HomeMy WebLinkAbout257160 04/05/16 u!.S�q
y/ ;'• CITY OF CARMEL, INDIANA VENDOR: 369217
( ® i{ ONE CIVIC SQUARE GEAR WASH CHECK AMOUNT: $*******170.77*
CARMEL, INDIANA 46032 657 SOUTH 72ND STREET CHECK NUMBER: 257160
�M�?b5+ �� MILWAUKEE WI 53214 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350600 11624 170.77 CLEANING SERVICES
VOUCHER NO. WARRANT NO.
GEAR WASH ALLOWED 20
657 SOUTH 72ND STREET IN SUM OF$
MILWAUKEE, WI 53214
$170.77
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
11624 I 43-506.00I $170.77 1 hereby certify that the attached invoice(s), or
1120 1011
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, March 28, 2016
� S �-rA
David Haboush
Fire Chief
Cost distribution ledger classification if
claim paid motor vehicle highway fund
'rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
kn 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
nvoice Date invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
03/28/16 I 11624 I I $170.77
1120 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
Gear Wash Make checks payable to Gear Wash,LLC INVOICE
Invoice#: 11624
657 S.72nd Street Invoice Date: 03/23/2016
Milwaukee,WI 53214 Invoice Terms: Net 30
Phone:866-657-0111 Due Date: 04/22/2016
Fax:414-918-4727 PO/Ref#: 24703
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
317-571-2600 Carmel, IN 46032
317-571-2600
ITEM ID_.__ _.__ ._ -_. ._.. _. _ DESCRIPTION.._ - _--.. . ___ QTY _PRICE_ ' AMOUNT_.
Trouser Sys.ID: 1402678, Manf.: Honeywell,Model: LT0423PB,S/N:
1311005255, MDate: 11/12/2013,Name: BASKERVILLE,T,
PPE-ID:ID#99
T1650 Adv Repair-Trouser,Adv Patch, Premium OS, Each: 8.0 $8.20 $65.60 T
01075 Option-Open/Close Seam for Repair, Each: 3.0 $14.30 $42.90 T
H1450 Adv Repair-Hardware, Suspender Button, Each: 2.0 $6.95 $13.90 T
T3100 Adv Rpr/Rpl-Trouser,Angled Cuff(Morning Pride), Each: 1.0 $26.35 $26.35 T
11100 PASS-OUTER SHELL,Advanced Inspection, Each: 1.0 $5.40 $5.40 T
Subtotal for 1402678 154.15
Thank you for your business. Sub-Total $154.15
Ship&Handling $16.62
TOTALI $170.77
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