248522 08/12/15 CITY OF CARMEL, INDIANA VENDOR: 00353046
® ONE CIVIC SQUARE SIMPLEXGRINNELL LP CHECK AMOUNT: $*****1,334.97*
•_ =a CARMEL, INDIANA 46032 DEPT CH 10320 CHECK NUMBER: 248522
PALATINE IL 60055-0320 CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351501 77991287 1,334.97 EQUIPMENT MAINT CONTR
INVOICE N0. INVOICE DATE CUSTOMER PO;
Situp/e�er "
Crinne//
77991287 07-28-15
D-U-N-S 09-4738007
FED. ID 58-2608861
CONTRACT# MODIFIER
District # 331 536254 R28-APR-2015
11820 Pendleton Pike
INDIANAPOLIS, IN 46236-3979
317-826-2130 PAYMENT.TERMS,: -
331-00449945 NET 30
Carmel City Police Station e= 331-00449945
3 Civic Sq Carmel City Police Station
Attn Teresa Anderson 3 Civic Sq
CARMEL IN 46032-2584 Attn Teresa Anderson
CARMEL IN 46032-2584
• Anderson, Teresa
CONTRACT DESCRIPTION CONTRACT CONTRACT
START DATE ,END DATE
CARMEL CITY POLICE STATION-3 CIVIC SQ-00449945 01-SEP-15 31-AUG-16
INVOICE NOTES: ;
This is your ANnual Invoice for Testing and Inspecting of the Fire ALarm System for Carmel City Police
Station, 3 Civic Sq Carmel IN.
Total Contract Amount - $1, 334 .97 Amount Of Current Invoice - $1,334.97
v --- - - — - - --Sales-Tax - _ -- - - - $0-.-00
Total Amount Included - $1, 334.97
Payment Received - $0.00
Total Amount Due $1, 334 . 97
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))
07/28/15 77991287 testing & inspecting fire alarm system $1,334.97
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
Simplex Grinnell
IN SUM OF $
Dept CH 10320
Palatine, IL 60055-0320
$1,334.97
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 77991287 I 43-515.01 I $1,334.97 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
Thursday, August 06, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund