251078 11/04/15 �'gip'' CITY OF CARMEL, INDIANA VENDOR: 369217
® ONE CIVIC SQUARE GEAR WASH CHECK AMOUNT: $*****1,158.93"
�� j=� CARMEL, INDIANA 46032 657 SOUTH UK E 2N STREET CHECK NUMBER: 251078
M,,;o; CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350600 11256 1,158.93 CLEANING SERVICES
Gear Wash Make checks payable to Gear Wash,LLC - INVOICE ---`
Invoice#: 11256
657 S.72nd Street Invoice Date: 10/21/2015
Milwaukee,WI 53214 Invoice Terms: Net 30
Phone:866-657-0111 Due Date: 11/20/2015
PO/Ref#: 24703
Fax:414-918-4727
Organization: Carmel Fire Department
www.gearwash.com Exempt#:
BILL TO SHIP TO
Carmel Fire Department Carmel Fire Department
Gary Carter Gary Carter
2 Civic Square 2 Civic Square
Carmel, IN 46032 Carmel, IN 46032
317-571-2600 317-571-2600
ITEM ID DESCRIPTION QTY PRICE AMOUNT
Jacket Sys.ID: 1402125, Manf.: Morning Pride,Model: BPR42Z2TB,
S/N:812004346, MDate: 12/16/2008,Name: KELSHEIMER,
PPE-ID:
FC002 Level 1 Clean-Jacket(Shell&Liner), PPE Advanced, Each: 1. $7.00 $7.00 T
EXCESSIVE SMOKE SMELL
FRJ155 Replace-Jacket,Collar Velcro, Hook or Loop, Each: 1. $29.80 $29.80 T
FRJ150 Replace-Jacket, Front Closure Velcro, Hook or Loop, Each 1. $26.55 $26.55 T
FRJO13 Repair-Jacket, Basic Patch, Premium OS, Each: 11.0 $8.00 $88.00 T
FRJ042 Repair-Jacket,Trim Repair, Each 4. $7.10 $28.40 T
FRJO02 Repair-Jacket, Bartack Stitch, Each: 3. $9.70 $29.10 T
Subtotal for 1402125 208.85
Trouser Sys.ID: 1402296, Manf.: Morning Pride,Model: BPR42Z2PB,
S/N:812004266, MDate: 12/16/2008, Name: EDWARDS,
PPE-ID:
FC001 Level 1 Clean-Trouser(Shell&Liner), PPE Advanced, Each: 1. $7.00 $7.00 T
EXCESSIVE SMOKE SMELL
FRT005 Replace-Trouser,Velcro, Hook or Loop, Up to 12 Inches, Each 2. $18.20 $36.40 T
FRT013 Repair-Trouser, Basic Patch, Premium OS, Each: 12.0 $8.00 $96.00 T
FRT042 Repair-Trouser,Trim Repair, Each: 2. $7.10 $14.20 T
F0053 Option-Open/Close Seam for Repair, Each: 2. $13.95 $27.90 T
Subtotal for 1402296 181.50
Jacket Sys.ID: 1402345, Manf.: Morning Pride,Model: BPR42Z2TB,
S/N:901007715, MDate:01/30/2009, Name: EDWARDS,
PPE-ID:
FC002 Level 1 Clean-Jacket(Shell&Liner), PPE Advanced, Each: 1. $7.00 $7.00 T
EXCESSIVE SMOKE SMELL
F0102 Option-Flashlight Reverse Hook, On OS Patch, Riveted, Each: 1. $29.60 $29.60 T
FRJO13 Repair-Jacket, Basic Patch, Premium OS, Each: 15.0 $8.00 $120.00 T
FTR090 Repair-Reflective Trim, Standard Patch,3M Scotchlite T/T, Each: 3. $9.40 $28.20 T
FRJ042 Repair-Jacket,Trim Repair, Each 6. $7.10 $42.60 T
Subtotal for 1402345 227.40
Jacket Sys.ID: 1402376, Manf.: Morning Pride,Model: BPR42Z2TB,
S/N:901007713, MDate:01/30/2009,Name: DEITSCH, PPE-ID:
FC002 Level 1 Clean-Jacket(Shell&Liner), PPE Advanced, Each: 1. $7.00 $7.00 T
EXCESSIVE SMOKE SMELL
Page 1 of 2
Gear Wash Make checks payable to Gear Wash,LLC INVOICE �j
Invoice#: 11256
657 S.72nd Street Invoice Date: 10/21/2015
Milwaukee,WI 53214 Invoice Terms: Net 30
Phone:866-657-0111 Due Date: 11/20/2015
PO/Ref#: 24703
Fax:414-918-4727
Organization: Carmel Fire Department
www.gearwash.com Exempt#:
ITEM ID - DESCRIPTION OTY PRICE AMOUNT
FRJ150 Replace-Jacket, Front Closure Velcro, Hook or Loop, Each 1. $26.55 $26.55 T
FRJO13 Repair-Jacket, Basic Patch, Premium OS, Each: 18.0 $8.00 $144.00 T
F0053 Option-Open/Close Seam for Repair, Each: 2. $13.95 $27.90 T
Subtotal for 1402376 205.45
Jacket Sys.ID: 1402404,Manf.: Morning Pride, Model: BPR42Z2TB,
S/N:901007758, MDate:01/30/2009,Name:WEBB, PPE-ID:
FC002 Level 1 Clean-Jacket(Shell&Liner), PPE Advanced, Each: 1. $7.00 $7.00 T
EXCESSIVE SMOKE SMELL
FRJ155 Replace-Jacket, Collar Velcro, Hook or Loop, Each: 1. $29.80 $29.80 T
FRJO05 Replace-Jacket,Velcro, Up to 12 Inches, Each 2. $18.20 $36.40 T
FTR090 Repair-Reflective Trim, Standard Patch,3M Scotchlite T/T, Each: 2. $9.40 $18.80 T
FRJO13 Repair-Jacket, Basic Patch, Premium OS, Each: 17.0 $8.00 $136.00 T
FRJ042 Repair-Jacket,Trim Repair, Each 2. $7.10 $14.20 T
Subtotal for 1402404 242.20
Jacket Sys.ID: 1402474, Manf.: Honeywell,Model: LT041Z3TB,S/N:
1311005097, MDate: 11/12/2013,Name:WYANT,PPE-ID:ID#
100
FC002 Level 1 Clean-Jacket(Shell&Liner), PPE Advanced, Each: 1. $7.00 $7.00 T
EXCESSIVE SMOKE SMELL
FRJO13 Repair-Jacket, Basic Patch, Premium OS, Each: 4. $8.00 $32.00 T
FLS002 Jacket-Moisture Barrier,Tape Seam/Hole,Test Area, Each: 1. $12.25 $12.25 T
FRJ042 Repair-Jacket,Trim Repair, Each 3. $7.10 $21.30 T
Subtotal for 1402474 72.55
Thank you for your business. Sub-Total $1,137.95
Ship&Handling $20.98
TOTAL $1,158.93
Page 2 of 2
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gear Wash
IN SUM OF$
657 South 72nd Street
Milwaukee, WI 53214
$1,158.93
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 11256 43-506.00 $1,158.93 I 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
NOV - 2 705
I
Rr, -
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
11256 $1,158.93
I 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