HomeMy WebLinkAbout247931 07/28/15 (9-
CITY OF CARMEL, INDIANA VENDOR: 178450
ONE CIVIC SQUARE KUSSMAUL ELECTRONICS CO IN CHECK AMOUNT: S"'"""*518.53*
CARMEL, INDIANA 46032 170 CHERRY AVE CHECK NUMBER: 247931
WEST SAYVILLE NY 11796-1221 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 56673 518.53 REPAIR PARTS
MKOKUSSMAUL Invoice No 0000056673
ELECTRONICS Remit To:
Phone:800-346-0857 170 Cherry Ave. Sales Order No 047112-00
Fax:631-567-5826 West Sayville,
E-Mail:sales@kussmaul.com NY 11786
Packing List No 051529
Bill to : CAR033 Ship to :
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
United States United States
Phone(317)571-2600
Customer PO Number Invoice Date Terms FOB Ship Via Coordinator
E343 07/15/2015 NET 30 DAYS WEST SAYVILLE,NY UPS GROUND CST
Item Part I Description Serial Number Quantity Unit Price Extended Price
000010 091-9-12V 1.00 504.00000 504.00
AUTO PUMP, 12 VOLT 0006722 1
000020 SHIPPING 1.00 14.53000 14.53
Shipping/Freight Charge, Ref Shipper No 051529
Shipped on 07/15/2015
Thank you for your order. Total Item Price 504.00
Tracking# 1Z1335780322321338 Shipping 14.53
Sales Tax 0.00
Total Inv Price US$ 518.53
Please pay balance due by Friday August 14 2015.
CUSTOMER COPY
Page 1 Authorized Signature
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))
56673 $518.53
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
Kussmaul Electronics
IN SUM OF $
170 Cherry Avenue
West Sayville, NY 11796
$518.53
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 56673 42-370.00 $518.53 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
which charge is made were ordered and
received except
.1111 2 ?2095
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund