252054 1 2/02/1 5 CITY OF CARMEL, INDIANA VENDOR: 358990
ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES CHECK AMOUNT: $*****3,000.00*
CARMEL, INDIANA 46032 DEPOSITORY ACCOUNT CHECK NUMBER: 252064
9�'i'roN 75 REMITTANCE DR STE 3135 CHECK DATE: 12/02/15
CHICAGO IL 60675
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 00674190 3,000.00 OTHER EXPENSES
Invoice
- MES-Indiana Number ......:00674190_SNV
6975 Hillsdale Court
Date .........:9/29/2015
olis, IN 46250 Page ...........:1 of 2
Indianapolis, Sales order ..:SO 582175
a+urupvxbacrsc�nic�a Requisition ...
Your ref. ......
Telephone :(888)322-8402 Our ref. ......:AUlrich
Fax ........:317-596-1701 Payment .....:Net 30
Sales Rep ...:kschulthei
Inv Acct ......:46665
Bill To: Ship To:
CITY OF CARMEL UTILITIES CITY OF CARMEL UTILITIES
3450 WEST 131ST.STREET 3450 WEST 131ST.STREET
Westfield,IN 46074 Westfield,IN 46074
KERRILOVEALL
Item number _ Size Color Description Quantity Unit Unit price Amount T
Used Airpak Used Airpak 5.00 Fro 600.00 3,000.00
USED AIR PAK INCLUDING PAK,REGULATOR,FACEPIECE AND CYLINDER
200450-01 ASSY HOSE,HUD SOCKET 1.00 EA 0.00
OD-AP75
Merchandise Restocking Fee S&H Sales tax Discount Total due
3,000.00 0.00 0.00 0.00 0.00 3,000.00 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.
VOUCHER # 153604 WARRANT# ALLOWED -
358990 IN SUM OF $
MUNICIPAL EMERGENCY SERVICES
75 REMITTANCE DR +
SUITE 3135
CHICAGO, IL 60675
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR };
i
Board members
5
PO# INV# ACCT# AMOUNT Audit Trail Code
00674190 01-6200-04 $3,000.00
i
i
I
1
I
Voucher Total $3,000.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
358990
MUNICIPAL EMERGENCY SERVICES Purchase Order No.
75 REMITTANCE DR Terms
SUITE 3135 Due Date 11/17/2015
CHICAGO, IL 60675
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/17/201: 00674190 $3,000.00
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
it AyhS C.awTt i Yom.
Date Officer