255228 02/09/16 +�r_CAq�
J�/ �F. CITY OF CARMEL, INDIANA VENDOR: 369217
® ONE CIVIC SQUARE GEAR WASH CHECK AMOUNT: $"".•."235.77"
,_� CARMEL, INDIANA 46032 657 SOUTH 72ND STREET CHECK NUMBER: 255228
yiTON�. MILWAUKEE WI 53214 CHECK DATE: 02/09/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350600 11511 235.77 CLEANING SERVICES
Gear Wash Make checks payable to Gear Wash, LLC INVOICE
Invoice#: 11511
657 S. 72nd Street Invoice Date: 01/21/2016
Milwaukee,WI 53214 Invoice Terms: Net 30
Phone:866-657-0111 Due Date: 02/20/2016
Fax:414-918-4727 PO/Ref#: KINNEY
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
AMOUNT__Jacket Sys.ID: 1402193, Manf.: Morning Pride, Model: BPR42Z2TB,
S/N: 812004347,MDate: 12/16/2008, Name: KINNEY, PPE-ID:
FRJ128 Replace-Jacket,Wristlet, Nomex Thumb Loop, Each: 1.0 $11.40 $11.40 T
FRJ153 Replace-Jacket, Storm Flap Velcro, Hook or Loop, Each: 1.0 $59.95 $59.95 T
FRJ156 Repair-Jacket, Chin Strap Velcro, Hook or Loop, Each: 1.0 $15.20 $15.20 T
FRJ157 Replace-Jacket, DRD Port Velcro, Hook or Loop, Each: 1.0 $14.95 $14.95 T
FRJO05 Replace-Jacket,Velcro, Up to 12 Inches, Each 2.0 $18.20 $36.40 T
FRJO13 Repair-Jacket, Basic Patch, Premium OS, Each: 3.0 $8.00 $24.00 T
F0053 Option-Open/Close Seam for Repair, Each: 1.0 $13.95 $13.95 T
F0102 Option-Flashlight Reverse Hook, On OS Patch, Riveted, Each: 1.0 $29.60 $29.60 T
FRJ042 Repair-Jacket,Trim Repair, Each a 2.0 $7.10 $14.20 T
Subtotal for 1402193 219.65
Thank you for your business. Sub-Total $219.65
Ship&Handling $16.12
TOTAL $235.77
Page 1 of 1
rescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
,n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
rhom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
nvoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
11511 $235.77
hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gear Wash
IN SUM OF$
657 South 72nd Street
Milwaukee, WI 53214
$235.77
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 11511 43-506.00 $235.77 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
FEB 0
I L
i ,IJ `;4�f�" d'a
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund