HomeMy WebLinkAbout249768 09/23/15 C.IF
CITY OF CARMEL, INDIANA VENDOR: 176650
® ONE CIVIC SQUARE WORSEN FIRE & SECURITY CHECK AMOUNT: $**.....199.93*
CARMEL, INDIANA 46032 2719 N ARLINGTON AVE CHECK NUMBER: 249768
INDIANAPOLIS IN 46218-3322 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 3635879 199.93 BUILDING REPAIRS & MA
® REMIT TO:
INVOICE Koorsen Fire&Security
MLjLjrs 2719 N Arlington Avenue
Indianapolis,IN 46218-3322
FIRE STY Please include invoice number on check
3635879r3-118371
09/15/15 SIGNATURE
09/15/2015 s � 10/10/2015
ss
SOLD TO: C U S t ID 21 C A R 0 0 0 2 JOB# S E R V I C E 21 JOB NAME&LOCATION / 0
CARMEL FIRE DEPT CARMEL FIRE DEPT
2 CIVIC SO 2 CIVIC SO
CARMEL, IN 46032 CARMEL, IN 46032
21-HOUSE / 21-371550 / TK11-23
o
SERVICE. CALL - REPLACE LINE VALVE KITS ON FILLER 1 AND HOSE
REEL VALVE. REPLACED 4. 5 ORINGS ON ALL FILLERS AND LEFT 3
ON POWER BOX.
2. 00 RMM9403 KIT, REPAIR, LINE VLV, SVP-3010K # 13. 89 27. 78
2. 00 IG1389-2D KNOB, VLV, LINE LV-KNOB 8. 30 16. 60
1. 00 CD19-3506-11 SPRING, VLV, LINE 3. 26 3. 26
1. 00 G04. 5N/NP NUT & NIPPLE 4. 5 HANDTIGHT 45. 54 45. 54
6. 00 G04. 50RING 0-RING, 4. 5 2. 59 15. 54
1. 00 G04. 5SETS NIPPLE, SET, 4. 5, SCREW 6. 21 6. 21
1. 00 99SCPA SERVICE CALL ProAir 85, 00 85. 00
TOTAL SALES/SERVICES XMP# 0031201550-020 199. 93
TOTAL 199. 93
TOTAL SALESTAXABLE SALES TAX AMOUNT SHIPPING CHARGE
199. 9 0. 00 0. 00 � ' 199. 93
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))
3635879 $199.93
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
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Koorsen Fire & Security
Pro-Air IN SUM OF $
2719 N. Arlington Avenue
Indianapolis, IN 46218
$199.93
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 3635879 43-501.00 $199.93 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
SEP 2 1 2095
q 8
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund