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