HomeMy WebLinkAbout252691 12/15/15 r Coq .
`'...__.w�. CITY OF CARMEL, INDIANA VENDOR: 369345
® ONE CIVIC SQUARE WORSEN SECURITY TECHNOLOGY CHECK AMOUNT: $*****"204.60'
CARMEL, INDIANA 46032 6121 E 30TH ST CHECK NUMBER: 252691
9y/`TON,L�? INDIANAPOLIS IN 46219 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350100 3694076 204.60 BUILDING REPAIRS & MA
gW
OutINVOICE
FIRE & SECURITY 3694076 Date of 11/19/2015
REMIT TO:Koorsen Fire&Security NO.: work: Order#
2719 N Arlington Avenue
Indianapolis,IN 46218-3322 Invoice Date: 11/20/2015 SO#: 3136293 Date 12/15/2015
1-888-KOORSEN Include invoice#on check. Due:
Cust ID O1CAR3111 JOB# SERVICE01 / 0
Sold To: Location:
CARMEL CLAY COMMUNICATION CENT CARMEL CLAY COMMUNICATION CENT
31 1ST AVE NW 31 1ST AVE NW
CARMEL, IN 46032 CARMEL, IN 46032
O1-VANAGS / 01-001190 / TKOl-68
01 IANTITY ,.... "t a.. 4 .. AMQUNT
NOVEMBER FIRE EXTINGUISHER SERV Annual Exp 10/2016
11. 00 INSP-FE-A INSPECTION OF FIRE EXTINGUISHER ANNUAL 6.55 72.05
11.00 CIKT000 TAG, INSPECTION-KOORSEN YELLOW P50 NIC .00
11.00 CIKTO03 TAG,OSHA-KOORSEN PAPER MONTHLY INSPECT-BUFF P50 1.35 14 .85
10.00 BRKSY SEAL,TAMPER KOORSEN LOGO YEAR 2015 P1000 NIC .00
1.00 EE10A-H EXCHANGE EXTINGUISHER 104 ABC HYDRO TESTED 57.75 57.75
1.00 99MATLGPA SERVICE MATERIALS GEN PROD A 8.00 8.00
1.00 99SCE1 SERVICE CALL FIRE EXTING 1 47.00 47.00
1.00 99FUELSC FUEL CHARGE T 4 . 95 4.95
TOTAL SALES/SERVICES XMP# 0031201550-020 204 .60
TOTAL 204.60
Pay online @ www.koorsen.com. To pay by credit card,please phone or return to us:
Circle:VISA MC AMEX Card Number_—_--_—_-----------
Name on Card Expiration Date_/—
Total Sales Taxable Sales Tax Amount Shipping Charge Invoice Total
204 .60 0.00 0.00 204.60
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
12/15/15 I 3694076 I I $204.60
1115 101
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
VOUCHER NO. WARRANT NO.
KOORSEN SECURITY TECHNOLOGY ALLOWED 20
6121 E 30TH ST IN SUM OF $
INDIANAPOLIS, IN 46219
$204.60
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
3694076 43-501.00 $204.60
I hereby certify that the attached invoice(s), or
1115 101
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
Monday, December 14, 2015
- Terry Crockett, Director
e
mo
Cost distribution ledger classification if
claim paid motor vehicle highway fund