305055 11/14/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 370336
ONE CIVIC SQUARE 911 FLEET & FIRE EQUIPMENT CHECK AMOUNT: S*******600.48CARMEL, INDIANA 46032 11 LENDALE DRIVE CHECK NUMBER: 305055
FLORENCE KY 41042 CHECK DATE: 11/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 INV-3412 600.48 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
911 FLEET& FIRE EQUIPMENT ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
11 LENDALE DRIVE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
FLORENCE, K(41042 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$600.48 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
INV-3412 42-370.00 $600.48 1 hereby certify that the attached invoice(s),or 11/8/16 INV-3412 $600.48
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
Tuesday, November 08,2016
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Page 1 of 2
911 Fleet&Fire Equipment
11 Lendale.Drive
Florence,KY 41042 US
877-605-2378 FLEET a FIRE
EOLnamEivr
BILL TO INVOICE INV-3412
Carmel Fire Department
2 Civic Square DATE11/04/2016 TERMS
Carmel, Indiana 46032receipt
DUE D• .
P.O.NUMBER S.O.NUMBER
L341 76397
DESCRIPTIONQTY RATE AMOUNT
Parts Only 1 480.48 480.48T
P0721400;Box,Gear 2 Shift
Misc Fee 1 50.00 50.00T
Expedite Handling Fee
Shipping 1 70.00 70.00
Shipping costs for parts
SUBTOTAL 600.48
TAX(O%) 0.00
TOTAL 600.48
TOTAL $600.48
https:Hconnect.intuit.com/portal/module/pdfDoc/template/printframe.html 11/8/2016