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247867 07/28/15 +�r C.1q F ;� CITY OF CARMEL, INDIANA VENDOR: 127250 ® l ONE CIVIC SQUARE H.H. GREGG INC CHECK AMOUNT: S•`"'1,337.00' ;., �4 CARMEL, INDIANA 46032 4151 E 96TH ST CHECK NUMBER: 247867 ��;,_to�.�.` INDIANAPOLIS IN 46240 CHECK DATE: 07/28/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4467007 9922-035318 1,337.00 TRAINING EQUIPMENT Commercial Sale On-Line **REPRINT** Order 9922-035318 Date: 07/20/2015 13:00 4151 E. 96th St Cashier#: 3212 Indianapolis, IN, 46240 (800) 264-8644 0636 - JOHN BLUNK D s 010658 Purchase Order No: STATION 41 e JIM SPELBRING CARMEL FIRE DEPARTMENT i CARMEL FIRE DEPT STATION 41 a 2 CIVIC SQUARE v 2 CIVIC SQUARE CARMEL, IN 46032 e CARMEL, IN 46032 Home: (317) 571-2600 Office: (317) 571-2600 y Home: (317) 571-2600 Office: (317) 571-2600 Resale#: 003120155-002-0 T Delivery Disclaimer Special Instructions Appliance cannot be hooked up without purchase of applicable installation kit. Sls# City Model No. Description DelDate Serial Number Loc Code Tm Via Price Total ..........................CO WILL CALL ITEMS. ***.,,,,,+..........., 0001 1 65LF6300 LED,LG,65",120HZ,1080P,SMART 07/20/15 0001 CO AT 99 1,269.00 1,269.00 0002 1 OC150T LARGE TILT MOUNT,OMNIMOUNT 07/20/15 0001 CO AT 99 68.00 68.00 Thank you. JOHN BLUNK Subtotal $1,337.00 0 RA _QPY Accounts Receivable$1,337.00 Tax $0.00 Order Total $1,337.00 The merchandise described above has been inspected and received in good condition unless otherwise notated on the invoice. Delivery has been completed and no damage Balance Due(C.O.D.) $0.00 has occurred to our personal property. Please save this invoice. Th ank You! Merchandise Received By Date ---------- 9922035318 X Merchandise Delivered By Date Retain this invoice for future service or returns. 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)) 9922-035318 Sta. 41 $1,337.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 HH Gregg IN SUM OF $ 4151 East 96th Street Indianapolis, IN 46240 $1,337.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 9922-035318 102-670.07 $1,337.00 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 b�Yj I� :)�' hNA 4 J Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund ;