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245926 06/03/15 CITY OF CARMEL, INDIANA VENDOR: 358990 ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES CHECK AMOUNT: $.....2,061.14* CARMEL, INDIANA 46032 DEPOSITORY ACCOUNT CHECK NUMBER: 245926 75 REMITTANCE DR STE 3135 CHECK DATE: 06/03/15 CHICAGO IL 60675 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350900 630203 86.00 OTHER CONT SERVICES 1120 4356003 630261 16.50 SAFETY ACCESSORIES 1120 4356003 630263 101.69 SAFETY ACCESSORIES 1120 4356003 631360 731.95 SAFETY ACCESSORIES 1120 4356003 633528 1,125.00 SAFETY ACCESSORIES Invoice MES-Indiana Number ......:00633528 SNV *0k ftA 6975 Hillsdale Court Date .........:5/20/2015 Indianapolis, IN 46250 Page .........:1 of 2 K'ASales order ..:S0_551162 rnueicvuEnExse� arain�s uac 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 QuantityUnit Unit price Amount " -- PACII-DS-FDN 100%NOMEX DOUBLE 50.00 EA 22.50 1,125.00 LAYER,DOUBLE SEAM CONSTRUCTION,FULL DRAP Merchandise Restocking Fee S&H Sales tax Discount Total due 1,125.00 0.00 0.00 0.00 0.00 1,125.00 USD Thank You For Your Order ! All returns must be processed**bin 30 days of receipt and require a return authortzatlon number and are subject to a restocWng fee. Cusl om orders are not returnable.Elibcffw tax rate will be app/kab/e at the time of invoke. l Invoice MES-Indiana Number ......:00631360 SNV 6975 Hillsdale Court Date .........:5/14/2015 KA Indianapolis, IN 46250 Page . ..:1 of 2 Sales order ..:SO_548851 rnun�cnu�nhae�nc�sEancEs iac: 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 L Size Color 'Description _ ~-Quantity Unit Unit price 'Amount T` BT4132 09.OEEE BLACK PRO-Warrington 14in 1.00 EA 352.23 352.23 Structural Pull On Bunker Boots -REPLACEMENT BOOTS FOR GARY BRANDT BT5006 10.5EEE BLACK PRO-Warrington 14 inch 1.00 EA 379.72 379.72 Structural Pull On Sloped Back Bunker Boots -REPLACEMENT BOOTS FOR KYLE CONDRA Merchandise Restocking Fee S&H Sales tax Discount Total due 731.95 0.00 0.00 0.00 0.00 731.95 USD Thank You For Your Order ! All resume must be processed wMIn 30 days of receipt and require a retum auftrhaUon number and are subjw to a reatwNng flee. Custom orders are not retumab/e.Eflecdw tax rete will be applkab/e at the tme of Invoke. Invoice# 00631360_SNV MNNINN7NML EMEIiAH�SCM 5'., Payment Remittance Slip To Insure proper processing,please return this slip with your payment. Please Send Payments To: _ •Wire Instructions: Municipal Emergency Services Routing#:121000248 Depository Account Acco#:2000030294606 75 Remittance Drive Bank Name:Wells Fargo Bank,N.A. Suite 3135 Co Name:Municipal Emergency Services,Inc. Chicago,IL 60675 PO Box 656 Southbury,CT 06488 Remittance Advice:ar@mesfire.com Include customer#and Inv# Amount Due ........ 731.95 Amount Enclosed* : Customer name ...: CARMEL FD Customer number .:30195 Additional Payment Notes: Invoice MES-Indiana Number ......:00630261_SNV 6975 Hillsdale Court Date .........:5/11/2015 Indianapolis, IN 46250 Page . ..:1 of 2 Sales order ..:SO 547023 munuEeamev�crsEanaa�xc : 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 PCS Passport Only for 6"2 Panel 6.00 EA 0.00 Passport Shield Green with white raised leather"42" Merchandise Restocking Fee S&H Sales tax Discount Total due 0.00 0.00 16.50 0.00 0.00 16.50 USD Thank You For Your Order ! All rectums must be processed wllh/n 30 days of mae/pt and requ/re a retum aulhorb ation number and an:subfeat to a restocking fee. Custom ordem are not retumab/e.Efliecdve tax rade will be appllcab/e at the Ume of Invoice. Invoice - MES-Indiana Number ......:00630263_SNV 6975 Hillsdale Court Date .........:5/11/2015 Indianapolis, IN 46250 Page . ..:1 of 2 Sales order ..:SO 546375 MUNICIPALE19EA8F7iL7SE1VICFE 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 13002 13.OW BLK 019 ATAC 8"Station Plus(MES 1.00 EA 90.00 90.00 Exclusive) Merchandise Restocking Fee S&H Sales tax Discount Total due 90.00 0.00 11.69 0.00 0.00 101.69 USD Thank You For Your Order ! All maims moat be processed wll6/n 90 days of moe/pt and mqulrhe a return audwdn ton number and are subject to a mstocidng flee. Custom orders are not retumab/e.Ef bcdve tax rate will be app/k ab/e at the tme of Invoke. Invoice MES - Indiana Number ......:00630203 SNV I f111 fkA 1 6975 Hillsdale Court Date .........:5/11!2015 Indianapolis, IN 46250 Page .........: 1 of,2 KA E SSales order ..:SO—548943 MUMIgPALEMERGENCYSE&WCES,INC:` Requisition ... Your ref. .....:Jason Reecer Telephone :(888)322-8402 Our ref. ......:msnyder Fax ........:317-596-1701 Payment .....:Net 30 Sales Rep ...:gcoy 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 200951-03 M8 PIGTAIL REPL KIT**SVC 1.00 EA 51.00 51.00 -_ - - - - ITEM — - LSCBA LABOR SCBA SERVICE PER 0.50 EA 70.00 35.00 HOUR Merchandise Restocking Fee S&H Sales tax Discount Total due 86.00 0.00 0.00 0.00 0.00 86.00 USD Thank You For Your Order ! All returns must be processed within 30 days of receipt and require a return authorization number and are subject to a restocking fee. Custom orders are not returnable.Effective tax rate will be applicable at the time of invoice. VOUCHER NO. WARRANT NO. ALLOWED 20 Municipal Emergency Services IN SUM OF $ 75 Remittance Drive, Suite 3135 Chicago, IL 60675 $2,061.14 ON ACCOUNT OF APPROPRIATION FOR { Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 630263 43-560.03 $101.69 1 hereby certify that the attached invoice(s), or 1120 631360 43-560.03 $731.95 bill(s) is (are)true and correct and that the 1120 633528 43-560.03 $1,125.00 materials or services itemized thereon for 1120 630261 43-560.03 $16.50 which charge is made were ordered and 1120 630203 43-509.00 $86.00 received except JUN - 120b 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)) 630263 $101.69 631360 $731.95 633528 $1,125.00 630261 $16.50 630203 $86.00 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