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HomeMy WebLinkAbout303517 09/26/16 i°r_C�gb CITY OF CARMEL, INDIANA VENDOR: 252310 ® \; ONE CIVIC SQUARE PRO-AIR CHECK AMOUNT: $*****1,340.00* i ;ate; CARMEL, INDIANA 46032 4710 W VERNAL PIKE CHECK NUMBER: 303517 vM____, BLOOMINGTON IN 47429 CHECK DATE: 09/26/16 .,ETON� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351501 1362 1,340.00 EQUIPMENT MAINT CONTR VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) PRO-AIR ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 4710 W VERNAL PIKE IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service BLOOMINGTON, IN 47429 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $1,340.00 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 1362 43-515.01 $1,340.00 1 hereby certify that the attached invoice(s),or 9/21/16 1362 $1,340.00 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, September 21,2016 David Haboush Fire Chief 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— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Pro Air Midwest, LLC 6256 Legacy Ln Ellettsville, IN 47429 (812)336-4022 natalie.shawQa proairmidwest.com www.proairmidwest.com BILL TO SHIP TO �0 0 Carmel Fire Dept Carmel Fire Dept- Rescue 45 ON 2 Civic Sq 10701 N College Ave Carmel, IN 46032 Indianapolis, IN 46280 © o �`":s:-'S '�' h x� cu-���� "� x ; �y i �� �.� 3 � � ' ;_��`� � ,k0.��`i •+' y�� � �*`g' i� "'",3`' �.: as.. .�. _. , '.,....5 Services 1 570.00 570.00 Air Sample Service Services 1 770.00 770.00 Air Compressor Maintenance Annual Billing NFPA compliant service agreement October 1, 2016-September 30, 2017OiN - 2 21" it 4>, , V 0 V