252785 12/15/15 CITY OF CARMEL, INDIANA VENDOR: 00353046
ONE CIVIC SQUARE SIMPLEXGRINNELL LP CHECK AMOUNT: $*****1,777.00*
:• CARMEL, INDIANA 46032 DEPT CH 10320 CHECK NUMBER: 252785
PALATINE IL 60055-0320 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 78251037 1,777.00 OTHER EXPENSES
INVOICE NO: INVOICE DATE CUSTOMER PO
Simp/exGrinne// 78251037 11-30-15
D-U-N-S 09-4738007
FED. ID 58-2608861
CONTRACT# MODIFIER
District # 331 811292 j R01-SEP-2015
11820 Pendleton Pike
INDIANAPOLIS, IN 46236-3979
317-826-2130 PAYMENT TERMS
331-01725554 NET 30
Carmel Water Operations 331-01725554
3450 W 131ST ST Carmel Water Operations
CARMEL IN 46074-8267 3450 W 131ST ST
CARMEL IN 46074-8267
• Hollander, Greg
CONTRACT 'CONTRACT
CONTRACT DESCRIPTION
START DATE END DATE ,
CARMEL WATER OPERATIONS 3450 W 131 ST, CARMEL, IN 46074 01-JAN-16 31-DEC-16
INVOKE NOTES:
This is your annual invoice for the test and inspect of the Fire Alarm, Wet Sprinkler, and Dry Sprinkler
systems located at 3450 W 131St St Carmel IN 46074 for Carmel Water Operations.
Total Contract Amount - $1,777.00 Amount Of Current Invoice - $1, 777.00
- - — _ Sales- Tax -
Total Amount Included - $1,777 .00
Payment Received - $0.00
Total Amount Due $1, 777. 00
7 71
t
District # 331 INVOICE NO.-,q ell 11820 Pendleton Pike
INDIANAPOLIS, IN 46236-3979 78251 n37
317-826-2130
DATE-OF INVOICE
11-30-1S
INVOICE CONTRACT DETAIL
'ng,
bescription
ervice ,Billilig Bill; 'k
-Da irere
d r , Qty Amount=
2 Plan,Name irt"'Date':,End Date Shi 'rTo d&ress�,3,,�Co ".Product
Fire Alarm Test & 01-JAN-16 31-DEC-16 3450 W 131ST ST, SYSTEM-FA-SIMPLEX 4010 1 SIMPLEX PROG 4010 $1,381.00
Inspect CARMEL, IN SYSTEM
Sprinkler Test & 01-JAN-16 31-DEC-16 3450 W 131ST ST, SYSTEM-SP-WET SPRINKLER 1 WET SPRINKLER SYSTEM $132.00
Inspect CARMEL, IN
Sprinkler Test & 01-JAN-16 31-DEC-16 3450 W 131ST ST, SYSTEM-SP-DRY SPRINKLER 1 DRY SPRINKLER SYSTEM $264.00
Inspect CARMEL, IN
3511-SL-Contract-M997
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
287350
SIMPLEX GRINNELL Purchase Order No.
DEPT CH 10320 Terms
PALATINE, IL 60055-0320 Due Date 12/8/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/8/2015 78251037 $1,777.00
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
Date Officer
VOUCHER # 153782 WARRANT # ALLOWED
287350 IN SUM OF $
SIMPLEX GRINNELL
DEPT CH 10320
PALATINE, IL 60055-0320
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
78251037 01-6360-06 $1,777.00
Voucher Total $1,777.00
Cost distribution ledger classification if
claim paid under vehicle highway fund