248871 08/26/15 ' t� CITY OF CARMEL, INDIANA VENDOR: 366314
® l ONE CIVIC SQUARE HUGHES SAFETY INC CHECK AMOUNT: S""`2,130.00`
�._ ;?� CARMEL, INDIANA 46032 2365 BILL SMITH ROAD CHECK NUMBER: 248871
+,M,roN�. MARTINSVILLE IN 46151 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 2015-39 2,130.00 AUTO REPAIR & MAINTEN
HUGHES SAFETY INCORPORATED Invoice
2365 BILL SMITH RD
Date Invoice#
MARTINSVILLE, IN 46151
317-538-7373 8/2/2015 2015-39
Bill To
CARMEL FIRE DEPARTMENT
BOB VANVOORST
2 CIVIC SQUARE
CARMEL,IN 46032
P.O. No. Terms Project
Net 30
Quantity Description Rate Amount
1,036 LADDER TEST PER FOOT 1.50 1,554.00
172 HEAT SENSOR INSTALLATION 2.00 344.00
172 HALYARD ROPE REPLACEMENT PER LADDER FOOT 1.00 172.00
1 MISC. LADDER SERVICE, REPLACEMENT OF MULTIPLE RIVETS IN 20.00 20.00
SEVERAL LADDERS
40 TRIP CHARGE,PER MILE 1.00 40.00
Total $2,130.00
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))
2015-39 Ladder Testing $2,130.00
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
Hughes Safety Inc.
IN SUM OF $
2365 Bill Smith Road
Martinsville, IN 46151
$2,130.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 2015-39 43-510.00 $2,130.00 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
;Ir t
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund