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CITY OF CARMEL, INDIANA VENDOR: 358990
ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES CHECK AMOUNT: $**"`*"484.62*
CARMEL, INDIANA 46032 DEPOSITORY ACCOUNT CHECK NUMBER: 249369
'M,i uri Eo;? 75 REMITTANCE DR STE 3135 CHECK DATE: 09/09/15
CHICAGO IL 60675
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356003 664218 210.00 SAFETY ACCESSORIES
1120 4356003 664219 274.62 SAFETY ACCESSORIES
Invoice
MR An MES - Indiana Number ......:00664219_SNV
#Mf, A 1 6975 Hillsdale Court Date .........:8/28/2015
Indianapolis, IN 46250 Page .........: 1 of 2
Sales order ..:SO 572948
MoE
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
096-3459-01 Protege ZM Single Gas CO 2.00 EA 137.31 274.62
Monitor(High Vis Red)
Merchandise Restocking Fee S&H Sales tax Discount Total due
274.62 0.00 0.00 0.00 0.00 274.62 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 ......:00664218 SNV
v E6975 Hillsdale Court Date .........:8/28/2015
Indianapolis, IN 46250 Page .........: 1 of 2
Sales order ..:SO 571165
MueicivuaMENCYSEMU;INC. 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
SP-DBQ SPP Regular Dynaback Suspenders-Quick 6.00 EA 35.00 210.00
Adjust and Padding Added
Merchandise Restocking Fee S&H Sales tax Discount Total due
210.00 0.00 0.00 0.00 0.00 210.00 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.
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))
664219 $274.62
664218 $210.00
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
Municipal Emergency Services
IN SUM OF $
75 Remittance Drive, Suite 3135
Chicago, IL 60675
$484.62
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 664219 43-560.03 $274.62 1 hereby certify that the attached invoice(s), or
1120 664218 43-560.03 $210.00 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
SEP - 4 2095
4.y
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund