The URL can be used to link to this page

Home My WebLink About303485 09/26/16 CITY OF CARMEL, INDIANA VENDOR: 358990 ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES CHECK AMOUNT: $*****3,177,03* CARMEL, INDIANA 46032 75 REMITTANCE DRIVE CHECK NUMBER: 303485 SUITE 3135 CHICAGO IL 60675 CHECK DATE: 09/26/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4467099 IN1062690 2,062.53 OTHER EQUIPMENT 1120 4356003 IN1063204 1,114.50 SAFETY ACCESSORIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) MUNICIPAL EMERGENCY SERVICES ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 75 REMITTANCE DRIVE IN SUM OF$ CITY OF CARMEL SUITE 3135 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CHICAGO, IL 60675 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $2,062.53 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 1062690 44-670.99 $2,062.53 1 hereby certify that the attached invoice(s),or 9/15/16 1062690 $2,062.53 1120 x102,�' 1120 102 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 Thursday,September 15,2016 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 5-11-10-1.6 120- Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Invoice Page 1 of 2ES . Date 9/8/2016 RA Invoice# I N 1062690 MUNICIPAL EMERGENCY SERVICES Terms Net 30 6975 Hillsdale Court Due Date 10/8/2016 Indianapolis,IN 46250 Customer# C30195 PO# BobV Sales Rep Schultheis, Kevin M 783846215020 783846214398 Tracking# 783847197376 Bill To Ship To 166910415145881 CARMEL FD CARMEL FD 2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 United States United States 'S ak iujaili4 �gszl ?' " KOCHEK 35R2525-Q60 2 029.00 58.007 I Adapters KOCHEK Adapters E Double Female Quantum Orange KOCHEK 35R2525-Q-53 2 0 29.00 58.00 t Adapters KOCHEK Adapters ( Double Female Quantum Blue ! KOCHEK 36R2525-Q-60 2 0 26.001 52.00 Adapters KOCHEK Adapters Double Male Quantum Orange KOCHEK i 36R2525-Q-53 2 0 36.00 72.00 Adapters i KOCHEK Adapters g I Double Male Quantum Blue I KOCHEK S54R56-H 2 0 160.001 320.00 Adapters KOCHEK Adapters 5"STORZ TO 6"NH SWIVEL ROCKER LUG !( ;I FEMALE THREAD Hardcoat Grey FA-8-Yellow ; 81b Flat Axe 36in Handle w/Reflective Tape 3 0 95.001 285.00 § LEATHERHEAD ' SLY-12-36 2 0 48.00 96.00 Custom LEATHERHEAD TOOLS 12#Sledge(Yellow)36"Handle KS34 WRENCH SPANNERXSET OF 4 STORZ 6 0 68.00 408.00 K45-3 HOLDER SET W/(1)KO5/(2)KO1SPANNER 6 0 80.00 480.00 WRENCHES ff K05 .WRENCH HYD ADJUST DBL HD SPANN 3 f 0 29.00 87.00 i K05 WRENCH HYD ADJUST DBL HD SPANN 1 0 29.001 29.00 I t { iii! j Illy Invoice Page 2 of 2 Date 9/8/2016 ES Invoice# IN1062690 MUNICIPAL EMERGENCY SERVICES 4�.9 fi f t t � i I i f Subtotal 1,945.00 Shipping Cost(Freight Fee) 117.53 Total 2,062.53 Amount Due $2,062.53 All returns must be processed within 30 days of receipt and require a return authorization number and are subject to a restocking fee. All payments must be clearly marked with the Customer and Invoice numbers. Payments not marked will be applied to the oldest invoice first. VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) MUNICIPAL EMERGENCY SERVICES ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 75 REMITTANCE DRIVE IN SUM OF$ CITY OF CARMEL SUITE 3135 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CHICAGO, IL 60675 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $1,114.50 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 1063204 43-560.03 $1,114.50 1 hereby certify that the attached invoice(s),or 9/21/16 1063204 $1,114.50 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 D.C--�D _ 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Invoice ES Date 9/12/2016 Invoice# IN1063204 MUNICIPAL EMERGENCY SERVICES Terms Net 30 6975 Hillsdale Court Due Date 10/12/2016 Indianapolis,IN 46250 Customer# C30195 PO# Carter Sales Rep Schultheis, Kevin M Tracking# Bill To Ship To CARMEL FD CARMEL FD 2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 United States United States PSSPT/SHIELD PASSPORT SHIELD W/1 PASSPORT j 12 0 45.50 J 546.00 t 1 ; PSSPT/SHIELD I PASSPORT SHIELD W/1 PASSPORT � 12 0 45.50 546.00 i r _ _ Subtotal 1,092.00 Shipping Cost(Freight Fee) 22.50 Total 1,114.50 Amount Due $1,114.50 All returns must be processed within 30 days of receipt and require a return authorization number and are subject to a restocking fee. All payments must be clearly marked with the Customer and Invoice numbers. Payments not marked will be applied to the oldest invoice first.