300895 07/25/16 <o%'� � CITY OF CARMEL, INDIANA VENDOR: 370P51
`:`® `z,. CHECK AMOUNT: S'**'*3,684.00*
�, ONE CIVIC SQUARE ALE IS FIRE EQUIPMENT CO.
r.. =a CARMEL, INDIANA 46032 los AST BROADWAY CHECK NUMBER: 300895
9M�roN�° ALEX S IL 61412 CHECK DATE: 07/25/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 0056643—IN 3,684.00 OTHER EQUIPMENT
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
ALEXIS FIRE EQUIPMENT CO.
109 EAST BROADWAY IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
ALEXIS, IL 61412 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$3,684.00 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
56643 44-670.99 $3,684.00 1 hereby certify that the attached invoice(s),or 7/18/16 56643 E3451E346 $3,684.00
0 102 1120 102
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered an
received except
Monday,July 18,2016
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Page: 1
z
INV ICE
INVOICE NUMBER: 0056643-IN
INVOICE DATE: 7/15/2016
ALEXIS FIRE EQUIPMENT CO.
109 EAST BROADWAY
ALEXIS,IL 61412 ORDERNUMBER: 0037980
(309)482-6121 ORDER DATE: 7/13/2016
SALESPERSON: CBEQ
CUSTOMER NO: CA74
SOLD TO: SHIP TO:
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL,IN 46032 CARMEL,IN 46032
CONFIRM TO:
BOB VANVOORST
CUSTOMER P.O. SHIP VIA F.O.B. TERMS
NEW ENGINES NET 30 DAYS
ITEM NUMBER UNIT ORDERED SHIPPE D BACK ORD PRICE AMOUNT
716EVS EACH 2.00 2.00 0.00 1,842.00 3,684.00
161N ELECTRIC PPV, 1.5HP,VARI WHSE: 020
PO# 125844
Net Invoice: 3,684.00
Less Discount: 0.00
Freight: 0.00
Sales Tax: 0.00
Invoice Total: 3,684.00