259612 06/14/16 CITY OF CARMEL, INDIANA VENDOR: 00352211
ONE CIVIC SQUARE KNOX CO CHECK AMOUNT: $•**"**248.00'
i•• ,aa:. CARMEL, INDIANA 46032 1601 W DEER VALLEY ROAD CHECK NUMBER: 259612
9CioN. PHOENIX AZ 85027 CHECK DATE: 06/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 INVO0811864 248.00 OTHER MISCELLANOUS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
KNOX CO
1601 W DEER VALLEY ROAD IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
PHOENIX, AZ 85027 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$248.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s))- AMOUNT
INVO0811864 42-390.99 $248.00 1 hereby certify that the attached invoice(s),or 6/1/16 INVO0811864 $248.00
1120 101 1120 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday,June 01;2016
David Haboush
Fire Chief
hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
KN QX° Invoice
Number .................: INV00811864
Date .....................:5/20/2016
The Knox Company Page ....................: 1 of 1
1601 W Deer Valley Road Sales order ..............:S00001603570
Phoenix,AZ 85027 Requisition ..............: PO#05/20/2016
Telephone ..............: (800) 552-5669 Your ref. ..................
Fax .......................: (623) 687-2290 Our ref. ..................:AL003
Payment ................: Net 30
Invoice account .......:CUS104304
Mode of delivery .......: FX2
Invoice address Delivery address
Carmel Fire Dept Carmel Fire Dept
2 CIVIC SQ Bruce Knott
CARMEL, IN 46032-2584 2 CIVIC SQ
CARMEL, IN 46032-2584
Item number Description QuantityUnit Unit price Discount Amount
3770 PADLOCK, EXTERIOR, 7/16 DIA X 1 7/8"SS 2.00EA 94.00 188.00
SHACKLE, DC& BOOT
Quantity: 1.00 Serial number:PN1239397-1
Quantity: 1.00 Serial number: PN 1239397-2
Installation address:2 Civic Sq,,,CARMEL IN,46032
Please pay this invoice to Knox address above. Service charge of 1. 1/2%will be charged per month after due date.
Misc.charges, - —
Transacti6h"iext value i
Shipping`&Handling '-60:00 Please contact us for details.
',kbencich@knoxbox.com
6213-687.2L300 x 559
Sales balance•Total discount_Misc.-charges Sales tax Roundoff Total
188.o0 0.00 :;60.00 0.00 6_660__$ _E 248.0
Payment-per •, 6/19/2016