255783 03/01/16 +�r,CggM
�`! ;� CITY OF CARMEL, INDIANA VENDOR: 369217
® ONE CIVIC SQUARE GEAR WASH CHECK AMOUNT: $*******961.15*
r =q CARMEL, INDIANA 46032 657 SOUTH 72ND STREET CHECK NUMBER: 255783
9 .__� MILWAUKEE WI 53214 CHECK DATE: 03/01/16
Brox co.
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350600 11556 961.15 CLEANING SERVICES
Gear Wash Make checks payable to Gear Wash, LLC 7v INVOICE
Invoice#: 11556
657 S.72nd Street Invoice Date: 02/17/2016
Milwaukee,WI 53214 Invoice Terms: Net 30
Phone:866-657-0111 Due Date: 03/18/2016
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 OT Y . .PRICE . _AMOUNT .
Jacket Sys.ID: 1402450, Manf.: Honeywell,Model: LT041Z3TB,S/N:
1311005095, MDate: 11/12/2013,Name: RUTHERFORD,J,
PPE-ID:ID# 17
01100 Option-Remove Existing Option, Each: 1.0 $18.35 $18.35 T
N1000 Name Patch-Style A,4 x 15 inch, One Line, Each: 1.0 $22.15 $22.15 T
L1100 Sewn Ltr/Nbr-Scotchlite,2 Inch, Lime/Yellow, Sewn, Each: "J. 12.0 $3.50 $42.00 T
RUTHERFORD"
N2150 Name Patch-Sew Name Patch to OS, Each: 1.0 $16.65 $16.65 T
02125 Opt Add/Rpl-Size/Name Label, Each: 1.0 $7.40 $7.40 T
Subtotal for 1402450 106.55
Jacket Sys.ID: 1402491,Manf.: Honeywell, Model: LT041Z3TB,S/N:
1311005030, MDate: 11/12/2013,Name:ANDERSON, K, PPE-ID:
ID#77
YJ175 Alteration-Jacket, Lengthen Sleeves, 1-2 Inches: FROM 34.5 TO 1.0 $180.20 $180.20 T
36
01025 Option-Lift/Reattach>6 inches, Major Repair, Each:TRIM 2.0 $23.65 $47.30 T
01100 Option-Remove Existing Option, Each: 1.0 $18.35 $18.35 T
N1000 Name Patch-Style A,4 x 15 inch,One Line, Each: 1.0 $22.15 $22.15 T
L1100 Sewn Ltr/Nbr-Scotchlite,2 Inch, LimeNellow,Sewn, Each: "K. 10.0 $3.50 $35.00 T
ANDERSON'
N2150 Name Patch-Sew Name Patch to OS, Each: 1.0 $16.65 $16.65 T
02125 Opt Add/Rpl-Size/Name Label, Each: 2.0 $7.40 $14.80 T
Subtotal for 1402491 334.45
Trouser Sys.ID: 1402624, Manf.: Honeywell,Model: LT041Z3PB,S/N:
1311005201, MDate: 11/12/2013, Name:ANDERSONS,K.,
PPE-ID:ID#77
YT275 Alteration-Trouser, Increase Waist, 1-2 Inches, Rear Seam: 1.0 $154.10 $154.10 T
FROM 40 TO 42
B3050 Bsc Repair-Hardware,Snap, Male/Female, Each: 2.0 $5.80 $11.60 T
02125 Opt Add/Rpl-Size/Name Label, Each: 2.0 $7.40 $14.80 T
Subtotal for 1402624 180.50
Trouser Sys.ID: 1402675, Manf.: Honeywell,Model: LT04lZ3PB,S/N:
1311005252, MDate: 11/12/2013, Name: RUTHERFORD, PPE-ID:
ID# 17
YT125 Alteration-Trouser, Shorten Inseam,3-4 Inches: FROM 34 TO 30 1.0 $170.55 $170.55 T .
Page 1 of 2
Gear Wash Make checks payable to Gear Wash, LLC INVOICE
Invoice#: 11556
657 S.72nd Street Invoice Date: 02/17/2016
Milwaukee,WI 53214 Invoice Terms: Net 30
Phone:866-657-0111 Due Date: 03/18/2016
Fax:414-918-4727 PO/Ref#: 24703
Organization: Carmel Fire Department
www.gearwash.com Exempt#:
ITEM ID DESCRIPTION - _ _ OTY PRICE AMOUNT.
R2400 Replace Trim-Trouser, Leg Band, Scotchlite Solid Trim, Each: 2.0 $42.75 $85.50 T
01025 Option-Lift/Reattach>6 inches, Major Repair, Each: KNEE PADS 2.0 $23.65 $47.30 T
02125 Opt Add/Rpl-Size/Name Label, Each: 2.0 $7.40 $14.80 T
Subtotal for 1402675 318.15
Thank you for your business. Sub-Total $939.65
Ship&Handling $21.50
TOTAL $961.15
Page 2 of 2
'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
vhom, 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))
11556 $961.15
1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gear Wash
IN SUM OF$
657 South 72nd Street
Milwaukee, WI 53214
$961.15
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#lrITLE AMOUNT Board Members
1120 11556 43-506.00 $961.15 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund