248455 08/12/15 CITY OF CARMEL, INDIANA VENDOR: 00353316
ONE CIVIC SQUARE MOORE INDUSTRIAL HARDWARE CHECK AMOUNT: $********99.35*
CARMEL, INDIANA 46032 77 CIRCLE FREEWAY DRIVE CHECK NUMBER: 248455
CINCINNATI OH 45246-1298 CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 450064 99.35 REPAIR PARTS
11 A
MORE INDUSTRIAL HARDWARE
- : FORMEREY PAULMOORE COMPANY
77 CIRCLE FREEWAY DRIVE • CINCINNATI, OHIO 45246-1298
PHONE 1-888-MOORE-IH FAX 1-888-MIH-FAXD
E-mail:sales@mooreindhardware.eom • Web:v�vW.mooreindhardware.com PAGE 1
H CARMEL FIRE DEPARTMENT
1 2 CIVIC SQUARE
P CARMEL, IN 46032 1�VI
T
0
INVOICE NO, INVOICE DATE CONTROL NO.
0 CARMEL FIRE DEPARTMENT
L 2 CIVIC SQUARE 14500641 7/29/15 105 F
D CARMEL, IN 46032
T
0 JASON FORCE
COST.NO, DATE ENTERED PM ORDER NO. PURCHASE ORDER NO, TERMS SHIP VIA F.O.B.
7/29/15 444299 JASON QUANTI NAT,AO UPS C CINCINNATI
ORDERED OR FRED SHIPPED
L- - -ZN 17 . 45 17 . 45
DOOR CHECK
2 9 - 01225 -BLC 2 35 . 01 70 . 02
1211 MOULDED GRAB RAIL
9 -01725 BLACK FINISH
DELIVERY CHARGES 11 . 88
TOTAL 99 . 35
UPS TRACKING: 1Z4690290349906315
LVAfi HOUSES IN
"' CINCINNATI AND ATLANTA.
c claim for short r defective goods on this invoice nor labor or expense of any kind on same,will be alloyrad unless claim be reported wrhin fifteen days after date of invoitc,
'ND1 we shalt haverboroved claim.We reserve the option of replacing defective goods or making aEfowance for sam.e. We hereby certify that tniess goods were produced in
cordFliance with all appttcab!e rer}ulrements of Sections 8,7,and 12 DI:he f=air Laeo,Standards Act,as amended and of regulations and orders of the United States Deparunenr of
Labor Issued under Section 14 thereof.
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))
450064 $99.35
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
Moore Industries
IN SUM OF $
77 Circle Freeway Drive
Cincinnati, OH 45246
$99.35
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 450064 42-370.00 $99.35 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 AUG 1 0 9095
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund