 Page .........: 1 of 2
KAESI� p Sales order ..:SO_539955
MUNicawen�smaaeancea,inc. Requisition ...
Your ref. ......
Telephone : (888)322-8402 Our ref. ......:kmckissick
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
690-9451 13.OM BOOT RUBBER 15 inch NFPA 2.00 EA 108.49 216.98
KEVLAR/NOMEX
-KENT ANDERSON
690-9451 09.5M BOOT RUBBER 15 inch NFPA 1.00 EA 108.49 108.49
KEVLAR/NOMEX
-WILLIAM MUELLER
690-9451 11.5M BOOT RUBBER 15 inch NFPA 1.00 EA 108.49 108.49
KEVLAR/NOMEX
-JONATHAN BENGE
690-9451 10.51M BOOT RUBBER 15 inch NFPA 1.00 EA 108.49 108.49
KEVLAR/NOMEX
-JUSTIN RUTHERFORD
690-9451 10.0M BOOT RUBBER 15 inch NFPA 1.00 EA 108.49 108.49
KEVLAR/NOMEX
-GRANT RUSSEL
690-9451 11.0M BOOT RUBBER 15 inch NFPA 1.00 EA 108.49 108.49
KEVLAR/NOMEX
-MICHAEL PHILLIPS
Merchandise Restocking Fee S&H Sales tax Discount Total due
759.43 0.00 0.00 0.00 0.00 759.43 USD
Thank You For Your Order !
All retums must be processed within 30 days of reeelpt and require a return audwizedon number and are subject to a reatoddng fee.
Custom orders are not retumable.EHiecdw tax rete will be applicable at the time of Invoke.
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))
628893 $759.43
628868 $70.91
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Municipal Emergency Services
IN SUM OF $
75 Remittance Drive, Suite 3135
Chicago, IL 60675
$830.34
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 628893 43-560.03 $759.43 1 hereby certify that the attached invoice(s), or
1120 628868 42-390.99 $70.91 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
PAC �J, V ixmt�
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund