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248456 08/12/15 CSN CITY OF CARMEL, INDIANA VENDOR: 358990 ® _ ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES CHECK AMOUNT: $*"*****767.57* f ?� CARMEL, INDIANA 46032 DEPOSITORY ACCOUNT CHECK NUMBER: 248456 75 REMITTANCE DR STE 3135 CHECK DATE: 08/12/15 CHICAGO IL 60675 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4356003 653333 696.00 SAFETY ACCESSORIES 1120 4356003 653616 59.50 SAFETY ACCESSORIES 1120 4237000 653619 12.07 REPAIR PARTS Invoice MES- Indiana Number ......:00653333 SNV 6975 Hillsdale Court Date .........:7/24/2015 Indianapolis, IN 46250 Page .........: 1 of 2 Sales order ..:SO 565627 MUHtgPAt EAfER6flICPSERYICE8�1lIC.� 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 GL-SGKCG MED Super Glove Kangaroo Back 6.00 EA 116.00 696.00 Kevlar and Nomex Lined with Gauntl Merchandise Restocking Fee S&H Sales tax Discount Total due 696.00 0.00 0.00 0.00 0.00 696.00 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. Invoice Aft MES- Indiana Number ......:00653616 SNV 9 ES6975 Hillsdale Court Date .........:7/27/2015 "A Indianapolis, IN 46250 Page .order ..: 1 of 2 p Sales order ..:SO_565638 Murtl Requisition ..: Your ref. ...... Telephone : (888)322-8402 Our ref. ......:kschulthei Fax ........:317-596-1701 Payment .....:Prepaid on credit card 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 PP 6-2 Red Passport with white sewn 2.00 EA 15.00 30.00 numbers"44" PP 6-2 Red Passport with white sewn 1.00 EA 15.00 15.00 numbers"45" Merchandise Restocking Fee S&H Sales tax Discount Total due 45.00 0.00 14.50 0.00 0.00 59.50 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. Invoice MES - Indiana Number ......:00653617 SNV 6975 Hillsdale Court Date .........:7/27/2015 MT ES Indianapolis, IN 46250 Page . ..:1 of 2 p � Sales order ..:SO_568083 ,mumcipmeaa&aacrsrnim;ixc. 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 Size Color Description Quantity Unit Unit price Amount 10005368 GASKET 1.00 EA 12.07 12.07 Merchandise Restocking Fee S&H Sales tax Discount Total due 12.07 0.00 0.00 0.00 0.00 12.07 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. 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)) 653616 $59.50 653333 $696.00 653619 $12.07 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 $767.57 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 653616 43-560.03 $59.50 1 hereby certify that the attached invoice(s), or 1120 653333 43-560.03 $696.00 bill(s) is (are)true and correct and that the 1120 653619 42-370.00 $12.07 materials or services itemized thereon for which charge is made were ordered and received except AUG 10 Z015 1 r� Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund